BPJS Fraud Prevention Strategy at Royal Prima Hospital

DOI

10.2991/978-94-6463-664-2_15How to use a DOI?

Keywords

uric acid; urea; creatinine; kidney histopathology

Abstract

Fraud or fraud is an act that is against the law and is carried out intentionally for certain purposes that harm other parties. This research aims to find out some of the efforts made by RSU Royal Prima Medan in detecting and preventing fraud in BPJS claims. The method used in this research is a qualitative approach with a phenomenological design. The number of samples in this study were 5 people. The results obtained by Royal Prima Medan General Hospital, in preventing fraud, first validate new patients. Second, providing therapy in accordance with the Clinical Pathway. The third, conduct supervision (Monet) per day. The fourth is Double Cross-check. And finally, empowering human resources.

Copyright

© 2025 The Author(s)

Open Access

Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

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TY  - CONF
AU  - Santy Deasy Siregar
AU  - Chrismis Novalinda Ginting
AU  - Cecilia Arnas Bertha Harefa
PY  - 2025
DA  - 2025/03/31
TI  - BPJS Fraud Prevention Strategy at Royal Prima Hospital
BT  - Proceedings of the 1st International Conference on Lifestyle Diseases and Natural Medicine (ICOLIFEMED 2024)
PB  - Atlantis Press
SP  - 150
EP  - 157
SN  - 2468-5739
UR  - https://doi.org/10.2991/978-94-6463-664-2_15
DO  - 10.2991/978-94-6463-664-2_15
ID  - Siregar2025
ER  -