INA-CBGs (Indonesian Case Based Groups)
INA-CBGs (Indonesian Case Based Groups) is the case-mix payment system BPJS Kesehatan uses to reimburse hospitals under JKN. It groups each episode into a tariff based on diagnosis and procedure codes plus documented severity, so accurate clinical records and authorized coding are essential.
Reviewed documentation for the claim team
Micromeet is not the BPJS, VClaim or E-Klaim login or helpdesk; use your institution’s official support. Care Workspace can support reviewed documentation for coding and casemix teams. Claim readiness describes that workflow, not a separate product or guaranteed claim acceptance.
Read the full explanationCare Workspace’s reviewed clinical context can give authorized coding and claim teams a traceable documentation starting point. Claim Readiness focuses on source completeness and human review, not automated submission or payer approval.
Read the full explanationClinicians confirm the clinical record; authorized institutional staff own coding and submission. Payer teams own adjudication, with each local payer path verified separately rather than assumed to work across markets.
Read the full explanationUnder INA-CBGs, a hospital is paid a fixed package rate for a coded case, so undercoding or incomplete documentation can leave revenue unclaimed while miscoding can trigger returns. From the Claim Readiness payer-workflow perspective, claim accuracy begins with purpose-limited, institution-approved patient context and clinician-reviewed documentation. Authorized institutional clinicians, coders, and casemix staff own coding and submission, while the payer system owns grouping and adjudication. Clinical judgment stays with clinicians; the AI does not diagnose or sign.