Abstract
Objective:
To depict the discrepancy and analyze the
difference between hospital cost and INA-CBGs claim
in obstetrics’ cases in SoE Rural General Hospital, Timor
Tengah Selatan regent, East Nusa Tenggara.
Methods:
This is an observational descriptive study using
medical record documents of spontaneous vaginal, assisted
vaginal, and cesarean delivery cases from the period of
October to December 2022. We included all completed
billing documents on that period. Cases paid by fee-for-
service and local government were excluded. Data analysis
was conducted using IBM SPSS Statistic 23.0
Results:
From the total of 323 delivery cases recorded in SoE
Rural General Hospital, only 245 cases were included. Most
subjects were patients aged around 30 years old, referred
from primary healthcare facility in the district, were in term
pregnancy, and in 3rd class inpatient rooms. The median of
length of stay (LOS) in vaginal delivery (spontaneous and
assisted) and cesarean delivery were 2 days and 3 days,
respectively. Mean difference between hospital cost to INA-
CBGs claim was 67% to 158% for either vaginal or cesarean
delivery based on class inpatient room. We found that
hospital cost was always higher than claim cost based on
INA-CBGs claim.