Analisis implementasi SIMRS Rawat Inap dalam mendukung pelaporan klaim BPJS di Rumah Sakit Dustira

Abstract

This study aims to analyze the implementation of the Hospital Management Information System (SIMRS) in the inpatient unit to support BPJS Health claim reporting at Dustira Hospital. SIMRS plays a crucial role in ensuring the completeness and accuracy of data used in claim submissions, although its implementation still encounters various challenges. A quantitative approach with an analytical cross-sectional study design was used. A total of 93 medical record data were sampled from 2,845 inpatient records in January 2025. Of these, 86 records experienced delayed completion (non-final), and 9 claims were rejected. In addition, 25 healthcare personnel involved in the claims process—including 2 doctors, 5 nurses, 12 medical record officers, and 6 administrative staff—were included as key informants through observation. Data were analyzed using univariate, bivariate (chi-square), and multivariate tests. The results indicate that coding was the most influential factor affecting the timeliness and accuracy of claim reporting (OR = 83.966). These findings highlight the need for continuous staff training and the optimal utilization of SIMRS to ensure a more efficient and accurate claims process.