Key Benefits:
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COUNTY GOVERNMENT PONOROGO
REGULATION OF THE COUNTY DISTRICT PONOROGO
NUMBER 17 YEAR 2011
ABOUT
THE HEALTH CARE LEVY IN THE GENERAL HOSPITAL AREA Dr. HARDJONO S. COUNTY PONOROGO
WITH THE GRACE OF THE ALMIGHTY GOD
BUPATI PONOROGO,
Tied a. that health development is an integral part of Regional Development in realizing the prosperous, healthy and productive Ponorogo society;
b. that in order to improve the quality and accessibility of health care at the General Hospital of Dr. Hardjono County Ponorogo needs adequate resources of financing and support;
c. that in accordance with the provisions Article 156 Invite Invite Number 28 Year 2009 on Regional Taxes and Regional Retribution and Invite Invite Number 44 Year 2009 on Section 50 paragraph (2), then the Regional Regulation of Ponorogo County Number 8 of 2003 on Service Retribution Health at the General Hospital Unit Swadana Prof. Dr. M. Hardjono Soedigdomarto, Sp.OG, need reviewed and set back;
d. that under consideration as a letter b, the letter c, then need to set the provisions of the Health Service Retribution to the General Hospital of Dr. Hardjono County of Ponorogo by pouring it in a Regulation. Area;
Given: 1. Law No. 12 of 1950 on the Establishment of the County-District Area in the Environment of East Java Propinsi (State of the Republic of Indonesia 1950 No. 19, Additional Gazette of the Republic of Indonesia No. 9);
2. Law Number 17 Year 2003 on State Finance (Indonesian Republic of Indonesia Year 2003 Number 47, Additional Gazette of the Republic of Indonesia Number 4286);
3. Law No. 1 of 2004 on the State Treasury (State Gazette Indonesia Year 2004 No. 5, Additional Gazette of the Republic of Indonesia Number 4355);
4. Law No. 15 Year 2004 on Examination of Management And Responsibilities Of State Finances (sheet Of State Of The Republic Of Indonesia In 2004 Number 66, Additional Gazette Of The Republic Of Indonesia Number 4400);
5. Law No. 29 of 2004 on Medical Practice (sheet of State of the Republic of Indonesia 2004 No. 116, Additional Gazette of the Republic of Indonesia No. 4431);
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6. Law No. 32 of the Year 2004 on the Government of Regions (State of the Republic of Indonesia 2004 No. 125, Additional Gazette of the Republic of Indonesia Number 4437), as amended last by Act No. 12 of 2008 (sheet State of the Republic of Indonesia Year 2004 Number 59, Additional Gazette Republic of Indonesia Number 4844);
7. Law No. 33 of 2004 on the Financial Balance between the Central Government and the Regional Government (State of the Republic of Indonesia 2004 No. 126, Additional Gazette of the Republic of Indonesia Number 4483);
8. Law No. 25 Year 2009 on Public Service (State Sheet of the Republic of Indonesia Year 2009 Number 112, Additional Gazette of the Republic of Indonesia Number 5038);
9. Law No. 28 Year 2009 on Regional Tax and Levy Area (sheet Of State Of The Republic Of Indonesia In 2009 Number 130, Additional State Sheet Number 5049);
10. Law Number 36 Year 2009 on Health (State Gazette of Indonesia Year 2009 Number 144, Additional Gazette Republic of Indonesia Number 5063);
11. Law No. 44 Year 2009 on Hospital (Indonesian Republic of Indonesia Year 2009 Number 153, Additional Gazette of the Republic of Indonesia No. 5072);
12. Act No. 12 Year 2011 on the Establishment of the Laws of the Law (sheet of State of the Republic of Indonesia in 2011 Number 82, Additional Gazette of the Republic of Indonesia Number 5234)
13. Government Regulation No. 23 Year 2005 On Financial Management Of The Public Service Agency (sheet Of State Of The Republic Of Indonesia In 2005 Number 48, Additional Gazette Of The Republic Of Indonesia Number 4502);
14. Government Regulation No. 24 Year 2005 on Government Accounting Standards (State Sheet Indonesia Year 2005 Number 49, Additional Gazette Republic of Indonesia Number 4503);
15. Government Regulation No. 58 of 2005 on the Financial Management Of The Area (sheet Of State Of The Republic Of Indonesia In 2005 Number 140, Additional Gazette Of The Republic Of Indonesia Number 4578);
16. Government Regulation No. 65 of 2005 on Drafting Guidelines and the implementation of the Standard Service Standards (sheet of state of the Republic of Indonesia in 2005 No. 150, Additional Gazette of the Republic of Indonesia Number 4585);
17. Government Regulation Number 79 of 2005 on the Coaching And Supervision of Local Government Guidelines (sheet State of the Republic of Indonesia in 2005 No. 165, Additional Gazette of the Republic of Indonesia Number 4593);
18. Government Regulation No. 8 of 2006 on Financial Reporting and Performance Agencies Government (sheet Of State Of The Republic Of Indonesia In 2006 Number 25, Additional Gazette Of The Republic Of Indonesia Number 4614);
19. Government Regulation No. 38 of 2007 on the Partition of Government Affairs between the Central Government, Provincial Local Government and the District/City Government (State Gazette of 2007 No. 82, Additional Sheet of State Republic of Indonesia No. 4593);
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20. Ministry of the Interior Minister Number 13 of 2006 on the Regional Financial Management Guidelines as amended last with the Regulation of the Minister of the Interior No. 21 Year 2011;
21. Finance Minister Regulation Number 07 /PMK.02/ 2006 on Administrative Requirements in Rangka Proposed and Establishing A Government Agency's Working Unit for Implementing A General Service Body's Financial Management Pattern;
22. Minister of Kuangan Regulation Number 10 /PMK.02/ 2006 on Remuneration Assignment Guidelines For Managing Officials, Supervising Board and Public Service Agency Employees;
23. Ministry of the Interior Minister Number 61 of 2007 on the Technical Guidelines of the Financial Management Agency General Services Area;
24. Joint Regulation of the Minister of Health and Minister of the Interior Number 138 /MENKE/PB/II/2009 and Number 12 Year 2009 on the Tarif Guidelines of Health Care for Participant of PT. Askes (Persero) and his Family Members in Puskesmas, Public Health Hall and Regional Hospital;
25. Ministry of Health Law Number 411 /Menkes/PER/II/2010 about the Laboratory of the Clintons;
26. The decision of the Minister of Health of the Republic of Indonesia Number 582/Menkes/SK/1997 on the Pattern of Tarip Tarips of Government Hospital;
27. Decision of the Minister of Health of the Republic of Indonesia Number 1165 /Menkes/SK/X/2007 on Pattern Tarif General Services Agency Hospital;
28. The decision of the Minister of Health RI Number 129 /Menkes/SK/II/2008 about the Hospital SPM.;
29. Ponorogo District Law No. 11 of 2008 on Organization and Working Inspectorate, Regional Development Planning and Regional Technical Instituts Ponorogo County (Ponorogo County Gazette 2008 Number 8);
30. Ponorogo County Ordinance Number 6 of 2010 on the Regional Long-Term Development Plan (RPJPD) Ponorogo Regency 2005-2025 (Regency Gazette Ponorogo County 2010 Number 6);
31. Ponorogo District Law Number 10 Of 2010 On The Regional Long-term Development Plan (RPJMD) Of Ponorogo County 2010-2015 (Regency Gazette Ponorogo Year 2010 Number 10);
With Mutual Consent
PONOROGO COUNTY PEOPLE ' S REPRESENTATIVE COUNCIL
AND
BUPATI PONOROGO
DECIDED:
SET: REGULATION OF PONOROGO COUNTY AREA REGULATIONS ON HEALTH CARE RETRIBUTION AT HOME GENERAL PAIN AREA Dr. HARDJONO S. COUNTY PONOROGO.
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BAB I
provisions of UMUM
Article 1
In this Region Regulation referred to:
1. Regency is Ponorogo County.
2. The Government of the Regency is the Government of Ponorogo Regency.
3. " Bupati is the regent of Ponorogo.
4. Dr. Hardjono County General Hospital, later called RSUD, is a hospital owned and maintained by the Local Government in order to perform public service functions in the area of individual health services. has been designated as the Regional General Services Agency (BLUD) with full status based on Decree No. 545 of 2011 on the application of the BLUD Financial Management Pattern (PPK-BLUD) in full on Dr. Hardjono County Ponorogo Regency.
5. The Health Care levy is the levy of the area in payment of other public health or benefit services organized by the RSUD.
6. The next health care levy is called tariff levy, or the cost of providing health care and other health services available in the RSUD, which is charged to the patient/community of the guarantor. based on the unit cost by staying considering continuity and quality of service quality, the purchasing power of the community as well as the competuation of similar services.
7. The Regional Revenue and Shopping Budget (APBD) is the Budget and Shopping Budget of Ponorogo County.
8. Health Care is all health care activities in the RSUD covering all the plenary health care activities given to a person or body in the form of outpatient services, outpatient, hospitalization, medik service, medik support services, nursing services, medik rehabilitation or other health services.
9. A hospital is a health care institution that organizes individual health services in full individuals providing hospitalization, outpatient, medical services, nursing services, medik support, medical rehabilitation and medical care. Emergency services, please.
10. The Road Rawat service is a service to patients for examination, diagnosis, medical rehabilitation and other health care without hospitalization.
11. Hospitable services are health care to patients for examination, observation, consultation, treatment, diagnosis, treatment, medik rehabilitation and/or medik support by occupying the bed.
12. Emergency services are health services that must be provided immediately to prevent and mitigate the risk of death or disability.
13. Plenary Health Care is a health service that includes a promotion, preventative, curative and rehabilitative.
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14. A patient is any person who is consulting on health issues to obtain the necessary health care, either directly or indirectly in the Hospital.
15. The Intermediate Service is a service to patients for observation, treatment, diagnosis, treatment, medical rehabilitation and/or other health services and occupies a bed of less than 6 (six) hours.
16. One day care service is a service to patients for observation, treatment, diagnosis, treatment, medical rehabilitation and/or other health services and occupies a bed of more than 6 (six) hours up to 24 (twenty-four) hours.
17. Medik's ministry is medical care by medical personnel according to the field of expertise including visite, medik consultation, operative medik action, non-operative medik act, anesthetic act of anesthesia, psychiatric medik act, medik rehabilitation, or medik. medik support.
18. Consulting services are advice and consideration in a specific field by the health workforce that is competent in their field of patient conditions for diagnosis, therapy, medical rehabilitation or in the field of sanitation and Public health. The type of consulting service is grouped in medical consulting services, nutrition consulting services, drug consulting services and sanitation consulting services or environmental health.
19. The Medical Consultative Service of the Doctor is the ministry of advice and advice in accordance with the field of expertise in the course of diagnostics, therapy, observation or rehabilitation of medics conducted in the on-site (on site) and telephone (on call) for patients.
20. Medik Operative action is a surgical medic action that is capable of being performed according to its competitors by the medics for diagnostic or therapeutic purposes by means of surgery/surgery and/or childbirth, which is done in the room. operation/room actions with or without the act of anesthesia (anesthesia).
21. Medik support services are examination activities in order to support diagnostics or therapy including laboratory examination, radiodiagnostic examination and/or electromedic diagnostic examination.
22. Medik Rehabilitation Services and Mental Rehabilitation are services provided by the Medic Rehabilitation Unit in the form of physiotherapy services, okupational therapy, wicara therapy, orthoty/prosthetic, social medical guidance and psychology services and Another rehab.
23. 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 hospitals.
24. Visite is a medical visit in the on site in the framework of observation, diagnosis and therapy that is part of the medical treatment during treatment and/or treatment.
25. Hospital pharmacy services are health care in the field of farmality by a pharmacist or a hospital pharmacy specialist, including services of drug supply, consumable health care, and other pharmaceutical supplies outside of service components. means, drug consulting services, and or clinic pharmacy services.
26. The next pharmacy services unit called UPF is a RSUD Pharmaceutical service unit that provides drug services, health care and/or other pharmaceutical supplies outside the service component of the levy rate.
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27. Pharmacy installations are part of the Hospital responsible for organizing, coordinating, arranging and supervising the entire pharmaceutical service activities and carrying out the pharmacist technical coaching at the Hospital.
28. The Ministry of the Dead is a service in the course of care (bathed, diaphragm), preservation, storage, autopsy/body surgery.
29. The ambulance service is a passenger transport service with an ambulance with/without the accompanying medical/medical personnel.
30. The Body of Transport Services is the delivery of a body that died at the RSUD to the designated destination.
31. The Medik Recording Service is the service of providing documents containing demographic data, patient travel records, diagnostic and medical treatment therapy and nursing care during an outpatient, emergency and/or hospitable treatment of the RSUD.
32. Accommodation costs are the cost of nursing rooms that include nursing care services, the use of linen, room facilities according to its class, certain medical equipment and basic services in the inhospitable space. The cost of accommodation is not/excluding non-diet foods and the patient 's diet according to the recommended physician' s recommendation of its own set.
33. Nursing care is a form of professional services of bio, psycho, socio, spiritually, spiritually comprehensive by nursing care to help sufferers in tackling pain disorders, address health problems or respond to treatment efforts. to achieve optimal health degree.
34. The Hospital Bed is a recorded bed and is available in the hospitable space.
35. Unit Cost (Cost Unit) is a method of calculating the means per service unit.
36. Service Services is a merit-reward received by the executor of services provided to patients in order of observation, diagnosis, therapy, medical action, nursing action, rehabilitation, medical support service.
37. Functional acceptance of the Hospital is the acceptance obtained in return for the good service of goods and/or services provided by the Hospital in exercising its function serving the interests of the public or government agencies. Another.
38. The next General Services Agency (BLUD) is a Regional or Workforce Workspace on a Regional Device Working Unit in an area government environment that is set up to provide services to the community of provision. Goods and/or services are sold without focusing on making a profit, and in performing its activities are based on the principles of efficiency and productivity.
39. The next BLUD Financial Management Pattern (PPK-BLUD) is a financial management pattern that provides the flexibility of the ability to apply healthy business practices to improve the service to the people in the community. order to advance public welfare and promote the life of the nation, as an exception to the provisions of regional financial management in general.
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BAB II
ASAS, INTENT AND PURPOSE
HEALTH CARE LEVY
Article 2
(1) The setting and determination of the health care levy is exercised on the basis of the humanitarian principle, asas benefits, asas justice (non discriminatory), participatory principle, security asas and patient safety held transparently, effective and efficient as well as accountable.
(2) The intent of setting the RSUD health care levy is to guarantee the quality and accessibility, as well as the survival (sustainability) of RSUD health services accordingly The specified standard, in order for the community, provider and maintainer of the RSUD can be well protected.
(3) The purpose of the RSUD Health Service Retribution setting in the Regulation of the Regions is:
a. The form of Ponorogo society is healthy and creative;
b. The quality of health care in the RSUD is according to the standards set;
c. The availability of health care in the RSUD is in accordance with the development of the field of medical science, nursing and the field of health care management as well as by community needs;
d. the increasing capacity and potential of the RSUD successfully and powerfully in order to fit the social development of the Ponorogo County community;
e. the lactate of the program and operational activities of the RSUD in accordance with the Regional Long Term Development Plan (RPJPD) and the Regional Intermediate Term Development Plan (RPJMD) of Ponorogo County; and
f. The role and society's role in the financing of health care in the RSUD;
BAB III
HEALTH CARE LEVY POLICY
Article 3
(1) For the poor and special society groups are guaranteed/borne by the Government or the Provincial Government and/or the Government of the County, then exempt from the health care levy and charged on the State Revenue and Shopping Budget and/or Provincial Regional Revenue and Shopping Budget and/or and/or the County Government Regional Shopping and Shopping Budget,
(2) In the event of Extraordinary Events (KLB) infectious diseases and/or natural disasters declared officially by the Regency Government, the affected communities are directly exempt from the levy of certain health care in accordance with the provisions of Laws.
(3) The waiver of release of retribution as referred to in paragraph (1) and paragraph (2) which becomes the authority of the Government of the Regency is charged on APBD as a health care subsidy under the provisions of laws, and is set up with the Regent ' s Rule.
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(4) In the event of the development of the field of medical science or the development of community needs there is an addition of a type of health service or in the form of another service package, then the addition of the type or package of such services set in the Bupati Regulation.
(5) In exercising its function in order to improve the quality and accessibility of health services in RSUD, the Director can perform operational cooperation, covering: a. Health care cooperation with third parties; b. Cooperation brings together a guest physician; c. Educational and research cooperation in the field of health; d. The cooperation of the medical equipment and/or medic support.
(6) The operational cooperation of the provision of equipment as referred to as paragraph (5) letter d, must guarantee the quality and access of health services for the poor.
(7) Tarif The retribution of the operational cooperation as referred to in paragraph (5) is specified with the Rules of the Regent.
(8) The health examination services for victims of felon are exempt from the levy of service and guaranteed by the Government, Government Province and/or the District Government as per the rules of the invitation.
(9) The tariff of the levy is regulated and specified in the Regulation of this Region includes: a. Accommodation and Class III maintenance services; b. General patient services; c. Non-class health services consist of emergency outpatients, outpatient,
outpatients (neonatology) and hearse bleaching; d. medical support services, medical rehabilitation and nutrition clinics; and e. The health care ministry is made up of patient transport and
hearse transport, administration of medical records and patient cards.
(10) The RSUD health service levy for class II, class I, primary class, outpatient The intensive care and nursing services of the private patients are assigned by the Regent's Ordinance to the proposal of Director RSUD.
BAB IV
THE WAY TO MEASURE THE DEGREE OF SERVICE USAGE
Article 4
The service usage level is calculated based on:
a. type, classification, and the frequency of health care received by a patient;
b. for educational and research services based on the category of learers or researchers, long education or research, and the number of participants or entourage for study of appeal; and
c. for the transport services of patients is calculated based on use of kilometers, amount and type of health power that accompanies.
BAB V
PRINCIPLES, OBJECTIVES AND TERMS OF MAGNITUDE
HEALTH CARE LEVY
Section 5
(1) Principles of the determination of the levy of retribution health care ministry is to improve the quality and accessibility of health care and other services in the RSUD.
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(2) The designation of the health care levy is intended to close a portion of the cost or the entire cost of the service and not to seek profit (nir profit) with regard to the amount of revenue (s). Community economic capabilities, and the power saing of such services.
(3) The structure of the health care and other service levy rates, consists of a service component of the means and services services.
(4) The means of the services of the means is calculated. based on the unit cost (Cost Unit) per the service product type includes direct and cost indirect.
(5) Service service components include medik and non medik services.
BAB VI
NAME, OBJECT, SUBJECT, AND LEVY
Part Kesatu
Name Retribution
Section 6
With the name The Health Service levy is levied retribution for health care and other services in the RSUD.
The Second Section
Object Retribution
Article 7
(1) The object of the health care levy includes all types and classification of health care and other services in the RSUD.
(2) Excluded from the object of health care retribution include: health care services undertaken by the Government, Provincial Government, BUMN, BUMD and/or private parties.
Third Section
Subject Levy
Article 8
(1) Health Service Retribution Subject is a person or body (guarantor) who uses/enjoy other public health or benefit benefit services organized by RSUD.
(2) Mandatory Retribution is a person or body (guarantor) which, according to the provisions of the Ordinance, is required to perform payment of retribution, including a health care levy collector.
The Fourth Section
Levy
section 9
The health service levy is a general service levy for the provision of public services and other public expediency to the community of Ponorogo County.
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BAB VII
THE STRUCTURE AND MAGNITUDE OF THE SERVICE LEVY RATE
Article 10
The structure and magnitude of the health care levy tariff as referred to in Article 3 of the paragraph (9) at RSUD is set as listed in Appendix I-X of this Area Regulation.
BAB VIII
TYPE AND CLASSIFICATION OF HEALTH CARE
Section 11
(1) The types of services as object of retribution as referred to in Section 7 of the paragraph (1) include:
a. health service;
b. education and research services;
c. Other health services, consisting of: 1. patient transport services (ambulance) and transport
bodies; 2. Administrative services and media records; 3. financial administration services; 4. the service of sterilization and laundry; 5. Medial garbage burning service (incenerator); 6. liquid waste processing services (IPAL)
(2) The health care classification is grouped by:
a. The Care Class (accommodation), includes: 1. Class III; 2. Class II; 3. Class I; 4. Primary class; 5. Non Class, apply to the Intensive and invasive Rawat, Rawat
Intermediate, Rawat Isolation, and/or outpatient (neonatus),
b. The patient category, including:
1. General patients, who come from outpatient, Class III, Class II, and non-class patients; and
2. Private patients, who are from Class I and Primary class patients.
(3) The classification of services as referred to in verse (2) is not distinguished from the quality of the ministry, the difference is in the provision of facilities and means according to the form of service. Private can choose according to their needs and abilities.
(4) Health Service types in RSUD subjected to health care rates are referred to in paragraph (1) of letters a include:
a. Outpatient services;
b. emergency services;
c. outpatient services;
d. Intensive and invasive treatment services;
e. medik service;
f. Nursing service;
g. medik service support;
h. Medik rehabilitation services and mental rehabilitation;
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i. services of an outpatient health testing service a day;
j. Blood transfusion services and oxygen therapy services;
k. pharmaceutical service;
l. the nutrition services of the clinic; and
m. Body maintenance services.
BAB IX
HEALTH CARE ARRANGEMENT Section of the Kesatu
Paragraph Health Service 1
Supply Services
Article 12
(1) RSUD provides patient care and care Outpatient.
(2) Any general health check of outpatient patients levied charges of retribution that day are embodied in the form of daily carcis or other relevant documents.
(3) The outpatient services as referred to in paragraph (1) includes: a. Take care of specialists using referrals; and
b. Take care of a specialist without using a referral.
(4) The provisions of the treatment and treatment of the patient sufferers as referred to in paragraph (2) are set as follows:
a. was carried out in the polyclinic according to the disease he suffered; b. In terms of the patient requires a specialist interpoli consul in the day
The same is subject to a specialist inter-poli consulting rate; c. in terms of the number of consuls consuls more than one,
whereas the open service hour is up then Consultations were conducted the next day and imposed general health check rates (daily carcis) in the specialist poli concerned;
d. The patient with the mugging is made up of Warranty Service (SJP) in accordance with the origin of the guarantor.
(5) Each new patient is required to have a drug card as the identity number of the patient in effect (the single identity). In the event of a time re-visit does not show the drug card, due to various causes, it is enforced as a new patient with the previous risk of illness and previous treatment untraceable (retrieval) and provided document records long protégus.
(6) Each outpatient is charged a service levy on the amount and type of service he receives.
(7) The type of outpatient service type includes:
a. General Poly Service and Specialist Poli;
b. Dental and mouth service;
c. Mother and Child Health Services (KIA), Family Planning (KB), growing fireworks, and reproductive health
d. Medik rehabilitation service;
e. Nutrition consulting and drug consulting services.
paragraph 2
General poli services and Poli Specialists
Article 13
(1) The General Poly Service is served by a general practitient includes: a. a public health check; b. Outpatient general media actions; and
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c. medik consultation.
(2) Any general poly patient who gets a general health check is subjected to a levy rate.
(3) Any treatment of outpatient medics is subject to the amount and type health care ministry he receives.
(4) In terms of general patients requiring specialist physician consultations are subject to interpoliclinic consultation rates, throughout the same day.
Article 14
(1) Service The polyclinic specialist outpatient is served by a specialist doctor owned by RSUD, covering: a. a specialist health check, classified based on
with a referral or without a referral; b. medik of specialist outpatient actions; and c. specialist physician consultation.
(2) Every specialist polyclinic patient who is getting a specialist health check is charged with retribution rates.
(3) Each Outpatient medical action is charged with retribution rates according to the amount and type of health care he receives.
(4) The tariff of the levy on the physician of a guest who provides services in the poli specialist is in accordance with his field, for services. The means are according to those set in the ordinance of the County, while the service of the service adjusted to the cooperation agreement.
(5) In terms of specialist patients requiring specialist physician consultations are subject to interpoliclinic consultation rates, all along done on the same day.
Paragraf 3
Service Dental and Mouth Health
Article 15
(1) Dental and mouth health services, include: a. General dental health check; b. Basic and basic (operative and non operative) actions of basic and
specialisms; c. medial and mouth-mouth consulting services; and d. prostesa dental service.
(2) Each dental and mouth health ministry is charged with levy rates including means of service and service services.
(3) Tarif levy of prostesa service is included in the service of private patients according to the form of a fake tooth, the type of material and its installer.
(4) The rate of the levy rate as referred to in paragraph (3) is set with the Governing Ordinance.
Paragraph 4
KIA Service, KB, Growing Kembang and Health Reproduction
Article 16
(1) Capital Health Services and Children, Family Planning, Growing Fireworks and Health Reproduction in RSUD includes: a. Comprehensive Neonatal Neonatal Care Services (PONEK) services; b. child health services and immunization;
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c. Family service Planning; and d. Reproductive health services.
(2) Every Mother and Child Health Service (KIA), Family Planning (KB), Growing Kembang and Health Reproduction charges the levy of service covering the service components of the means and services services.
(3) Percopy aid services are classified by normal labor and childbirth with a medik (per vagina or operative) act as well as a helpful health care category (midwife, doctor, specialist).
(4) New baby-born resuscitation services are classified based on the complexity of infant condition and the use of medik equipment to perform resuscitation.
(5) KB services are classified based on difficulty and complication. installation on the type of contraceptive tool as well as the health care category carrying out the service.
Paragraph 5
Consulting service Rawat Street
Article 17
(1) Types of types of outpatient consulting services, Includes a. medik consultation; b. consulting Voluntary Conseling and Testing (VCT); c. nutritional consulting; and d. Pharmaceutical consulting.
(2) Any outpatient consulting service subject to levy rates including means service components and service services.
Second part of the Ministry of Emergency Services
Article 18
(1) RSUD provides services and care the emergency patient.
(2) The emergency treatment services include: a. Take care of the road; and a. Rawat intermediate.
(3) An outpatient general health check is charged with a levy that is embodied in the form of a daily ticket or proof of service payment in effect that day.
(4) An emergency patient is in need. observations of more than 6 (six) hours must be performed at outpatient, outpatient, or referred to a more capable RSUD for the required medical indications.
(5) Any emergency patients requiring observation, consultation, inspection medik support, and/or medik rehabilitation is subjected to additional tariff levy appropriate with the type of health care he receives.
(6) Any new outpatient and outpatient patients are charged with the service of the medical records administration and the individual's single-person identity card.
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Third Section of Rawat Inap Services
Article 19
(1) The classification of outpatient accommodation in RSUD corresponds to the standard of means and facilities, including: a. Class III hospitalization; b. Class II hospitalization; c. Class of Class I; d. Primary-class Hospitalization; and e. Non-Class Hospitalization consists of:
1. Intensive Care; 2. Rawat Intermediate; 3. Treat the isolation; and 4. Outpatient/Neonatus/Perinatology.
(2) The classification as referred to in paragraph (1) does not distinguish the quality of the distinction of service based on the standard of means and the facilities of each maintenance class are specified by the decision of the Director of RSUD.
(3) Tarif accommodation counts daily excluding non-diet and diet patients. The quantity of the diet of a patient's diet according to the diet is classified according to general patients and private patients.
(4) The conscious recovery ministry is not allowed to be charged with accommodation and is part of the services of the medial anaesthesia act (anesthesia) on the operative medik act.
(5) In terms of a conscious recovery patient as referred to in verse (4) more than 2 (two) hours have not yet recovered his consciousness, then there is immediately an act of anesthesia (resuscitation) or other medik action or moved to the Intensive Rawat Room.
(6) The hospitalised patient is being treated less than 24 (twenty-four) hours for a variety of causes, charge of accommodation 1 (one) day per class.
(7) Intensive Care, invasive and outpatient services levy applicable (single tarief) unless there are different means and means. The facility.
(8) A healthy baby or a baby being treated with her mother is charged with an accommodation of 50% (fifty percent) according to her mother's treatment class.
(9) Tarif visite and medical consultation of outpatient patients The following conditions apply:
a. The magnitude of Tarif visite is distinguished according to the physician caring, including a general physician, a specialist physician, and/or a guest physician.
b. The onsite medical consulting rate is equitled with the magnitude of the vism rate as referred to in the letter a;
c. The quantity of consulting rates through the maximum length of 50% (fifty percent) of the medical consulting levy rates place (on site);
d. Any consultation on call must be to the knowledge or consent of a patient or family.
Article 20
(1) Poor Patient Guarantee of the Public Health Guarantee Program (Jamkesmas), Health Guarantee Areas (Jamkesda), Other Programs or Certain Residents guaranteed the Government or Provincial Government or the Government of the County, are placed in Class III.
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(2) In terms of full Class III, then the category patient as referred to in verse (1) is temporarily placed in Klas II until the Class III bed is available and must be immediately moved.
(3) the patient with the looters Outside of what is guaranteed as a paragraph (1), if a class move above a class guaranteed at the request of a patient, it is required to bear the cost of the cost of both the accommodation and its protégation.
(4) Patient detains require hospitalization and medical, security and financing measures as long as it is treated as a the liability of the police, the prosecutor or the patient's family is concerned.
The Fourth Section
The Intensive and Invasive Services
Article 21
(1) The type of intensive and invasive outpatient services, includes: a. Intensive care unit in intensive care unit (ICU); b. Heart intensive care service in intensive cardiac care unit
(ICCU); c. Neonatal intensive care services in neonatal intesive care unit
(NICU); d. Child intensive care services in pediatric intensive care units. (PICU); e. Intensive care services in high care units (HCU); and f. Invasive services (endoscopic services and hemodialysis).
(2) The intensive service tarif as referred to in paragraph (1) is specified with the Regent Regulation.
The Fifth Section of the Medic Service
Article 22
(1) The medic service includes visite, medik consultation, medik action operative, non-operative medik act, psychiatric medik act, anesthesia action, medik rehabilitation and/or medik support.
(2) The civil service classification/medik is included:
a. Public services/medics of General Patients (Class III hospitalization, Class II hospitalization, and outpatient patients); and
b. Medik services are private patients (class I and primary class).
(3) The classification of services as referred to paragraph (1) does not distinguish the quality of the service. The difference in the magnitude of the tariff of retribution is due to differences in private patient requests in accordance with their more private rights.
(4) Each medik service levied a levy fee covering the components of the means services and services services, based on: a. classification as referred to in verse (2); b. Professional level of medical personnel professionals, including
general physicians, dentists, specialist doctors or specialist physicians;
c. types and classification of medik actions include: 1. Medik Operative or Non-Operative Medic Actions; and 2. The category of urgency, including the planned elective medik service
(non emergences), and the medic kegawatdaruratan (emergent) act.
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Article 23
(1) Medic Operative Action Service if accompanied by a joint operation of a maximum area of the operator's medik service is 80% (eighty percent) of the operator's medik services major.
(2) The amount of levy rates in terms of expansion of operations or joint operation (join operation) by involving operators of other fields, then the medical services of the operators correspond to the type of classification of its operations while the services The sarananya counts as per the classification of its operations.
(3) In terms of action Operative medics require a number of different operative medics, as long as the same operator's medical personnel are, at the same time, the service's services are taken into account of one operative medic act according to its classification, while the services of the service are operated by a medical operator. medik operator corresponds to the number of operative actions performed.
(4) Operative measures executed by guest physician specialists, the medik operator service is adjusted to the cooperation agreement, whereas the services of the means by type and The operating classification implemented.
(5) The medik services of the anesthesia act a maximum of 40% (forty percent) of the operator ' s medik services or as per an internal agreement. In case the RSUD does not have anesthesia and anesthesia medics performed by anesthesia (nurse) anesthesia, the anesthesia service is up to 15% (fifteen percent) and the responsibility is on the operator's medical power.
(6) Service/action The medik that requires the health tool to be used outside the fare component is charged in its own rates according to the type and number of required health tools.
Sixth Section
Nursing Services
Section 24
(1) nursing services (by midwife or caregivers) include:
a. Nursing care services; b. treatment actions; and c. patient referral assistance services.
(2) Treatment measures as referred to in paragraph (1) letter b include self-care and spleen duty care actions, health team tasks (collaboration).
(3) The medik act which is devolted as a spleen duty action act as referred to in paragraph (2) the responsibility is present in the medik power that gives the task of the spleen.
(4) The treatment of the nursing care as contemplated on a paragraph (1) of the (1) letter, including: Basic nursing care for the category
service 1 to 3 hours per day; b. Partial nursing care for the category
service 4 to up to 6 hours per day. c. Total nursing care for the category
service 7 to up to 9 hours per day. D. intensive nursing care for
a service category of more than 9 hours per day.
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(5) The treatment of nursing retribution as referred to in paragraph (4) applies to the daily treatment of nursing in accordance with the care classes occupied with the provisions as follows: a. The care category of the basic nursing services services
her virginity is 10% (ten percent) of accommodation costs;
b. the category of partial nursing care, the services of her virginity by 20% (twenty percent) of accommodation costs;
c. category of total nursing, her virginity services are 30% (thirty percent) of accommodation costs.
(6) For the intensive care treatment category, her virginity services are 40% (forty percent) of the accommodation costs to be set up later in the Regent's Ordinance.
(7) Care of an outpatient care, baby room/ neonatus/perinatology and outpatient enter the nursing care category. The total number is single (single tarief).
The Seventh Section
Medik Service Service
Article 25
(1) Medik Service Type, includes:
a. clinic laboratory examination service; b. Radiodiagnostic examination service; c. electromedic diagnostic examination service, covering:
1. ultra sonography (usg) check; 2. examination echo/electro cardiography (ecg); 3. Electrical examination of encelophalography (eeg); 4. examination of electro neuro musculo encephalography; 5. Tredmill examination; 6). other electromedik checks.
(2) Any medik support service is charged a service levy, covering the services of the means and service services.
(3) The medik support checkpoint service is classified in a general patient (Class III. Class II and outpatient), and private patient services (derived from Class I and primary class).
(4) medik services for medik support services are applied to all service classifications.
(5) Medic support services for patients who are not being treated at RSUD are in effect equal to private class service rates.
(6) In terms of the medik support service requires an act of anesthesia, subjected to a levy fee in accordance with the act of anesthesia received.
Article 26
(1) The laboratory services of the clinic, covering: a. clinic pathology service, consisting of:
1. hematology; 2. Clinic chemistry; 3. Immunological serology; 4. parasitology and bodily fluids (liquor); 5. The toxicology of the clinic (NAPZA test);
b. Clinic microbiology services; and c. anatomical pathology ministry;
(2) Laboratory checks are calculated per examination parameters.
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(3) In terms of clinical laboratory examination in the form of the package organized in the development of Medical Check Up adjusted to the private service along not harming the financial area.
(4) Tarif retribution Health checks guaranteed by certain Programs that are financed by the State Shopping & Shopping Budget (APBN) or APBD are adjusted to the price units listed in the Budgeted Implementation (DIPA) list or the Staffing Document. Budget (DPA) /document Implementation Document (DPPA).
Article 27
(1) The radiodiagnostic service referred to in Section 25 of the paragraph (1) letter b in RSUD, includes: a. Radiological examination with contrast; b. Radiological examination without contrast, and c. imaginary radiological examination (imaging).
(2) The radiological examination levy with contrast is divided into 2 (two) i.e. contrasting checks excluding contrasting materials (prescribed contrast materials) and contrast checks already include contrasting materials.
(3) Tarif retribution Electromedic ultra sonography (ultrasound) diagnostic check already included a print out.
(4) In terms of medik support check due to RSUD error, then the patient is exempt from the levy rate.
Section Eighth
Medic Rehabilitation Services And Mental Rehabilitation
Article 28
(1) The type of medik rehabilitation service includes: b. consulting service; c. physiotherapy ministry; d. Occupational occupational therapy. Wicara therapy services; and f. Orthotic-prosthetic services.
(2) The type of mental rehabilitation service, covering: a. Social services medik; and b. Consulting services and/or psychological examination.
(3) Any service of medical rehab and mental rehabilitation is subject to a service levy fee, covering the services of the means and services of services.
(4) The medical rehabilitation services of the medik and Mental rehabilitation is classified in a general patient (Class III. Class II and outpatient), and private patient services (derived from Class I and primary class).
(5) More terms on the study of wicara therapy as referred to in paragraph (1) letter (d), prostetic orthotic therapy as referred to in paragraph (1) letter (e), and social services of the medik as referred to in paragraph (2) letter (a) will be set up in the Rule of Regents.
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Part Ninth
Health Testing Service (Medical/General Check Up) And Service Rawat a Day (One Day Care)
Article 29
(1) Health testing services (medical/general check up) include: a. Health inspection of the pilgrims ' pilgrims; b. The health checkup of the bride-to-be; c. Health-candidate health checkup; d. health check for insurance; e. Health checks for school purposes; and f. medical packages check up as needed.
(2) Any health testing ministry as referred to in paragraph (1) levied retribution in the form of a package includes a medik power check, including a medik support check levy which is calculated according to the type of examination required per service package.
(3) The health testing service Tarif as referred to in paragraph (1) is specified with the Rule of Count.
Article 30
(1) A oneday care service is held in the form of a service package. consists of medik (operative, or non-operative) actions, nursing/nursing actions, medik support checks, and outpatient accommodation.
(2) medik action attribution/medik and/or medik support check-up {\cf1} {\cf1} {\cf1} {\cf1} {\cf1 {\cf1} {\cf1} {\cf1} {\cf1} {\cf1} {\cf1
} { Blood Transfusion And Oxygen Therapy Ministry
Article 31
1) RSUD is obliged conducting surveillance, control and blood use for patients effectively and efficiently
2) Blood transfusion services include: a. Blood transfusion service b. the service of the blood flask (blood bank) c. service cross match (blood group suitability)
3) The Use of the Materials and the Habis Device Use (EVP) is a Blood Labu by the Regional Blood Transfusion Unit at an official price according to the applicable At that time.
4) The service means the service of blood tarnsfusion covering the use of blood-storage, blood warmer, materials and the Habis wear (inp) basis, and do not/have not included the provision of its set transfusion.
5) Each blood transfusion service is subject to a levy fee covering the service component of the means and service services.
6) The blood transfusion service levy as referred to in paragraph (5) is set with the Governing Ordinance
Article 32
(1) The oxygen therapy ministry which uses medik gas according to the medik indication.
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(2) Medic gas for surgical purposes and anesthetic action is a component of the Materials and the Habis Usage (EVs) of the Operative Medic Act.
(3) The Use of Materials and Habis Devices Use (EVs) of the medical medik gas The price adjusted for the current medical gas prices and specified with the Director's Decision.
(4) The services of the use of the medik gas include the lease of the tube or the central installation of a medik gas, as well as the lease of the use of a manometer.
(5) Services Medik gas use ministry is a service service for officers and nurses serving and Monitor the installation or use of the medik gas.
(6) Each oxygen therapy ministry is charged with the mounting levy (seting) manometer, the granting speed to the doctor's treatment of care.
(7) The measurement of the use of medik gas calculated based on the union the volume of usage since the manometer and the mask/nasal oxygen are subject to the patient.
(8) The oxygen therapy service (6) specified in paragraph (6) is set through the Rule of Count.
Part Eleven Pharmaceutical Services
Article 33
(1) Pharmaceutical Service is part of the treatment process that is responsible for the RSUD's responsibility for the provision of other drugs and pharmaceuticals as well as doing surveillance and control of the use of one door.
(2) Management of the RSUD pharmaceutical service performed by the Pharmacy Installation.
(3) The Pharmaceutical Service as referred to in paragraph (1), includes:
a. consulting services/drug information; and b. Pharmacy service/nurture clinic.
c. Handling sitostatika services.
(4) RSUD can form a Pharmaceutical Service Unit or Pharmacy Depo for drug services, consumable health tools and other pharmaceutical supplies outside the levy-tariff component according to the rules of the invitation. In effect.
(5) The financial management of Depo Pharmaceutical and the highest retail price designation selling drugs and other pharmaceutical supplies as referred to as paragraph (4) is specified with the Regent Regulation.
(6) Most of the benefits may be used for the The health care development and the RSUD remuneration post.
(7) The pharmaceutical service Tarif as referred to in paragraph (3) is specified in the Rule of the Regents.
The Twelfth Service Section of the Gizi Clinic
Article 34
(1) The Gizi Service Clinic is a series of activities Nutrition services that are given to patients to meet their nutritional requirements in accordance with their illness.
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(2) The management of clinical nutrition services is performed by the Nutritional Installation.
(3) Clinical nutrition services include nutritional consulting and dietary structuring.
(4) Clinical Gizi services are classified in general patients (Class III, Class II and outpatient), and the service of private patients (derived from Class I and the primary class).
Part Thirteenth
Service Preservation Service
Article 35
(1) Any service for the body of the body includes treatment, preservation, storage and autopsy/corpse surgery.
(2) Each ministry The restoration of the body is imposed on the tarip of retribution according to the type of service, including service means and service services.
(3) Certain infectious disease mortuary services requiring special treatment are adjusted to the provision of provision. (APD), a material used to use a special retributary fare.
(4) In terms of the bleaching the body requires a laboratory examination and/or a casket, will be taken into account of its own service.
(5) The surgical services of the corpse (autopsies) classified in: a. The condition of the corpse; b. The location of the autopsy service; and c. The timing of the autopsies.
BAB X
MINISTRY OF EDUCATION AND RESEARCH
Article 36
(1) Education and Training Services at RSUD, includes: a. Internship interchange, medical student clinic practice,
nursing and/or other health education; b. Vocational technical practice and the administration of non-education participants
health; c. self-training (inhouse training) hosted by RSUD;
and d. the appeals study (Benchmarkin) of another instance.
(2) The RSUD may undertake cooperation with the Education Hospital and/or the Institution of Education to host education and training that is poured in cooperation agreements.
(3) The utilization of the RSUD for prospective health care clinics must ensure the safety, safety and comfort of patients being treated.
(4) The calculation of education and training services includes the Materials and the Habis Usage (EVPs), services means (institutional fee) and service services (clinical guidance counselor/technical practice, narasumber);
(5) Use materials as referred to in paragraph (4) include and are not limited to the provision of props, materials/sterile tools, copying material, consumption, and/or clinical practice.
(6) Research services The clinic in the RSUD can be implemented after obtaining the etical clearence of the Hospital Ethics Committee and the Director.
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(7) Any research as referred to in verse (6) is subject to the rate of research services consisting of the services of the means (institutional fee) and service services (researcher counselors, informants).
(8) Tatalaksana and the designation of tariff levy on education and research as referred to in verse (4) and verse (7) are defined by the Rule of Regent.
BAB XI
OTHER HEALTH SERVICES
Part Atu
Other types of Creative Services
Article 37
(1) Other health services include: a. Patient transport services and body transport; b. Medik and patient record administration services; c. financial administration services; d. Medik (incenerator), e. Hospital/third party hospital waste treatment processing services; and f. Third-party sterilization and sterilization services.
(2) The health care claim submission for third-party patients (sycophants) is charged with maximum administration costs 2.5% (two five percent comma) of the total claim or according to the cooperation agreement.
(3) In carrying out the function RSUD can optimize the means-infrastructure and equipment that is proprietary to provide medik waste combustion services, hospital/clinic waste treatment or sterilization services & Third party laundry is poured in the cooperation agreement.
(4) Hospital/clinic waste treatment services include liquid waste services (IPAL) and solid waste that require combustion (Incenerator) according to applicable law regulations.
(5) medial waste combustion services (incenerator) classified in medik waste is flammable and difficult to burn.
(6) sterilization and laundry services, covering the instrument sterilization of instruments/operaif tools, certain health tools, sterile linens and washing services.
(7) Each other health services as referred to in paragraph (1) imposed The levy includes the services of the means and services services.
Second Quarter
Transportation Services Ambulance and Certificate
Article 38
(1) To provide service to the community, the RSUD provides an ambulance car and hearse.
(2) The type of transport service of patients with ambulances, classified in: a. Transport ambulance service; b. referral ambulance service; and c. emergency ambulance service 118.
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(3) The transport and body ambulance service is charged with minimal fare in the city with a distance of 5 (five) kilometres (10 km away-return). The remainder of each kilometer by using a fixed distance table includes the services of the hospital and service. Service rates do not include toll fees and separate calculated crossings.
(4) The carrier of the transport ambulance service and the general car for excess distance per kilometer as referred to in paragraph (3) is specified with the In terms of the ambulance the reference patient and the emergences of 118 require the chaperone or medical personnel companion, then the services of the service are taken into account for the companion health and the distance of the destination.
(6) Besaran tarip service referral and emergences 118 as Referred to in paragraph (5) is specified with the Rule of the Regents.
The Second Part of the Medic Reoffice Service
Article 39
(1) The medical record service at RSUD is exercised by the health recorder (medik) workforce.
(2) In the limited power of the profession as referred to in paragraph (1) may be exercised by other administrative power after obtaining a medical record management training.
(3) The medical record service includes the medical record service. Outpatient, outpatient medical records and outpatient medical records apply to one patient's single medik record.
(4) Each new patient is required to have a drug card which is the identity of the patient ' s medik record number valid once in life (the single of the identity of the identity).
(5) Medical recording services of outpatient patients are part of an outpatient administration service that charges a levy once during treatment.
BAB XII
THIRD PARTY HEALTH SERVICES
Section 40
(1) Body-shaped third-party liability health services, must be governed in a cooperation agreement governing the rights and obligations of the parties.
(2) Client's disservice patients are included: a. service of the community Health Guarantee Program
(Jamkesmas) and Regional Health Guarantee (Jamkesda); b. services of Health Insurance patients (ASKES) Public Employees
Civilian (PNS); c. Private Health Insurance (ASKES) patient services; d. Workforce Social Security Patient Services (JAMSOSTEK);
and e. Other company's company patient services.
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(3) In terms of cooperation of service with the private parties the rate of service rates of service may be set in accordance with mutual agreement as long as it does not harm the financial area.
(4) In the case of the There are more or less differences in receipt of the receipt of the health service levy, then the utilization and management are set up by the Regents Act.
BAB XIII
FINANCIAL MANAGEMENT PROVISIONS
Section 41
(1) The Financial Management Of RSUD as PPK-BLUD is exercised accordingly
with the Laws applicable to the General Services Agency.
(2) The functional acceptance of the RSUD health service levy is classed as Other Authorized Local Revenue and each day gross to the RSUD BLUD cash account at the designated Bank.
(3) All revenues from the health care levy are used
directly through the APBD mechanism annually according to the applicable perinvitation rules.
(4) Planning Acceptance of the acceptance of the acceptance of the terms of the paragraph (1 RBA/RKA RSUD is set as follows:
a. maximum 44% (forty percent) allocated for service services;
b. about 56% (sixty percent) allocated for operational shopping, maintenance shopping and/or capital shopping according to the tariff component.
(5) Proportion of the service planning budget plan as referred to by paragraph (4) letter a, for services that are guaranteed the Government are adjusted to the proportion set forth by the Program.
(6) Each year the budget of the Director of RSUD establishes the Budget Policy utilization of the guideline on the pattern as It is in verse (4).
(7) The shopping planning component of service means and service services as referred to as paragraph (4) is a category of Direct Shopping types outlined in the type of shopping type, including:
a. Employee shopping, for service component components;
b. Goods/Services shopping, for the component services components of the levy rate based on calculation of unit costs (cost units); and
c. Capital shopping, non-investment among others and not limited to simple medik tools, computers, linen, minor surgical set instruments which are component of the levy tariff.
(8) The benefit of service services as referred to by paragraph (4) of the letter a with the remuneration system specified with the Rule of Regent
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BAB XIV
REVIEW OF LEVY LEVY
section 42
(1) The rate of retribution is reviewed at least 3 (three) years.
(2) The Retribution tariff review as referred to in paragraph (1) is performed with regard to:
a. the economic price index and development of the economy;
b. the addition of the type of health service that the RSUD can afford.
(3) Addition of the type of health care type as referred to paragraph (2) the letter b is considered to be considered:
a. the availability of health care primarily specialist medical personnel, nursing and other health care power;
b. the authority and competency to perform health services under applicable law regulations.
c. the completeness of the utilities, facilities and equipment according to the established standards and the area financing capabilities;
d. The need for a need-demand society to provide quality health care to pay for pay, willingness to pay, or pay to pay.
(4) Retribution tariff review as referred to in paragraph (1) is specified with the Count Regulation.
BAB XV
LEVY TERRITORY
Article 43
Health Service Retribution in RSUD is levied in the County region Ponorogo.
BAB XVI
TATA WAY VOTING, BILLING, PAYMENT, OBJECTION AND RETURN OVERPAYMENT
Part Kesatu
Tata Cara Poll
Article 44
(1) Retribution is levied with using SKRD or other relevant documents.
(2) Other documents are equed as referred to in paragraph (1) may be karcis, coupons and receipts with details of the cost of care.
(3) Further provisions on the manner of the implementation of the levy are set up with the Rules of the Regent.
Part Second
billing
section 45 (1) The billing of the debted levy uses STRD and is preceded by
The Teguran letter.
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(2) Other similar reprimand/Warning Mail Spend as early as the action of Retribution billing action is issued immediately after 7 (seven) days from the expiration of the payment.
(3) Within a period of 7 (seven) The day after the date of the Sururan/Other Letter of a Kind, Compulsory Retribution must pay off its owed Retributary.
(4) If in the timeframe as referred to in verse (3) the debt of the debt has not been repaid, then Billed as a result of the following:
(5) Commemoration/Warning/Other letters of type and STRD as referred to in paragraph (1) and paragraph (4) are issued by the designated Acting Officer.
The Third Section
Tata Cara Payment
Section 46 (1) Retribution Payment The debt must be paid off at once. (2) The debt retribution is repaid no later than 30 (thirty) days since
the publication of SKRD or other relevant documents will be published. (3) Retribution is paid on an instance or authorized authorized official
based on the Bupati Regulation. (4) Further provisions on the order of payment of retribution are set
with the Bupati Regulation. The Fourth Section
Objection
Section 47
(1) Certain Retribution may apply only to the Regents or other designated officials of SKRD or other relevant documents.
(2) Objection is submitted in a statement. written in English with clear reasons.
(3) Objection must be submitted in the most prolonged period 3 (three) months since the date of SKRD is published, unless a certain Compulsory Retribution may indicate that That timeframe cannot be fulfilled because of the circumstances outside of his power.
(4) State of the It is the case in which verse (3) is a state that occurs beyond the will or power of the mandatory retribution.
(5) The objection of the objection does not delay the obligation to pay Retribution and the execution of Retribution billing.
Article 48 (1) Of the authority owned, the Regent may provide leniation,
the reduction, and the release in certain matters over the subject of its Attribution and/or its selection.
(2) Leniation, reduction and release of As a verse (1) is provided with a view of the Obligation Of Retribution.
(3) Further provisions of the Compulsory Retribution that may apply for leniation, reduction, and exemption as referred to in paragraph (1) are governed by the Rule of the Regent.
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Article 49
(1) the Regents in the most prolonged period of 6 (six) months since the date of the Letter of Objection must provide a decision over the objection submitted by issuing the Objection Letter.
(2) The provisions as referred to in paragraph (1) are to provide legal certainty for the Compulsory Retribution, that the objection submitted must be given a decision by the Regent.
(3) The Count's decision over objections may be accepted entirely or in part, refusing, or adding to the magnitude of the debt Retribution.
(4) If the term is referred to in a paragraph (1) has passed by and the Regent does not give a decision, the objection to which it is considered granted.
Article 50
(1) If the application of the objection is granted a portion or all, excess Retribution payments are returned with plus interest rates of 2% (two percent) 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 the publication of SKRDLB.
Fifth section
Repayment Repayment
Article 51
(1) Over the excess payment of the Levy, Compulsory Retribution may apply for a return to the Regent.
(2) The Count in the most timeframe 6 (6) months, from the time of receipt of the overage payment Retribution as referred to in paragraph (1), must make a decision.
(3) If the term as referred to in paragraph (2) has been exceeded and the Count is Does not make a decision, a Retribution payment return request considered granted and SKRDLB must be published in the most prolonged period of 1 (one) month.
(4) If the Compulsory Retribution has other Retribution debt, the excess of Retribution payments as referred to the paragraph (1) directly Calculated to pay off the Retribution debt.
(5) The return of the excess Retribution payment as referred to in paragraph (1) is performed within the most prolonged period of 2 (two) months since the publication of SKRDLB.
(6) If the return of Retribution repayment is performed after 2 (two) months, the Count provides a interest rate of 2% (two percent) a month for late payment of overpayment of Retribution payments.
(7) The provisions further on the terms of the Retribution payment overpayment method as referred to in paragraph (1) is governed by the Regent Ordinance.
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BAB XVII
EXPIRATION BILLING
Section 55 (1) The right to perform Retribution billing expires after
beyond the time of 3 (three) years from the time of its Retribution, except
(2) The expiry of the Attribution Requirement, as referred to in verse (1) is the most formidable of the: (1) the following: published the Letter of the Issuer; or b. There is a recognition of the Retribution from the Compulsory Levy, either directly
nor directly. (3) In the case of published Letter of the Message as referred to in the paragraph
(2) the letter a, the billing expiration date is calculated from the date of the receipt of the Letter.
(4) Retribution of the debt Retribution as intended on verse (2) letter b is Compulsory Retribution with his consciousness still having Retribution debt and not to pay it back to the Government of the County.
(5) Retribution debt Retribution as referred to in paragraph (2) letter b can be known from filing of installment pleas or delay of payment and a request for objection by the Compulsory Retribution.
section 56 (1) of the levy debt that is not likely to be billed again as the right to
expiring invoicing will be abolished. (2) Elimination of Attribution Debts as referred to in paragraph (1)
specified with a Decree Decision.
BAB XVIII
ADMINISTRATIVE SANCTION
Article 57
In terms of certain Compulsory Retribution does not pay proper terms In time or less pay, the administrative sanction is 2% (two percent) of interest each month from a debt-owed Retribution that is not or less paid and is billed using STRD.
BAB XIX
TRANSITIONAL provisions
Section 58
At the time the Local Regulation is in effect, Retribution is still in debt based on the existing Local Regulation, still being billed for a term of 5 (five) years From the moment of debt.
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BAB XX
CLOSING provisions
Article 59
At the time the Regional Regulation is in effect, the Regional Regulation of Ponorogo County Number 8 Year 2003 on Health Service Retribution to General Hospital Unit "Swadana Prof. Dr. M. Harjono Soedigdomarto, Sp.OG". (The Ponorogo District Number B section sheet 2/B) is revoked and declared not in effect.
Article 60
These Regional Regulations came into force on 1 January 2012.
So that everyone can find out, ordered the invitational of this Area Regulation with its placement in the Ponorogo County Area Sheet.
Set in Ponorogo
on December 30, 2011
BUPATI PONOROGO,
Cap. ttd
H. AMIN, SH.
It Was promulred In The Local Gazette Of Ponorogo County In 2011 On December 30, 2011 Number 17.
a.n. IT ' S REGENT PONOROGO Plt. County Secretary
Cap. ttd
H. YUSUF PERSONALLY, SH., MM.
NIP Young Master Pembina. 19580216 198303 1 011
In accordance with the original a.n. BUPATI PONOROGO
THE SECRETARY OF THE STATE U.B.
LEGAL CHIEF
H. EFFENDI, SH
Pembina Tk I
NIP. 19570814 198503 1 023
