Kamis Manis PMU
Authored by sri rahmawati
Special Education
Professional Development
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15 questions
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1.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Berapa lama standar waktu penyelesaian klaim dispute ditingkat
Kedeputian Wilayah yaitu:
7 (tujuh) hari kalender
10 (sepuluh) hari kalender
10 (sepuluh) hari kerja
7 (tujuh) hari kerja
2.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Klaim pending yang telah memasuki masa kadaluwarsa klaim namun belum ditagihkan kembali oleh Fasilitas Kesehatan maka akan berstatus :
Tidak Layak
Pending
Kadaluwarsa
Dispute
3.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Dalam proses verifikasi klaim, hal yang perlu diperhatikan adalah kecuali:
Validitas dokumen yang diajukan
Keselarasan antara diagnosis dan tindakan medis
Berkas pengajuan klaim
Jumlah biaya yang diajukan
4.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Pembayaran klaim Non Kapitasi dilakukan paling lambat yaitu :
Hari kerja ke -15 (lima belas) sejak dokumen klaim dinyatakan lengkap dan terverifikasi di Kantor Cabang/Kantor Kabupaten/Kota
Hari kerja ke-15 (lima belas) sejak terverifikasi di Kantor Cabang/Kantor Kabupaten/Kota
Hari kerja ke-15 (lima belas) sejak dokumen lengkap di Kantor Cabang/Kantor Kabupaten/Kota
Hari kerja ke-15 (lima belas) sejak dokumen lengkap
5.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Apakah kepanjangan dari PRB & Prolanis ?
Peserta Rujuk Balik & Program Pengelolaan Penyakit Kronis
Program Rujuk Balik & Program Pengelolaan Penyakit Kronis
Peserta Rujuk Balik & Program Lanjut Usia
Peraturan Rujuk Balik & Lanjut Usia
6.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Rumus perhitungan peserta rawat inap yang mendapatkan denda pelayanan di FKRTL adalah ?
2,5% X diagnosa awal X jumlah bulan tertunggak (maksimal 12 bulan)
5% X diagnosa awal X jumlah bulan tertunggak (maksimal 12 bulan)
50% X diagnosa awal X jumlah bulan tertunggak (maksimal 12 bulan)
1,5% X diagnosa awal X jumlah bulan tertunggak (maksimal 12 bulan)
7.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Maksimal hari perawatan inap di FKTP adalah ?
5 hari
3 hari
7 hari
10 hari
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