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Applicable Local Number 19 2013

Original Language Title: Peraturan Daerah Nomor 19 Tahun 2013

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n the Hospital.

28. The Kefarmasian Service is a professional approach responsible for ensuring the use of medicine and health tools by indication, effective, safe and affordable by patients through the application of knowledge, expertise, skills and behavior. The pharmacist as well as bekeja are the same as patients and other health professions.

29. Visite doctor is a doctor ' s visit at certain hours to the patient who is treated.

30. The consul is a specialistic examination/consultation with diagnostics and therapy that is then handed back to the treatment and treatment and his supervision to a physician who refers to the interests of the patient's healing efforts.

31. The Consul Surrender is a specialist plea/consultation and also gives up his medication done by a one-part doctor

to other doctors in the interest of the patient's healing efforts.

32. The treatment/treatment of the institution is the treatment, bathing and burial of the bodies of officers in the hospital for the benefit of health care and burial, rather than for the judicial process.

33. An ambulance service is a mobilization of emergency services including the evacuation of medics and/or referral services from the patient's residence to the Hospital and/or the patient's referral service from the Hospital to the Hospital. Capable.

34. The service of the hearse is a service with four (four) wheel transport used specifically to carry the body.

35. The guest physician is a specialist doctor whose employment status outside the Hospital is granted a special permission for the cooperation agreement to carry out the service at the Hospital.

36.Tarif.

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36. The fare is partial or the entire charge for the activities of the Medic and Non Medik Service activities in the Hospital which is charged to the public in exchange for or service of the services he receives.

37. Service Services are the rewards received by the executor of the services provided to the patient.

38. Services Facilities are the services received by the Hospital for the use of the facilities and facilities of the Hospital in order of observation, diagnosis, treatment, medical rehabilitation and/or other services.

39. Pharmaceutical services are the reward received for the service given to patients in order to obtain medicines, health tools and the consumable materials from the Hospital Pharmacy Installation with the Doctor's prescription.

40. Remuneration is a work reward that can be a salary, a fixed allowance, an honorarium, an incentive, a bonus of achievement, which is given to the administrator and employee of the public hospital Haji Abdoel Madjid Batoe.

41. A patient is a person in need and obtaining health care.

42. Accommodations are the use of hospitable facilities including eating at the Hospital.

43. Use of the Used Use Materials is the use of materials used directly by patients in the framework of observation, diagnosis, treatment and rehabilitation. Use of disposable materials including means services.

44. Rawat's day is the length of the patient's treatment, which is calculated based on the difference between the admission date and the exit/death date of which if the entry date is calculated then the exit/die date does not count or otherwise, if date of entry and date of exit/die is the same then counted 1 (one) outpatient.

45. Unit cost is the overall calculation of charges for carrying out 1 (one) times the service activities at the Hospital.

46. Cost Sharing is the dues imposed on the patient PT. Health Insurance (Askes) because there is a tariff difference between Haji Abdoel Madjid Batoe County General Hospital with PT rates. Askes.

47. Mandatory retribution is a person or person according to the Laws of the Law is required to make a payment of retribution.

48. Childbirth is the birth process of a baby quite a month or nearly enough moon either spontaneously or with a purview that requires a medical action.

49. The Perinatology Room is the place of caring for a newborn baby from a mother who gives birth to a normal birth and gives birth by action, with a normal birth weight (more than 2,500 grams) and a low-born weight baby (less than 2,500 grams).

50. A guarantor is a person or legal entity for the health care charge of a person who uses/gets a service in the Hospital.

51.Participants.

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51. Attendees of the PT. Health Insurance (Askes) is a mandatory participant of a civil servant, a volunteer participant whose members are public/individual who have a PT ID. Health Insurance (Askes) and his legal family are listed in the ID card.

52. The next retribution of the area called retribution is the levies of the area as payment for the services of the health services provided by the Hospital for the benefit of the person/body.

53. The functional reception of the Hospital is the admission of the Health Service Retribution to the payment of a sum of money by a person/body in exchange for service services that the Hospital has provided to him.

54. The non-functional reception of the Hospital is the admission outside of service activities and is tuned to the Regional Kas.

55. A General Services levy is a levy on services provided or provided by the Regional Government for the purpose of general benefit and benefit and can be enjoyed by person or body.

56. The Local Letter of Levy Act, which further abbreviated as SKRD, is a decree that determines the magnitude of the debt amount owed.

57. The More Pay area levy, which can be abbreviated as SKRDLB, is a decree that determines the sum of the excess payment of retribution because the amount of the credit levy is greater than the levy owed or not. is supposed to be in debt.

58. The Regional Levy Bill, which next can be abbreviated STRD, is a letter to conduct a levy bill and or sanction an administration of interest and or fine.

59. A Letter of Objection is a letter of decision over objections to SKRD or other relevant documents and SKRDLB submitted by the Compulsory Retribution.

60. An expiry is either a tool to obtain or be released from a bond by a certain period of time.

61. The investigation of a criminal offence in the field of retribution is a series of measures undertaken by the Civil Service Investigator, who can then be called Investigator, to search for and gather evidence that with the evidence it makes the light of a follow-up. A criminal in the field of regional retribution that occurred and found the suspect.

62. Non-capable or poor patients are those who are less or less capable of being proven by a letter of information from the authorities and those who are maintained by the government or private social bodies that have been legal.

BAB II It's ...

22. Medik Operative action is a surgical act that uses common anesthesia, local anesthesia or without anesthesia.

23. A Medik Non Operative action is an action without dissection.

24. The service of the Sealing (cito) is an immediate act of health care to avoid a person from the risk of death or defect.

25. A dental/bidan/nurse action is an act performed by a self-serving nurse/midwife/or collaboration with other professions in accordance with its competitors.

26. The Medik Rehabilitation Service is a service given to health care in the form of therapeutic physio, ocufational therapy, wicara therapy, orthoty/prosthetic and social services medik.

27. The Medik Dental and Mouth service is the plenary service covering healing and recovery efforts in conformity with the prevention of dental and oral disease prevention and improved dental and oral health in patients i

m. carrying out the Hospital ethics;

n. have an accident prevention and countermeasures disaster;

o. carrying out a government program in the field of health, both regionally and nationally;

p. create a list of medical personnel conducting medical practice, or other dentistry and health care;

q. assemble and carry out the internal regulations of the Hospital (hospital bylaws);

r. protect and provide legal assistance to all Hospital officers in carrying out tasks;

s. For the emergency sufferers, the Hospital should not withdraw the advance;

t. for sufferers other than the emergency of the terms of the advance imposition specified by the Director; and

u. imposes the entire environment of the Hospital as an area without cigarettes.

BAB IV

HOSPITAL RESOURCES

Article 10

(1) The hospital is required to draw up the standard of needs, numbers and types of composure according to the type of service that available in accordance with the Hospital class.

(2) Standard ...

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(2) The standard needs as referred to in paragraph (1) are poured in the application of the Minimal Service Standards (SPM) and the Hospital Strategic Plan.

(3) In meeting the community ' s needs for service Specialistic and sub-specialistic (consultant specialists) whose provisions have not been able to be provided by the Hospital, then the Hospital can bring in guest physicians.

(4) The services of the guest physician are as well as the following.

(4) The services of the guest physician are referred to the paragraph (3) of being poured in the cooperation agreement according to Regulation Applicable laws.

BAB V

NAME, OBJECT, SUBJECT AND MANDATORY RETRIBUTION

Article 11

With the name of the Health Service Retribution is levied its levy as payment for the use/monitoring of service services health in the Hospital.

Article 12

(1) The object of retribution is the services of the health services at the Hospital owned and/or managed by the Local Government, except for registration services.

(2) Excluded from the object of retribution is a health care ministry conducted by the Government, BUMN, BUMD and private parties.

Article 13

(1) The subject of the levy of persons and/or bodies obtaining health services at the General Hospital.

(2) The levy of retribution is the person and/or the body that is required to pay retribution for the use of/utilization of services Health care at the Hospital.

BAB VI

LEVY LEVY

Article 14

The health care attribution is classed as a General Services Retribution.

BAB VII

THE WAY MEASURES THE LEVEL OF USE OF SERVICES

Article 15

The usage level/utilization rate is measured by number, type and The frequency of health care, class (place) of care as well as materials and tools provided by the Hospital.

BAB VIII. ....

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BAB VIII

PRINCIPLES AND GOALS IN ASSIGNMENT

THE STRUCTURE AND MAGNITUDE OF THE TARIFF

Article 16

(1) Principles of larging health care rates to improve the quality of service with regard to the People's abilities and aspects of justice.

(2) The goal of the quantity of retribution is to close some or all of the costs of hosting a health service which are calculated on the basis of the cost unit with a fixed amount of time. notice the social economic capabilities of society.

(3) The tariff component of the levy The service consists of service means and service services.

(4) The services of the means as referred to in verse (3) are the summation of the use of the medical materials (BHP) plus medical and non medical means.

(5) the calculation of the levy rate for class II, I, the Primary and VIP used are the cost of service services and the cost of service means based on unit cost (unit cost) per service unit as referred to in paragraph (2), covering the cost:

a. medik service, medik and non medik support;

b. treatment;

c. accommodation;

d. procurement of patient cards/records; and

e. operations and maintenance.

(6) The calculation of the levy rate for the class III used to compensate for the partial costs of the hospital.

BAB IX

THE STRUCTURE AND MAGNITUDE OF THE LEVY RATE

Article 17

(1) The structure and magnitude of the health care levy rate at the Hospital is set based on the type and classification of services given consisting of the service of the means and services services.

(2) The structure and magnitude of the charge levy rate health in the Hospital is classed in the type and classification of services as listed in the appendix that is an inseparable part of the Regulation of this Region.

BAB X

PARTICIPANTS ASKES

Section 18

(1) Patient Of The PT. Health Insurance (Askes) and its family members are enacted in accordance with the applicable Law-Invitation Rules.

(2) The health care package is not guaranteed PT. Health Insurance (Askes) is charged in Askes participant patients.

(3) Difference of ...

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(3) the difference between outpatient rate, outpatient, medik action and support check as set forth in this Section Regulation Attachment at the rate referred to in the Minister of Health's Decision for the participants of PT. Health Insurance (Askes) is charged to the participants of PT. Health Insurance (Askes) (cost sharing).

(4) The Hospital health care levy for the group of people whose payment is guaranteed by the guarantor is set through a bond of the written agreement on the basis of not mutual harm between the Director and the pensier answer the guarantor.

BAB XI

TYPES OF SERVICE

Article 19

(1) The types of services at the Hospital include:

a. health services; and

b. use of the Hospital facilities for Educational and Exercise purposes;

(2) The types of health care services as referred to in paragraph (1) are subject to retribution, covering the top payment:

a. services of the means;

b. service service.

(3) The health service as referred to in paragraph (1) of the letter a, includes:

a. Outpatient services;

b. Emergency care services;

c. hospitable services;

d. medik action service;

e. tooth and mouth service;

f. Kefarmasian pharmacy/nurture services;

g. medik service support;

h. medik rehabilitation service;

i. the service of the blood transfusion and medik gas;

j. Nutrition services;

k. PONEK services;

l. treatment of isolation, intensive and perinatology;

m. health check/testing service

n. Health Inspection Service in the order of publishing papers and Visum;

o. poor family service;

p. Body-advised services; and

q. the transport services of the ambulance and the body.

(4) The type of service as referred to in verse (3) is listed in the Annex of this Area.

Part of the Kxecute, and maintain the quality of health care quality in the Hospital as a reference in serving patients;

h. host a medical record;

i. carrying out a health referral system;

j. providing a proper public means and infrastructure, among other means of worship, parking, waiting room, means for disabled people, nursing women, children and elderly;

k. rejected a patient ' s desire in conflict with the standards of the profession and ethics as well as the laws of the negotiations;

l. respect and protect the rights of patients;nt (informed consent);

g. In the case of new medik services outside of which are already set in the Regulation of the Regions due to the development of the field of science and/or there is a new specialist power, then the retributary tariff is established with the Rule of the Regent; and

h. if the patient moves to a lower class or to a higher class then the cost of the medik act and the therapeutic treatment are taken into account with the highest class fare occupied.

(5) The details of the medik action rate per category as set forth in this Section Regulation Attachment that is an inseparable part of the Regulation of this Region.

Fifth Quarter

Dental And Mouth Service

Article 28

(1) The medik of dental and mouth medics as referred to in Article 19 of the paragraph (3) of the letter e, consisting of:

a. Basic dental medik service; and

b. The medical medik service is specialistic.

(2) The type of dental and mouth medik service is made up of:

a. examination and/or the medik of dental and basic mouth;

b. examination and/or medical action of dental and mouth specialist; and

c. dental consulting services.

(3) Details of dental and mouth service rates as set forth in this Region Regulation Attachment which is an inseparable part from Regulation of this Region.

Part Sixth

Pharmaceutical Service

Article 29

(1) The pharmaceutical service as referred to in Article 19 of the paragraph (3) letter f, is part of the treatment process that is the responsibility of the Hospital for the provision of drugs and other pharmaceutical supplies as needed.

(2) Drug Suppliers And other pharmaceutical supplies including drug-type drugs and addictive substances must be eligible for Indonesian pharmacopoeia or the standards established by the Indonesian Department of Health.

(3) The hospital is obliged to do surveillance, controls and use of the drug for patients effectively and efficiently.

(4) The hospital is required to compose a Hospital formulation, diagnostic guidelines and therapy for the treatment and safety interests of patients (patient safety).

(5) Home. ...

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(5) The hospital can form a pharmacy service unit for the service of drug sales, health care and other pharmaceutical supplies in effect.

(6) Hospital pharmacy service management must be performed by a pharmacist with a sufficient amount of standard set.

Article 30

(1) The pharmaceutical service as referred to in Article 29, includes:

a.u.The drug service and health care tool are exhausted;

b.management (handling) drug and drug racfish (puyer);

c.service of drug consultancy; and

d.d. clinic pharmacy.

(2) Cost of management (handling) drug and drug racfish as referred to in paragraph 1 (one) letter b is a component of the sale of the drug and racfish in the pharmaceutical executor unit ready to be given to a patient consisting of a means of service and service services.

(3) The materials and materials used to be used by the patients outside of the means of special means and not home-provided services. The pain of being a patient and/or guarantor.

(4) The drug and drug-selling price of the health discharged outside of services means 25% of HNA and PPN in effect.

Seventh Section

Medik Service Service

Section 31

(1) Medic support services as referred to in Article 19 of the paragraph (3) of the letter g, includes:

a. laboratory examination service;

b. Radiodiagnostic examination service;

c. electromedic diagnostic examination service, covering:

1. examination ultrasonography (ultrasound);

2. check echo/electrocardiography (ECG);

3. treadmill check; and

4. Other electromedic checks.

(2) Service services as referred to in paragraph (1) letter b and c, consisting of medical services (doctors) and services officer radiology

(3) medik support services for enforcement diagnostics can be is organized over the medical indication and the knowledge of the patient and/or her family.

(4) The medik services for the medik support ministry are enacted in accordance with the classification of services.

Article 32

(1) Laboratory services as referred to in Article 31 paragraph (1) of the letter a in the Hospital, covering laboratory services clinic.

(2) Any time ..........

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(2) Any medik support service is subject to a service levy fee, including means services and service services.

(3) The details of laboratory service rates as set forth in this Section of the Regulation of this Region are the following: is an inseparable part of this Region Regulation.

Article 33

(1) The radiodiagnostic service as referred to in Article 31 of the letter b in the Hospital, includes:

a.radiological examination by contrast;

b.radiological check without contrast;

c.examination of imaginary radiologists (imaging).

(2) Tarif of the radiodiagnostic examination levy with contrasting materials, excluding the contrasting materials and consumable materials.

(3) The ultrasound electromedic diagnostic examination levy already included a print image (print out).

(4) In terms of medik support check due to the Hospital error, then the patient is exempt from the levy rate.

Section Eighth

Medic Rehabilitation Services

Article 34

(1) Service medik rehabilitation as referred to in Article 19 of the paragraph (3) of the letter h, covering some Types of Service.

a. medik rehabilitation service, consisting of:

1. consulting services; and

2. medik rehabilitation action service.

b. Physiotherapy ministry;

c. wicara therapy ministry.

(2) The type of mental rehabilitation service, covering:

a. a psychiatric medic action service;

b. mental rehabilitation services, occupational therapy (okupation); and

c. consulting services and/or psychological examination.

(3) Based on the criteria of duration of service time, complexity, risk, use of advanced tools (modality therapy), and Medik rehabilitation ministry professionalism is grouped in classification:

a. a simple medik rehabilitation service;

b. Medical rehabilitation services are small; and

c. Medik rehabilitation services are being.

(4) The details of laboratory service rates as set forth in this Section Regulation Attachment which are an inseparable part of Regulation This area.

Section Ninth.

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Part Ninth

Service Transfusion of Blood and Gas Medik

Article 35

(1) Blood transfusion services as referred to in Section 19 of the letter i, includes:

a.service of transfusion delivery blood;

b.service provision of blood flasks (blood bank); and

c. service screening and cross match (blood group suitability).

(2) The use of a blood flask is a blood flask by the Blood Transfusion Uniysician, a 20% general physician of the services of the anesthesiologist and bidan 15% of the services of the anesthesiologist;

e. A service.

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e. Medical care for the anesthesiologist. If the hospital doesn't have an anesthesiologist Doctor, it's 18% of the operator's medical services.

f. any service of the operative medic action must be accompanied by sufficient information about the procedure and risk of operations accompanied by patient conse/or patient comfort, the hospital is required to conduct surveillance, control and assessment of the practice of clinical practice Effectively and efficiently.

(3) The education and training services are set up with a cooperation agreement.

(4) In the ...

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(4) In the conduct of educational and training alignment as referred to in paragraph (1) The hospital is entitled to service means and service services.

(5) The details of the education and training services rate as set forth in the Attachment that is an integral part of the Regulation of this Section.

Article 48

(1) the rights and obligations of the participants of education and/or training are set in its own with the Decree of the Director of the Hospital.

(2) In the setting up of the rights and obligations as referred to in paragraph (1) as opposed to Applicable general norm, may be cancelled and performed changes and improvements to the applicable provisions.

(3) Any institution or individual conducting mandatory clinical research is accompanied by a guidance counselor of the Hospital. with a research object.

(4) The clinic research with patients must get the approval of the conduct team of conduct set by the Director of the Hospital.

BAB XIII

REVIEW OF THE TARIFF

section 49

(1) The Rate Of The Levy Act revisited at most 3 (three) years.

(2) The review of the levy tariff as referred to in paragraph (1) is done with regard to the price index and the development of the economy.

(3) The charge of the levy rate as referred to in paragraph (2) is specified with the Rule of Count.

BAB XIV

THE REGION

Article 50

Retribution to a debt levied in the area.

BAB XV

LAYOUT OF THE

Article 51

(1) The levy cannot be bored

(2) In terms of the Mandatory Retribution of the did not pay just in time or less pay, imposed administrative sanction a fine of 2% (two percent) each month of its debt Retribution and billed using STRD.

(3) The billing of the Levy as referred to in paragraph (2) is preceded by the Letter of Teguran.

(4) The Denda as referred to in paragraph (2) is tuned to the Regional Kas.

(5) Retribution ..........

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(5) Retribution is levied by using SKRD or other relevant documents.

(6) Other documents described as referred to in paragraph (5) may be karcis.

BAB XVI

TATA WAY PAYMENT AND THE

Section 52

(1) Retribution Payment is repaid at once.

(2) The debt retribution is lunted at least 15 (15) days from the publication of SKRD or other relevant documents and -STRD.

(3) The payment of retribution is done at the Hospital cashier.

(4) Further provisions on the terms of payment and place of payment of retribution are governed by the Rule of Count.

Article 53

(1) The charge of retribution The debt has been implemented using STRD with the death of a letter.

(2) Expense of a warning/letter/other letter as the beginning of the act of billing the levy was issued immediately after 7 (seven) days since due payment.

(3) Within 7 (seven) days after the date of the letter reprimand/other letter of the same type received by mandatory retribution, mandatory retribution must pay off the owed letter.

(4) A letter of warning/other letter of warning/other letter as referred to in paragraph (2) is issued by Designated officials.

(5) Further provisions on the manner of the implementation of the invoice of retribution are governed by the Rules of the Regent.

Article 54

(1) The payment of the levy as referred to in Article 52 is given a sign of evidence lawful payment.

(2) any payment is recorded in the Home admission book Illness.

Article 55

(1) The results of the receipt of the health care levy as referred to in Article 51 are gross to the Regional Kas in a time of 1 x 24 Hours.

(2) The result of the receipt of the health care levy As it is referred to in paragraph (1), it is returned to the hospital with the following conditions:

a. services of the means returned to the Hospital by 70% (seventy-perhundred);

b. Service services are returned to the hospital by 100% (a hundred percent).

(3) Of The .......

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(3) Of the proceeds of the acceptance of the levy as referred to in paragraph (2), is the hospital's income and is used for the operational and service of the Hospital services.

(4) The services of the means as referred to in paragraph (2) letter a, allocated for shopping needs investment, service operations, maintenance outside the payroll of civil servants payroll, and the development of human resources at the Hospital.

(5) Service services as referred to in paragraph (2) letter b, allocated for medical power compensation, paramedics, non-medical personnel and directors directly and indirectly perform health care to patients in the Hospital.

(6) Further provisions regarding the division/compensation of service services as referred to in paragraph (2) the letter b, are given based on the system The remuneration is governed by the Rules of the Regent.

BAB XVII

REDUCTION, LENIATION AND

EXEMPTION OF RETRIBUTION

Article 56

(1) The Regent or designated technical officer may provide a reduction, leniation and deliverance retribution.

(2) Reduction, leniation and liberation of retribution If any is given to a community of natural disasters, extraordinary events and/or unrest.

(3) Further provisions of the method of granting reduction, leniation, and liberation. The retribution as referred to in paragraph (1) is governed by the Rule of the Regent.

BAB XVIII

OBJECTION

Article 57

(1) The levy of retribution may apply only to either the Regent or the official appointed over SKRD or Other documents are welcome and SKRDLB.

(2) Objection is written in Indonesian with clear reasons.

(3) Objection must be submitted within the longest term of 3 (three) months from the date SKRD is published, unless required retribution may indicate that the timeframe cannot be fulfilled due to circumstances beyond its control.

(4) The circumstances outside of his power as referred to (verse) are a state that occurs beyond the will or power of the law. retribution.

(5) The filing of objections does not delay the obligation of paying retribution and The execution of retribution.

Article 58.

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Section 58

(1) the Regents in the most prolonged period of 6 (six) months from the date the letter of the objection is received must provide a decision over the objection submitted by issuing a Decision Decision Letter.

(2) The provisions, as referred to in verse (1) are to provide legal certainty for the mandatory retribution, that the objections submitted must be made a Decision by the Regent.

(3) The Regents ' Decision on the objection may be either accepting the whole or the partly, refusing

Article 46

(1) Details of the body transport service fare as set forth in this Section of Regulation Attachment which is an inseparable part of the Regulation of this Region.

BAB XII

USAGE HOSPITAL FACILITIES FOR THE BENEFIT OF EDUCATION AND EXERCISE

Article 47

(1) The education and training ministry as referred to in Section 19 of paragraph (1) letter b, grouped in:

a. practice education;

b. training (inhouse training); and

c. rental Hospital means

(2) To ensure patient safety andor adding to the magnitude of the debt of debt.

(4) If The term as referred to in verse (1) has passed and the Regent does not give a decision, the objection to which it is considered granted.

Article 59

(1) If the application of the objection is granted in part or entirely, Overage payments are returned with plus interest rates of 2% (two perhundred) a month for at most 12 (twelve) months.

(2) The flower patch as referred to the paragraph (1) is calculated since the month of the softening up to with the publication of SKRDLB.

BAB XIX

RETURN OVERPAYMENT

Article 60

(1) Of the excess payment of retribution, the mandatory retribution may apply for a refund to the Regent.

(2) the Count in the longest term of 6 (six) months since the receipt of a return payment of the excess payment of retribution as specified in paragraph 1 (one), must provide a decision.

(3) If the term as referred to in paragraph (2) has been exceeded and the Regent is not provide a decision, a request for a return payment is considered Granted and SKRDLB must be published in the most prolonged period of 1 (one) month.

(4) If the obligation of retribution has another debt of retribution, the excess payment of retribution as referred to the paragraph (1) is directly taken into account for Pay off any of the debts.

(5) The return of the excess payment of retribution as referred to the paragraph (1) is performed within the most prolonged period of 2 (two) months since the publication of SKRDLB.

(6) If the return of the excess payment of retribution is performed after 2 (two) months as referred to in paragraph 5 (five), the Regent provides a interest rate of 2% (two percent) a month over the delay in excess payment payment of retribution.

(7) Further provisions on the order of the return of the excess payment of retribution as referred to in paragraph (1) are governed by the Rules of the Regent.

BAB XX.

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BAB XX

REMOVAL OF THE EXPIRED LEVY DEBT

Article 61

(1) The right to invoicing the levy expires after surpassing the term 3 (three) years from the time of its release. levy, unless mandatory retribution commits a criminal offence in the field of retribution.

(2) The expiry billing of the levy as referred to in paragraph (1) is formidable if:

a. published a reprimand letter; or

b. There is a recognition of the debt of retribution from mandatory retribution either directly or indirectly.

(3) In the case of a letter published a reprimand as referred to in paragraph (2) the letter a, the expiration of the billing is calculated from the date of the acceptance of the Letter of Uran. such.

(4) The recognition of the debt of retribution directly as referred to in paragraph (2) the letter b, is mandatory retribution with its consciousness stating that it still has a debt of retribution and has not paid it to the Regional Government.

(5) Indirect recognition of the debt of retribution as referred to in paragraph (2) letter b, may be known from the submission of an installment application or a delay in payment and a plea of objection by mandatory retribution.

Article 62

(1) Retribution Debt is not likely to be billed again due to the right to invoicing already expired can be expunged.

(2) The Count specifies the Expiration Date of the Elimination Attribution as it is referred to in paragraph (1).

(3) The order removal of the expired Retribution debt is set up with the Count Regulation.

BAB XX

INCENTIVE VOTING

Article 63

(1) The instalment carrying out the levy could be given incentive on the basis of a particular performance achievement.

(2) The granting of incentives as referred to in paragraph (1) is set through the Regional Revenue and Shopping Budget.

(3) Further provisions on the method of giving and utilization The incentive (1) is governed by the Regent Ordinance.

BAB XXI " ...

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BAB XXI

provisions INQUIRY

Section 64

(1) In addition to the Indonesian Police Officer, a particular civil servant official in the Hospital Environment is given special authority as an investigator for the conduct an inquiry against the violation of provisions in this Area Regulation.

(2) The authority of the investigator as referred to in paragraph (1) is:

a. receive, search, collect and research the information or reports relating to the area of the Regional Retribution to the description or report to be complete and clear;

b. Research, search and collect information about persons or bodies about the correctness of actions that are committed in connection with the Regional Retribution crime;

c. requesting the information and evidence of a person or person. with respect to the Regional Retribution field (s);

d. examine books, records and other documents with regard to the area of the Regional Retribution;

e. Conducting searches to obtain bookkeeping, logging and other documents and confiscation of the evidence in this case in which case the Regional Retribution is criminal;

f. ask for expert power assistance in order to carry out the task of criminal conduct investigation in the area of Regional Retribution;

g. Whether or not to leave a room or place at the time of examination is underway and check the identity of the person and or the documents brought in as referred to in the letter e;

h. Photographing a person with respect to a criminal activity in the field of the Regional Retribution;

i. call for someone to be heard of and examined witnesses in terms of the Regional Retribution Crime matter;

j. stopped an investigation into the Regional Retribution's criminal activity; and

k. do other actions that need to smooth the investigation of a criminal activity in the area of the Regional Retribution.

(3) Investigators as referred to in paragraph (1) notify the start of the investigation and convey the results of his inquiry to the Public Prosecutor through the Investigator of the State Police of the Republic of Indonesia, in accordance with the provisions set out in the Criminal Events Law Act.

BAB XXII.

30

BAB XXII

CRIMINAL SANCTION

SECTION 65

(1) THE MANDATORY RETRIBUTION (1) of the obligation is referred to in Article 5 of the letter b and Article 13 of the paragraph (2) thus harming the Regional Finance threat of criminal the longest 3 (three) months or criminal fines of at least 3 (three) times the amount of a debt that is not or underpaid.

(2) Criminal Tindak as referred to in paragraph (1) is a violation.

(3) Denda as referred to the paragraph (1) is the Reception of the State.

BAB XXIII

provisions CLOSING

Article 66

At the time the Regional Regulation is in effect, the Regional Regulation of Bar District Number 7 of 2008 on P eservices Health of the Public Hospital Haji Abdoel Madjid Batoe (leaf district of the Regency Bar of the Day of 2008) Number 7) is revoked and declared not to be valid.

Section 67

31

EXPLANATION

TOP

BAR COUNTY COUNTY REGULATION OF THE DAY

NUMBER 19 YEAR 2013

ABOUT

THE HEALTH CARE LEVY ON

THE HOSPITAL OF HAJI ABDOEL MADJID BATOE

I. UMUM

That the need for health is a basic requirement for everyone. Therefore, the Regional Government is obliged and responsible for the availability of adequate health services at a relatively low cost in comparison to the hospital managed by the private sector, so that it can be affordable by the Low-income society layers.

That the health service levy on Hospital General Haji Abdoel Madjid Batoe aims to close the cost of hosting the health ministry and not to seek out And the profit, and the judgment of the righteous, and the righteousness of the righteous. The importance of low-income society. While the cost of hosting the health at the Haji Abdoel Madjid Batoe Hospital General Hospital was borne jointly by the Local Government and the public with regard to the Regional financial capabilities and the social state of the public economy.

The rules of this area are defined in order to provide health care according to the demands and needs of the community, especially the health services implemented by the Haji Abdoel Madjid Batoe Hospital General Hospital.

With expires the Regulation of this Area, is expected to improve the quality of healthcare that is provided by the Local Government to the community.

II. SECTION BY SECTION

Article 1

Quite clearly

Section 2

The accessibility is the ease and the reach for obtaining service in the Hospital.

Article 3

Quite clearly.

Article 4

Pretty clear.

Article 5.

32

Article 5

Pretty clear.

Section 6

Quite clearly.

Article 7

Quite clear.

Article 8

Quite clear.

Article 9

Quite clear.

Article 10

Quite clear.

Article 11

Pretty clear.

Article 12

Pretty clear.

Article 13

Quite clear.

Article 14

Quite clear.

Article 15

Quite clear.

Article 16

Quite clear.

Article 17

Pretty clear.

Article 18

Pretty clear.

Article 19

Quite clear.

Article 20

Enough clear.

Article 21

Pretty clear.

Article 22

Quite clear.

Article 23

Quite clear.

Article 24

Quite clear.

Article 25

Quite clear.

33

Article 26

Pretty clear.

Article 27

Pretty clear.

Article 28

Quite clear.

Article 29

Quite clear.

Article 30

Quite clear.

Article 31

Quite clear.

Article 32

Pretty clear.

Article 33

Quite clear.

Article 34

Quite clear.

Article 35

Quite clear.

Article 36

Quite clear.

Article 37

Quite clear.

Article 38

Clear enough.

Article 39

Quite clear.

Article 40

Quite clear.

Article 41

Clear enough.

Article 42

Quite clearly.

Article 43

Quite clear.

Article 44

Quite clear.

Article 45

Quite clear.

Article 46

Quite clear.

34

Article 47

Pretty clear.

Article 48

Quite clear.

Article 49

Quite clear.

Article 50

Quite clearly.

Article 51

Quite clear.

Article 52

Quite clear.

Article 53

Pretty clear.

Article 54

Pretty clear.

Article 55

Quite clear.

Article 56

Quite clear.

Article 57

Quite clear.

Article 58

Quite clear.

Article 59

Pretty clear.

Article 60

Quite clear.

Article 61

Quite clear.

Article 62

Clear enough.

Article 63

Quite clearly.

Article 64

Quite clear.

Article 65

Quite clear.

Article 66

Quite clear.

Article 67

Quite clear.

35

ATTACHMENT

REGULATION AREA

BAR COUNTY DAY

ABOUT

HEALTH CARE LEVY

AT THE PUBLIC HOSPITAL AREA

HAJI ABDOEL MADJID BATOE

NUMBER: 19 YEAR 2013

DATE: April 11, 2013

I. OUTPATIENT SERVICES

A. Consultancy

No Service Type

TARIF

Numbers

(Rp) Jasa Sarana

(Rp)

Services Services

(Rp)

1. Public Polyclinic/Gigi 2,000 8,000 10,000

2. Polyclinic Specialist 4,000 16,000 20,000

3. Consulting between specialist doctors

3,000 12,000 15,000

4. Self-care upbringing

-5,000 5,000

B. OUTPATIENT MEDIK ACTIONS

a. Surgical Polyclinic

No Type Of Service

TARIF

Number

(Rp) Jasa Sarana

(Rp)

Service Services

(Rp)

1 Installation of the gips (without material)

28,000 42,000 70,000

2 Open gips 16,000 24,000 40,000

3 Installation of leather traction 18,000 12,000 30,000

4 Installs of a collar neck 6,000 4,000 10,000

5 Installs of the verban backpack

15,000 10,000 25,000

6 Little Debridement of 16,000 24,000 40,000

36

b. Obstetrics Polyclinics and Kandungan

No Service Type

TARIF

Number

(Rp) Jasa Sarana

(Rp)

Service Services

(Rp)

1 Bioption 48,000 72,000 120,000

2 Installation of IUD 80,000 120,000 200,000

7 Debridement Was 24,000 60,000 60,000

8 Replace small verban 6,000 9,000 15,000

9 Replace the verban is 10,000 15,000 25,000

10 replace large vertires 12,000 18,000 30,000

11 Insides small abscess 24,000 60,000 60,000

12 Insides of a large abscess of 40,000 000 100,000

13 Bioptions with local anesthesia

40,000 60,000 100,000

14 Dilatation phymosis 12,000 18,000 30,000

15 Bugination 12,000 18,000 30,000

16 Exploration of corpus aleanum

60,000 140,000 200,000

17 Extract nail/Roserplasty

32,000 48,000 80,000

18 pairs of catheters (without materials)

16,000 24,000 40,000

19 Open WSD 30,000 50,000 80,000

20 Open Jahit 1-5 6,000 9,000 15,000

21 Open sewing > 5 6,000 14,000 20,000

22 Open K-wire 16,000 24,000 40,000

23 Rectal toucher 8,000 12,000 20,000

24 Sirkumside 90,000 135,000 225,000

25 Exstypation of kista atherom

60,000 90,000 150,000

26 Exstypation of lipoma lipoma

6and pairs of gips 80,000 120,000 200,000

28 AConspiracy (suction) /time, maximum 3 times

3,000 7,000 10,000

29 Krikotiroidectomy 30,000 70,000 100,000

30 Nebulization /times 10,000 20,000 30,000

31 EKG/times 15,000 30,000 45,000

32 Cystostomy emergency 100,000 200,000 300,000

33 pairs WSD 100,000 200,000 300,000

34 Postcontrol patients with a therapi/day infusion

2,000 3,000 5,000

35 Chest therapy/day 2,000 3,000 5,000

36 Treatment of Luka <5 cm/day

2,000 3,000 5,000

37 Therapy supp/vaginal/day 2,000 3,000 5,000

38 Sampling urine/BTA/day

2,000 3,000 5,000

39 Management Therapi IC/IC/IV/SC/day

2,000 3,000 5,000

40 Lavement/day 3,000 7,000 10,000

41 Installation of guedel/day 3,000 7,000 10,000

42 Tindik ears 3,000 7,000 10,000

43 Balance liquids/day 3,000 7,000 10,000

44 treatment wounds 5-10cm/day

3,000 7,000 10,000

45 Treatment of tracheostomi/day

3,000 7,000 10,000.

43

III. INPATIENT SERVICE

A. OUTPATIENT ACCOMMODATION

ROOM SERVICE ACCOMMODATION SERVICE

Visite

Class III 25,000 25,000

Class II 60,000 35,000

Class I 75,000 40,000

Main 100,000 45,000

VIP 125,000 60,000

-Visite above is performed by a specialist doctor.

-Visite by the general doctor 75% of the specialist fare.

-Visite specialists outside work hours/holiday 150% of service services (which are paid a maximum of 2 visit).

-Nursing Care adjusts to the category of Nursing Care

B. NURSING CARE

46 freelance drain 3,000 7,000 10,000

47 colostomes/day 3,000 7,000 10,000

48 burns burns <20% /day

3,000 7,000 10,000

49 Offshore WSD 3,000 7,000 10,000

50 Hemlick Maneuver 5,000 10,000 15,000

51 Sampling blood with injection/day

5,000 10,000 15,000

52 decubitus/day treatment

5,000 10,000 15,000

53 Treatment of wounds > 10 cm2/days

5,000 10,000 15,000

54 Vaginal Tampon/day 5,000 10,000 15,000

55 Treatment of dekubitus/day care

5,000 10,000 15,000

56 Fuel Treatment > 20% /day

5,000 10,000 15,000

57 Photo/day photo supervision

5,000 10,000 15,000

44

The Nursing Care Room

Self-Total Care Total Care

Class III 15,000 25,000 25,000

Class II 21,000 28,000 35,000

Class I 24,000 32,000 40,000

Main 27,000 36,000 45,000

VIP 36,000 48,000 60,000

Classification of Patient Assessment

No Katagori Action Standard Treatment Score Score

I Eat and Drink:

1 Is done alone 1

2 Is done with help 2

3 Using NGT 3

4 Eat and drink with the help of 4

II Self-Self Cleavage:

1 DiDoing alone 1

2 Do with help 2

3 Comtreatment Problems/total care 3

III Elimination:

1 Is done alone 1

2 Done with help 2

3 Help Total 3

4 Incontentia urine 4

IV Activity:

1 Mobilisation 1

2 Mobilization with assistance 2

3 Mobilization with the help of 2 persons 3

4 Any mobilization with assistance 4

The number of Scores (A)

V Behavior:

1 Consciousness compost mentis 1

45

2 somnolen/restless consciousness 2

3 Koma 3

4 Psychotic 4

VI Treatment:

1 regular supplies 1

2 new patient study 2

3 Observation: catheter, IV, O2 and vital sign 3

4 Traction, replace, decubitus 4

VII Therapy:

1 Rutin done alone 1

2 Topical ointment/injections 1-2 kali/day 2

3 Infus 3

4 Tranfusion 4

VIII Health Education:

1 Pend. Health in patients and family 1

2 Mobilisation exercises 2

Number of Scores (B) -

Total score classification (A + B) = -

Katagori:

Score 1-10 = Self-care (2 hours)

Score 11-25 = Medium treatment (3-5 hours)

Score 26-70 = Total treatment (6-8 hours)

IV. OPERATIVE MEDIK ACTION SERVICE

A. OPERATIVE ACTION FARE

No. Type of Service

TARIF

Number (Rp) services means (Rp)

Service Services

(Rp)

1 Operation Group I

Class III 450,000 1,050,000 1,500,000

Class II 525,000 1.225,000 1.750,000

Class I 750,000 1.750,000 2,500,000

46

Main 900,000 2,100,000 3,000,000

VIP 1,350,000 3,150,000 4,250,000

2 Group II Operations

Class III 600,000 1.400,000 2,000,000

Class II 750,000 1.750,000 2,500,000

Class I 900,000 2,100,000 3,000,000

Main 1,200,000 2,800,000 4,000,000

VIP 1,500,000 3,500,000 5,000,000

3 Group III Operations

Class III 900,000 2,100,000 3,000,000

Class II 1,200,000 2,800,000 4,000,000

Class I 1,350,000 3,150,000 4,500,000

Main 1,500,000 3,500,000 5,000,000

VIP 1.8million 4.200,000 6,000,000

4 Special Group Operations

Class III 1.600,000 3,400,000 5,000,000

Class II 1,750,000 3,750,000 5,500,000

Class I 1,900,000 4,100,000 6,000,000

Main 1,950,000 4,550,000 6,500,000

VIP 2,250,000 5,250,000 5,250,000 7.500,000

-immediate surgical action (cito) plus 25% of service services fare

-If action in one group of operations is purlit, then the fare is up one group above it

- Infant resuscitation with asphyxiation if any, child specialist services or anesthesia is added by 30% From the services of the anesthesiologist, a general doctor of 20% of the services doctor anesthesiologist and bidan/nurse 15% of the services of the anesthesiologist.

B. OPERATIVE MEDICAL MEASURES (GENERAL ANESTHESIA AND LUMBAR)

47

i. TYPE OF MEDICAL ACTION GROUP I

No Part/Policlinic Type Of Action

1 Child Surgery 1. Tumor insides biopy

2. Bioption rectum full thickness

3. KGB biop/ekside, lipoma, ganglion, atheroma

4. Umbilical granuloma ecside

5. Small hemangioma ecside

6. Insides drainage/debridemant abses

7. Release synechia vulva

8. Release tongue tie

9. Circumvyside on phymoside with narcotics

2. Surgical Digestive 1. Acute apectomy

2. Extraction of foreign objects on cerna channel

3. Hemoroidectomy

4. Hemostasis of the upper/lower cerna channel

5. Colostomy

6. Installation of Flocare

7. Polypectomy of the upper/lower cerna channel

8. Savary Bougie

9. Sclerotherapy varises esofagus

10. Operation hernia without complications

3. Teeth and mouth one. Alveolectomy

2150,000

18 RJP 30,000 50,000 80,000

19 Tampon Bellog 20,000 30,000 50,000

42

20 Necrotomi 10,000 15,000 25,000

21 change of light verband-medium

3,000 7,000 10,000

22 Replace the great verband 5,000 10,000 15,000

23 Wound Toilet 3,000 7,000 10,000

24 Tampon vagina 5,000 10,000 15,000

25 Sambung tendon /tendon

20,000 30,000 50,000

26 Transfusion 3,000 7,000 10,000

27 Repositions moval of implants (plate, nail, screw)

18. Fracture/dislocation in narcose

8 THT 1. Adenoidectomy

2. Caldwell Luc Anthrostomy

3. Exploration of the parafaringeal abscess

4. Exploration of mandibular abscesses

5. Exploration of the brachial cyst

6. Exploration of the kista ductus thyroglosus

7. Exploration of thyroid cysts

8. Nasopharyngeal exploration

9. Ekstirpation kista bronchilais

10. Ecstypation papiloma

11.Ekstirpation of benign benign tumor & oral cavity

12. Ethmoidectomy (intranasal)

13. Laringofisure

14. Laryngscopy with ecstypation

15. Meatoplasty

16. A laryngscopy operation with a bioper

17. Installation of Shepard pipe

18. Installation of T-ube

19. Opening of the nose hole

20. Regional flap

53

21. Septum resection

22. Skin grafting is not widespread THT

23. Tonsilo adenoidectomy

24. Tracheostomy

25. Tracestomy with a purview

9 Thoraks 1. Rewiring sternum

2. Trakeostomi

10 Urology 1. Prostate biopy

2. Percutaneal kidney biopty

3. Testicle biopboy

4. Periureter drainage

5. Hydrokelectomy per scrotal

6. Operation of priapismus (Winter procedure)

7. Orchidectomy/orchidectomy sub kapsuler

8. Vesicolithotomy (Sectio Alta)

9. Varicocelectomy (Palomo)

10. Install the Tenckhkoff catheter for CAPD

11. Systoscopy

12. Sistoscopy with ODS

13. Open systostomy

14. Percutaneous sytosmtomy

15. Uretroscopy

16. Spermatokolectomy

17. Vasography

11 Plastics 1. Repair a simple slit wound on the face

2. Debridement with small graft skin

3. Ecstypation of another benign tumor > 5 cm

4. Unilaterally labioplasty

5. Reconstructions of simmic defects

6. Release contracture

7. Reposition dislocation of Tempressive Mandibular Joint (TMJ)

12 Vascular 1. Exploration of multiple absses

iii. TYPES OF MEDICAL ACTIONS OPERATIVE GROUP III

No Part/Policlinic Type Of Action

1 Child Surgery 1. Anoplasty is simple (cut back)

2. Bioption/proof laparatomy

3. Testicular distortion with orchidopexi

54

4. Eksided kista urachus

5. Gastering odenoscopy

6. Khordectomy on hypospadia

7. Colostomy/ileostomi

8. Laparatomy and appendectomy (perforation)

9. Laparatomy on intestinal perforation

10. Laparatomi on abdominal trauma

11. Scrotoplasty on hypospadia

12. Splenectomy in trauma

2 Bedah Digestif 1. Exploration ductus choleducus

2. Laparatomy exploration

3. Resection anastomosis

4. Transection esofagus

5. Laparatomy VC

3 Gigi and mouth 1. Artroplasty

2. Condylotomy mandibula

3. Recurred jaw fracture reposition

4. Resection jaw

4 Obsgyn 1. Ecstypation of adenomiosis

2. Operation of the ovarian benign tumor

3. Myomectomy (multiples + chromotustale)

4. Seksio Cesaria

5. Ecstypation adenomosis

6. Kistektomy

5 Eyes 1. Parasentesa

2. Repair corneosklera rupture

3. Ruptur palpebra moderate

4. Skleral buckling

5. Keratoplasty lamelar

6. Malignant tumor/Nebuchadnezzar with reconstruction

7. Posterior capsulectomy

8. ICCE/ECCE cataract operation

9. Anterior orbitals

6 Oncology 1. Amputation of kista excsides

2. Breast Conserving Surgery

3. Eksisi Higroma

4. Wide local exposition

5. Eksisi mamma aberrant

6. Enukleation of kista D 42

7. Hemiglosectomy.

55

8. Hemimandibulectomy

9. Istmolobektomi

10. Thyroid lobektomy

11. Parsialis maxlectomy

12. Mandibulectomy marginalis

13. Near total tiroidectomy

14. Compartmental surgery

15. Medium reconstruction (STSG, FTSG, local Flap)

16. Salphingo oophorectomy bilateral

17. Tiroidectomy

18. Subtotal tiroidectomy

19. Total tiroidectomy

20. Malignant tumor/Nebuchadnezzar with reconstruction

7 THT 1. Hemiglosectomy

2. Bilateral labiopalatoplasty

3. Fore head flap

4. Maximalist maxlectomy

5. Partial mandibuleclectomy

6. Radical mastoidectomy

7. Myrongoplasty

8. Otoplasty

9. Partial parochidectomy

10. The pharyngeal action flap

11. Fronto etmoidectomy (extra nasal)

12. Jaw fracture reconstruction

13. Reconstruction of the complex counter-contract

14. RF base of the tongue

15. Rhinoplasty

16. Septoplasty

17. Septoplasty ec trauma nose

18. Tiroidectomy

19. Wide-side tumor tonsil oropharing

20. Regional flap is not broad

21. Panendoscopy

22. Konkoplasty

23. Faringotomy

24. Extirpation of a benign tumor. Saliva

25. Periauricular ecstypation fistel

26. Exploration of multimop abscesses

27. BSEF/FESS 1 Mini

28. BSEF/FESS 2 Mini + maksila/etmoid

56

8 Urology 1. Diverticulum urethra

2. Rock extraction

3. Fistulectomy/Repair fistel uretra

4. Nefropexie

5. Nefrostomi open/permanent

6. Trauma buli repair operation

7. High ligation orchidectomy

8. Orchidopexi

9. Open prostatectomy

10. Pyelolithotomy

11. Uretero sigmoidostomi

12. Uretero ureterostomy

13. Ureterocutaneustomy

14. Ureterolysis

15. Ureterolithotomy

16. Urethrectomy

17. Anastomese ureter end to end

18. Deroofing/unroofing kista

19. The penis web is

20. Blood-blood evacuation (clot)

21. Open kidney biopman

22. TVP /TMP

23. Hydrokel per inguinal/ligation height

24. Insertion DJ stent

25. Johanson

26. Johanson I

27. MMK/sling urethra

28. Extended orchidectomy

29. Partial penectomy

30. Repair fistel vesickutan

31. Skroplasty

9 Vascular 1. Exploration of multiple absses

iv. SPECIAL TYPES OF GROUP OPERATIVE MEDICAL ACTIONS

No Type Of Action

1 Bedah Child 1. Eksisi Higroma Colli/axilla on neonatus

2. Eksisi kista duktus Kholedukus

3. Neuroblastoma's ecside

4. Herniotomy + laparatomy + intestinal resection

57

5. Hygroma colli/large lymphangioma

6. Ladd's Procedure on malrotation

7. Postero Sagital Ano Recto Plasty (PSARP)

8. Laparatomy + resection intestines on neonatus

9. Laparatomy + milking/resection (invagination)

10. Laparatomy + resection of the intestp>5. Closed reduction with general anesthesia

6. Complex fixation of interna

7. ORIF on fracture of acetabulum /pelvis/trochanter

8. ORIF on a neck humerus fracture

9. Disarticulation correction

10. Finger correction on the construction ring

11. Limb salvage surgery

12. Open biopsy soft tissue

13. Open reduction dislocation pelvis

14. Gutering on osteomyelitis

15.Rereduced open + fixation interna on finger fracture

16. Reconstruction of the negleted case

17. Renalysis & Electrolyte

80,000 30,000 110,000

7. PTT 30,000 20,000 50,000

8. APTT 30,000 20,000 50,000

9. Cholesterol Total 15,000 15,000 30,000

10. Triglyceride 30,000 15,000 45,000

11. HDL 15,000 10,000 25,000

12. LDL 15,000 10,000 25,000

13. Ureum 15,500 15,000 30,000

14. Kreatinin 15,500 15,000 30,500

15. Urric Acid 19,000 11,000 30,000

16. Protein Total 14,000 9,000 23,000

17. Albumin 14,000 9,000 23,000

18. Globulin 14,000 9,000 23,000

19. Bilirubin Total 15,000 5,000 20,000

20. Bilirubin Direk 15,000 5,000 20,000

21. Bilirubin Indirek 15,000 5,000 000

22. SGOT 16,000 5,000 21,000

23. SGPT 16,000 5,000 21,000

24. Sodium 20,000 5,000 25,000

25. Potassium 20,000 5,000 25,000

26. Calcium 20,000, 5,000, 000.

63

27. Chloride 20,000 5,000 25,000

28. CK 60,000 15,000 75,000

29. CKMB 135,000 15,000 150,000

30. Troponin T 285,000 15,000 300,000

III. SEROLOGY

1. HIV 25,000 25,000 50,000

2. HbsAg 25,000 20,000 45,000

3. HbeAg 25,000 20,000 45,000

4. WIDAL 20,000 10,000 30,000

5. Shypillis 20,000 10,000 30,000

6. HCV 50,000 10,000 60,000

7. DHF (IgM/IgG) 120,000 30,000 150,000

8. NS1 270,000 30,000 300,000

9. Pregnancy Test 10,000 10,000 20,000

10. ASTO 40,000 10,000 50,000

11. Rheumatoid Factor 40,000 10,000 50,000

12. Mycotec TB 70,000 10,000 80,000

13. Sperm Analysis 6,000 24,000 30,000

IV URINALISA

1. Regular Urine 15,000 5,000 000

2. Urine protein 8,000 4,000 10,000

3. The Urine Reduction of 8,000 4,000 000

4. pH 6,000 4,000 10,000

5. Weight Type (BJ) 6,000 4,000 10,000

6. Urobilinogen 6,000 4,000 10,000

7. Bilirubin 6,000 4,000 000

8. Substance Keton 6,000 4,000 10,000

9. Nitrite 6,000 4,000 10,000

V MICROBIOLOGY

1. Malaria (DDR) 7,000 3,000 10,000

2. Sputum BTA 5,000 10,000 15,000

64

3. Regular feces of 5,000 10,000 15,000

VI. DRUGS

1. Morphine (MOP) 25,000 15,000 40,000

2. Cocaine (COC) 25,000 15,000 40,000

3. Cannabis (THC) 25,000 15,000 40,000

4. Sabu-sabu (AMP) 25,000 15,000 40,000

B. RADIOLOGY CHECK

No. Type OF Service

TARIF

Number

(Rp) Services means

(Rp)

Service Services

(Rp)

I. CONVENTIONAL PHOTOS

1 Photo Thorak 42,000 28,000 70,000

2 Top Lordotic Photos 42,000 28,000 70,000

3 Photos Thorak AP/Lat 63,000 42,000 105,000

4 Photo Plain Abdominal 42,000 28,000 70,000

5 Abdominal Photographs 2 positions 63,000 42,000 105,000

6 Photograph 3 positions 90,000 60,000 150,000

7 Photo Skedel AP/Lat 63,000 42,000 105,000

8 Servical Photo AP/Lat 63,000 42,000 105,000

9 Photos Shoulder Joint/clavikula

39,000 26,000 65,000

10 Photo Thorakolumbal AP/Lat

63,000 42,000 105,000

11 Lumbosakral Photo AP/Lat 63,000 42,000 105,000

12 Photo Pelvis AP 42,000 28,000 70,000

13 Photos of Humerus AP/Lat 54,000 90,000

14 Photos Elbow (elbow) AP/Lat 54,000 90,000

15 Photos Antebrachii AP/Lat 54,000 66,000 90,000

16 Wrist Photo AP/Lat 54,000 36,000 90,000

65

17 Manus AP/Lat 54,000 36,000 90,000

18 Photo Femur AP/Lat 63,000 42,000 105,000

19 Photo Cruris AP/Lat 63,000 42,000 105,000

20 Photos Genu AP/Lat 54,000 90,000

21 Photos Ankle AP/Lat 54,000 36,000 90,000

22 Photo of Pedis AP/Lat 54,000 90,000

23 Photo TMJ 63,000 42,000 105,000

24 Photo SPN 63,000 42,000 105,000

25 Photo os Nasal Lat 42,000 28,000 70,000

26 Photos Mastoid 63,000 42,000 105,000

27 Photo Gigi 24,000 16,000 40,000

II EXAMINATION PHOTO WITH CONTRAST

1 IVP-BNO 201.000 134,000 335,000

2 HSG 180,000 120,000 300,000

3 Colon in Loop 195,000 130,000 325,000

4 Lofography 180,000 120,000 300,000

5 Appendicogram 150,000 100,000 250,000

6 Esofagograms 150,000 100,000 250,000

7 OMD 180,000 120,000 300,000

8 Uretrocystogram 150,000 100,000 250,000

9 Cystogram 150,000 100,000 250,000

10 Cor Analyzer 150,000 100,000 200,000

III ultrasound

1 ultrasound Abawarded 66,000 44,000 110,000

2 ultrasounds of Tiroid 66,000 44,000 110,000

3 ultrasound Mamae 66,000 44,000 110,000

4 ultrasound Muskuloskletal/soft tissue/thorax

66,000 44,000 110,000

5 ultrasound Urology/prostat/testes

66,000 44,000 110,000

6 ultrasound Dopler 105,000 70,000 175,000

66

IV CT Scan

Head 360,000 240,000 600,000

Abclassified 390,000 260,000 650,000

-For mobile x-ray, a patient's room check is appropriate for classification.

-The case of rescues/cito, service services Plus 25%. Cito determined by the sender doctor and case

-The division of service services between radiologists and radiographers is set further in remuneration.

-The examination above does not include contrasting materials and preparations before inspection.

VIII. REHAB SERVICES MEDIK/PHYSIOTHERFIRE

No Service Type

TARIF

Numbers

(Rp) Jasa

Sarana

(Rp)

Service Services

(Rp)

1 Infra Red 15,000 20,000 35,000

2 Short wave diathermy 15,000 20,000 35,000

3 Micro wave diathermy 15,000 20,000 35,000

4 Ultrasonic Therapy 15,000 20,000 35,000

5 Pharadization (Galvanisation) 15,000 20,000 35,000

6 Electro Therapy 15,000 20,000 35,000

7 Cervical Traction 15,000 20,000 35,000

8 Ultra Violet Therapy 15,000 35,000

9 Ultra Violet Therapy 15,000 35,000

10 Masase ultrasound 15,000 20,000 35,000

11 Therapy manipulation 15,000 20,000 35,000

12 training therapy 15,000 20,000 35,000

13 Speech Therapy 15,000 20,000 35,000

67

IX. MEDIK GAS SERVICE

No Type Of Service

TARIF

Numbers

(Rp) Jasa

Sarana

(Rp)

Service Services

(Rp)

1 Oxygen 50 5 55

X. NUTRITION CONSULTING SERVICES

Room

TARIF

Numbers

(Rp) Jasa

Sarana

(Rp)

Service Services

(Rp)

Rawat Street-15,000 15,000

Class III-12,500 12,500

Class II-15,000 15,000

Class I-17,500 17,500

Main-20,000 20,000

VIP-22,500 22,500

62

13 Blood Cell Components (Trombocytes, plasma)

230,000 50,000 280,000

II. CHEMISTRY CLINIC

1. Blood Sugar During (GDS)

10,000 10,000 000 000

2. Sugar Blood Fast (GDP) 10,000 10,000 20,000

3. Blood Sugar 2 hours Puasa (GD2PP)

10,000 10,000 20,000

4. Blood Sugar Tolerance Test

20,000 20,000 40,000

5. HbA1c 80,000 30,000 110,000

6. Blood Gas A

3 Thorax Photo Photo 42,000 28,000 70,000

4 ultrasound examination 66,000 44,000 110,000

5 Eyes Examination of 25,000 15,000 40,000

6 Examination Gigi & Mouth 15,000 10,000 25,000

7 THT Check Of 25,000 40,000 40,000

8 Genital Skin Checks 25,000 15,000 40,000

9 Neural Checks 25,000 40,000 40,000

10 Surgical Checks 25,000 40,000 40,000

11 Examination of Obgyn 25,000 15,000 40,000

12 Health Soul 25,000 15,000 40,000

13 Diagnostic Enforcement Of 10,000 20,000 30,000

The Total Cost Of 573,500 405,000 978,500

XIV. HEALTH CHECK SERVICE IN THE ISSUER AND VISUM ISSUER FRAMEWORK

No. Type Of Service

TARIF

Number (Rp) Services Sarana

(Rp)

Service Services

(Rp)

1 Visum wound, accident & acts of violence

40,000 60,000 100,000

2 Visum sexual evils of 40,000 60,000 100,000

3 Visum outside a body of 40,000 60,000 100,000

4 Visum outside and in bodies 140,000 210,000 350,000

74

XV. BODY TYPE

No Type Of Service

TARIF

Number

(Rp) Jasa Sarana

(Rp)

Service Services

(Rp)

1 Treatment of the body without formaldehyde. 55,000 95,000 150,000

2 Care of the corpse with formalin

200,000 300,000 500,000

3 Dead Body Storage/day (without refrigeration)

30,000 20,000 50,000

4 Storage of the body/day (with coolant)

90,000 60,000 150,000

5 Jahit wound on corpse (perstitching) 1,000 2,000 3,000

Description:

-The inspection above does not include formalin material and other materials.

XVI.

N o

An Ammoon Service Type

services Sarana

Abon Service Services-yield

(Rp)

Argometer

The Para Driver

medical

Dr. generic

Dr. specialist

In the city

Outside City

1 Ammoon paramedic

50% 27.5%

22.5%

--50,000 5,000 /k m

6.000/k m

2 Ammoon medik 50% 17.5%

15% 17.5%-50,000 7,000 /k m

8,000/k m

3 specialistic Ammoon

50% 12.5%

12.5%

12.5% 12.5% 50,000 9,000/k m

10.000/k m

For the body car rates equated with paramedic ambulances.

75

XVII. THE USE OF HOSPITAL FACILITIES FOR EDUCATIONAL AND TRAINING PURPOSES

NO EDUCATIONAL ACTIVITIES AND

WORKOUT

TARIF

NUMBER OF SERVICES

THE MEANS OF SERVICE

MINISTRY

1

Field/day Practice

A. Education Institute Student

Government

1.DI-DIII/ equals

2.S1/DIV/ equals

3.Profesi

4.S2

B. Student Institute

Private Education

1.DI-DIII/ equals

2.S1/DIV/ equals

3.Profesi

4.S2

C. Government Agency Employees

D. Private Agencies

1,000

2,000

4,000

6,000

6,000

7,840

10.080

14,000

8,400

14,000

2,000

3,000

3,000

6,000

9,000

4,840

6.160

7.920

11,000

6.600

11,000

3,000

5,000

10,000

15,000

11,000

14,000

18,000

18,000

25,000

25,000

15,000

25,000

2 Competency Tests Prior To Practice

Field/person

A. Institute Students

Government Education

1.DI-DIII/ equals

2.S1/DIV/ equals

3.Profesi

4.S2

B. Student Institute

Private Education

1.DI-DIII/ equals

2.S1/DIV/ Equals

3.Profesi

4.S2

8.400

8,400

11,200

22,400

33.600

11,200

14,000

28,000

42,000

6,600

8,800

17,600

8,800

8,800

11,000

22,000

33,000

15,000

20,000

40,000

60,000

20,000

25,000

50,000

75,000

3 Practice Exam /person

A. Institution Student

Government Education

1.DI-DIII/ is equal 28,000 22,000 50,000

76

2.S1/DIV/ equals

3.Profesi

4.S2

B. Student Institute

Private Education

1.DI-DIII/ equals

2.S1/DIV/ equals

3.Profesi

4.S2

42,000

47,600

56,000

36,400

44,800

44,800

56,000

67,200

33,000

37,400

44,000

44,000

28.600

44,000

52,800

75,000

85,000

100,000

65,000

80,000

100,000

120,000

4 Taking Data/Pra

Research/Activities

A. Institute Students

Government Education

1.DI-DIII/ equals

2.S1/DIV/ equals

3.Profesi

4.S2

B. Student Institute

Private Education

1.DI-DIII/ equals

2.S1/DIV/ Equals

3.Profesi

4.S2

C. Employees Government Agencies

D. Private Agencies

16,800

22,400

28,000

33,600

22,400

28,000

33,600

39.200

44,800

50,400

13,200

17,600

22,000

26,400

17,600

22,000

26,400

30,800

35.200

39.600

30,000

40,000

40,000

60,000

40,000

50,000

60,000

60,000

80,000

80,000

80,000

90,000

Research/Person/Month

A. Institute Students

Government Education

1.DI-DIII/ equals

2.S1/DIV/ equals

3.Profesi

4.S2

B. Student Institute

Private Education

1.DI-DIII/ equals

2.S1/DIV/ Equals

3.Profesi

4.S2

C. Employees Government Agencies

D. Private Agencies

33,600

39.200

44,800

50,400

39.200

44,800

44,800

50,400

56,000

50,400

56,000

26,400

30,800

35.200

39.600

30,800

35.200

39.600

44,000

44,000

44,000

44,000

60,000

80,000

80,000

70,000

80,000

80,000

80,000

90,000

100,000

77

DAY BAR REGENT,

A. FATTAH

6 Magang doctors (expertise

special) /orang/month

A. Education Institute/RS

Government

b. Private Education/Hospital

Private

560,000

672,000

440,000

528,000

1 Million

1.200,000

7 On The job Training/Magang

Health/Orang/month

A.ol HDL 15,000 10,000 25,000

g. Bilirubin Total 15,000 5,000 20,000

h. SGOT 16,000 5,000 21,000

i. SGPT 16,000 5,000 21,000

j. Protein Total 14,000 9,000 23,000

k. Kreatinin 15,000 15,000 30,500

73

l. Uric acid 19,000 11,000

m. Bilirubin is reined 15,000 5,000 000

n. Albumin 14,000 9,000 23,000

o. Ureum 15,000 15,000 30,000

p. HbsAg 24,000 35,000

2 EKG tests 25,000 20,000 45,000