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“One among BPJS Kesehatan’s commitments is to make sure that the individuals of the Nationwide Well being Insurance coverage-Wholesome Indonesia Card (JKN-KIS) obtain high quality, skilled, and satisfying well being companies. Thus, as a type of compliance with laws, (filtering and) deciding on well being amenities is completely mandatory and have to be fulfilled by healthcare amenities that may work with BPJS Kesehatan,” Director of Healthcare Companies at BPJS Kesehatan Lily Kresnowati famous in a written assertion obtained right here on Thursday.
Kresnowati defined that the measure was taken in a bid to adapt to the brand new laws and the brand new regular period.
Her administration facet will conduct credentialing and re-credentialing throughout the interval from October to December 2021 all through Indonesia, with give attention to advanced-level referral well being amenities that may cooperate in 2022.
The coverage for healthcare amenities will probably be synchronized with Authorities Regulation Quantity 47 of 2021 on implementation of the hospital sector and Regulation of the Well being Ministry Quantity 14 of 2021 on enterprise actions requirements and merchandise of risk-based enterprise licensing within the well being sector.
In accordance with Kresnowati, for well being amenities seeking to partake within the choice, individuals ought to fulfill administrative necessities, equivalent to licensing, medical personnel apply permits, accreditation, and the well being facility’s taxpayer company quantity.
As for the technical standards, BPJS Kesehatan will have in mind these healthcare amenities based mostly on their competent medical personnel and the scope of companies, and amenities and infrastructure, together with beds, methods, procedures, administration, and cooperation analysis.
The choice technique of well being amenities will contain the native district or metropolis well being workplace, associations of well being amenities, {and professional} associations.
BPJS Kesehatan has developed an utility referred to as the Well being Services Info System to expedite and simplify the collaboration course of with well being amenities. It’s a web-based utility for straightforward accessibility through the general public web, and the cooperation utility course of will be monitored transparently.
Within the utility, healthcare amenities can simply add the required knowledge. This goals to make sure that all well being amenities serving JKN-KIS individuals are of top quality and in accordance with current laws.
Kresnowati additionally warned that fraud in healthcare companies wouldn’t solely have an effect on the situation of the Well being Social Safety Fund (DJS), however it could additionally have an effect on individuals and the well being amenities.
“We anticipate that the fraud potential will be minimized and well being companies for individuals can run optimally. As well as, throughout the COVID-19 pandemic and the beginning of the brand new regular period, there must be a typical understanding of the ethics of offering well being companies by BPJS Kesehatan, healthcare amenities, individuals, and stakeholders,” she added.
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