DIGITAL VERIFICATION CLAIM SYSTEM (VEDIKA) BPJS KESEHATAN SIDOARJO REGIONAL PUBLIC HOSPITAL IN 2019

Background: The Claim Digital Verification System (VEDIKA) is a system developed by BPJS Healthcare to reduce claim of pending, accelerate the process of verifying claims, and reduce the operational burden of BPJS healthcare. This is as a follow-up to the emergence of hospital complaints regarding the implementation of INA CBG'S claim payment, The complaint has an impact on hospital satisfaction rate against BPJS healthcare decline. Purpose: This study aimed to described the VEDIKA BPJS Healthcare at the Regional Public Hospital of Sidoarjoin 2019. Methods: This descriptive research was condented by researcher at the regional public hospital of Sidoarjo during August – February 2020. The unit analysis in this research is the installation of the regional public hospital of Sidoarjo and the ample are installation head, inpatient Coordinator, outpatient Coordinator, 2 entry V-claim officer, 8 claim file Sender officers, control officers And antifraud officers. All colected data presented in descriptive or narative form. Analytical techniques using univariate analysis. Result: The results showed that the submission of claims at the Regional Public Hospital of Sidoarjowas adjusted to the VEDIKA system, the number of hospital staff supported the implementation of the VEDIKA system so that the implementation of the VEDIKA system at the Regional Public Hospital of Sidoarjo could be carried out properly. Conclusion: submiting claims at the Regional Public Hospital of Sidoarjo has adjusted to the VEDIKA BPJS Healthcare system but in the implementation of the VEDIKA system it is still not optimal in minimizing file returns, the use of the Vclaim application which often experience server downtime and maintenance class rights that do not appear in the system output and often occur differences perceptions between hospitals and BPJS healthcare are due to the regulation of service episodes and the accuracy of claim documents. Suggestion: the need for BPJS Healthcare to develop the Vclaim output, the need for hospitals to conduct coding for the accuracy of claim documents and conduct marking.ABSTRAKLatarbelakang : Sistem Verifikasi Digital Klaim (VEDIKA) merupakan sistem yang dikembangkan oleh BPJS kesehatan untuk mengurangi klaim yang tertunda, mempercepat proses verifikasi klaim, dan mengurangi beban operasional BPJS kesehatan. Adanya sistem VEDIKA berawal dari munculnya keluhan rumah sakit terkait penerapan pembayaran klaim INA CBG’s sehingga menurunkan kepuasan rumah sakit terhadap kinerja BPJS kesehatan. Tujuan : tujuan penelitian adalah menggambarkan sistem VEDIKA BPJS Kesehatan di RSUD Kabupaten Sidoarjo tahun 2019. Metode : Jenis penelitian yang digunakan dalam penelitian ini adalah Deskriptif dilakukan di instalasi Pejaminan RSUD Kabupaten Sidoarjo pada bulan Agustus – February 2020. Penelitian ini menggunakan unit analisis dengan mewawancarai semua petugas di instalasi penjaminan diantaranya kepala Instalasi, koordinator monev rawat inap, koordinator rawat jalan, 2 petugas entry Vclaim, 8 petugas pengirim berkas, tim kendali JKN dan tim antifraud. Teknik penyajian data dalam penelitian ini adalah bentuk uraian narasi. Teknik analisis menggunakan analisis univariat. Hasil: Hasil penelitian menunjukkan bahwa pengajuan klaim di RSUD Kabupaten Sidoarjo sudah menyesuaikan dengan sistem VEDIKA, jumlah petugas rumah sakit menunjang dalam pelaksanaan sistem VEDIKA sehingga implementasi sistem VEDIKA di RSUD kabupaten Sidoarjo dapat dilaksanakan dengan baik. Kesimpulan : Pengajuan klaim di RSUD Kabupaten Sidoarjo sudah menyesuaikan dengan sistem VEDIKA BPJS Kesehatan namun pada pelaksanaan sistem VEDIKA masih belum optimal dalam meminimalisir pengembalian berkas, penggunaan aplikasi Vclaim yang sering mengalami server down dan hak kelas perawatan yang tidak muncul pada output sistem serta sering terjadi perbedaan persepsi antara rumah sakit dan BPJS kesehatan diakibatkan tentang regulasi episode pelayanan dan keakuratan dokumen klaim. Saran : perlunya BPJS kesehatan untuk mengembangkan output Vclaim, perlunya rumah sakit untuk melakukan pelatihan pengkodingan untuk keakuratan dokumen klaim dan mengadakan bencmarking.

16. Membership and the incidents of membership

This chapter discusses the law on membership and the incidents of membership. The discussion covers classes of shares, class rights, share transfer and transmission, and the register of members. The chapter considers how people become members and the importance of entry on the register of members. It also considers the restrictions on access to the register and the power of the court to rectify the register when necessary to do so. It is possible to protect shareholders by providing for classes of shares and the chapter considers the protection afforded by class rights and how class rights, once created, can be varied subsequently. Share transfer and transmission is also considered.

14. Members

This chapter focuses on the members or shareholders of a company and the way in which they take decisions on the company’s affairs. It begins by considering the rules which determine who is a member of a company and the information on the members which a company must record. It then describes the mandatory rules of company law that allow members to participate in decision-making with regard to a company’s affairs, members’ class rights and the alteration of such rights. Relevant provisions of the Companies Act 2006 governing written resolutions of private companies, meetings and annual general meetings, voting, adjournment of meetings and authorisation of political donations by companies are discussed. The chapter analyses a number of particularly significant cases.

Protection of shareholders class rights in company law

Purpose A company that is registered with share capital may issue different classes of shares and may confer rights on members, which place them in different classes in the company’s organisational structure. This paper is concerned with the propensity for encroachment on such vested class rights as companies strive to wriggle out of business challenges spawn by the COVID-19 pandemic. The purpose of this study is to ascertain the extent of protection that the law accords to the different classes of shareholders and members in a company especially when the company seeks to vary the vested class rights. Design/methodology/approach A doctrinal methodology, which relies on existing literature, case law and statutory instruments, is adopted to explore the nature of class rights and the adequacies of the remedial measures availed by statute to the aggrieved bearers of class rights in the context of the South African Companies Act 71 of 2008 with inferences drawn from the UK companies statute and case law. Findings The findings indicate that accessing the remedies available to aggrieved shareholders under the relevant statutory provisions are fraught with conditionality, which could make them elusive to those who may seek to rely on such provisions to vindicate any encroachment on their class rights. Practical implications The paper embodies cogent information on the interpretation and application of the relevant statutory provisions geared at the protection of shareholders class rights, which should serve as guides to companies and the courts in dealing with matters that affect the vested class rights of shareholders and members of a company. Originality/value The paper shows that protections offered to classes of shareholders under the law can also be extended to classes of members who are not necessarily shareholders, and that shareholders who seek to vindicate their class rights may conveniently rely on Section 163 that provides for unfair prejudice remedy to avoid the onerous conditions under Section 164 of the South African Companies Act 71 of 2008, which directly deals with class rights.

To the question of determining the estate status of the Circassian elites of the Kuban region in the context of the Russian reforms of 1860-70s

The article examines the results of the work of the commission for the analysis of the estate rights of the Kuban highlanders in the Yekaterinodar and Maykop districts, when it became necessary to determine the official status of the Circassian elites and equate them with the Russian nobility after the implementation of peasant and judicial reforms in the North Caucasus. Understanding the problem by the Russian officials of the Kuban region and the attitude of the Circassian elites themselves to it in the post-reform period always arouses interest among domestic researchers. Knowledge of positive and negative examples from the historical experience of implementing reforms in various ethnic and confessional communities in Russia is always relevant and is of particular importance for the education of future generations of the Russians. The article reveals the activities of the civil authorities of the Kuban region to maintain a calm situation in the Circassian villages and prevent the spread of riots in the Maykop district, provoked at the very beginning of the work of the commission to analyze the class rights of the mountaineers. The author concluded that the civil administration of the Kuban region was against the granting of any privileged rights to the Circassian princes and nobles, suggesting that the privileged estates of the indigenous peoples of the Northwestern Caucasus should be left unchanged, even more both the Circassian princes themselves and the noblemen of the Yekaterinodar and Maykop districts were in no hurry to apply for recognition of their noble origin.

9. Classes of shares and variation of class rights

Titles in the Core Text series take the reader straight to the heart of the subject, providing focused, concise, and reliable guides for students at all levels. This chapter focuses on the rights and liabilities of a shareholder which are the incident of the general nature of a share, as well as his particular rights and liabilities by virtue of owning a particular type or class of share. It first considers the legal nature of a shareholding and the different types of share capital and typical class rights of a shareholder, as well as the statutory procedure required of a company before it can effect a variation of shareholders’ class rights. Examples of classes of shares are then given, and preferential rights attached to preference shares are discussed. The chapter concludes by looking at European Union initiatives on shareholders’ rights.

4. Shares and Shareholders

The Concentrate Questions and Answers series offers the best preparation for tackling exam questions and coursework. Each book includes typical questions, suggested answers with commentary, illustrative diagrams, guidance on how to develop your answer, suggestions for further reading, and advice on exams and coursework. Shareholders in a company own shares, but the nature of a share and the rights of a shareholder are not easily defined. This chapter discusses the definition and characteristics of a share; the differences between different types of share, particularly ordinary and preference shares; allotment of shares and pre-emption rights; return of capital; and variation of class rights.

THE "CLASS" DISSENSION OF COLONIAL PERIOD IN SUNDANESE NOVELS: REVIEW OF IDENTITY POLITICS

The culture of feudalism and democracy in the Dutch East Indies agreed to oppose one another. The intersection of the two cultures is the perspective of indigenous and colonial identity which ultimately demands a struggle to demand its "class" rights. The struggle for narratives of power was inevitable. The first Sundanese novel Baruang ka nu Ngarora “Poison for the Youth” (1914) by D.K. Ardiwinata and Gogoda ka nu Ngarora “Temptations for the Youth”(1951) as a novel response from M.A. Salmun has shown these oppositional phenomena. This study aims to trace the struggle for narration that has implications for identity politics in the Dutch East Indies colonial period. The method used in this study is descriptive analysis from the perspective of postcolonial studies. From a postcolonial perspective, literary works have become an important means for tracking colonialism practices where the narratives of dominant and defensive forces are nested. The results of the analysis show that the narrative of class disagreement in Gogoda ka nu Ngarora is used as a motive for empowering the spirit of democracy, in Baruang ka nu Ngarora, is used as a motive for the assertion of partiality towards feudal culture. Through the spirit of democracy, the struggle for identity politics was built by M.A. Salmun in Gogoda ka nu Ngarora to rejects feudal ideologies. Through a feudal spirit, identity politics was built D.K. Ardiwinata in Baruang ka nu Ngarora to establishing class identity.Keywords: identity politics, class, native, colonialPERTENTANGAN "KELAS" PADA MASA KOLONIAL DALAM NOVEL SUNDA: TINJAUAN POLITIK IDENTITASAbstrak Budaya feodalisme dan budaya demokratis pada masa kolonial Hindia Belanda seringkali menunjukkan pertentangan satu dengan lainnya. Persinggungan kedua budaya tersebut dipengaruhi sudut pandang tentang identitas pribumi dan kolonial yang akhirnya memicu perjuangan menuntut hak-hak "kelas"-nya. Perebutan narasi kekuasaan pun tidak dapat dihindarkan. Novel Sunda pertama Baruang ka nu Ngarora (1914) karangan D.K. Ardiwinata dan novel sambutannya Gogoda ka nu Ngarora (1951) karangan M.A. Salmun telah menunjukkan fenomena-fenomena pertentangannya tersebut. Studi ini bertujuan menjejak perebutan narasi yang berimplikasi kepada upaya politik identitas pada masa kolonial Hindia Belanda. Metode yang digunakan dalam studi ini adalah deskriptif analisis dalam perspektif studi postkolonial. Berdasarkan perspektif postkolonial, karya sastra menjadi sarana penting untuk menjejak praktik kolonialisme tempat bersarangnya narasi-narasi kekuasaan dominan dan perlawanannya. Hasil analisis menunjukkan bahwa narasi pertentangan kelas dalam Gogoda ka nu Ngarora digunakan sebagai motif pemberdayaan semangat demokrasi, dalam Baruang ka nu Ngarora digunakan sebagai motif penegas keberpihakan terhadap budaya feodal. Melalui semangat demokrasi, upaya politik identitas dibangun M.A. Salmun dalam Gogoda ka nu Ngarora untuk menolak ideologi-ideologi feodal. Melalui semangat feodal, politik identitas dibangun D.K. Ardiwinata dalam Baruang ka nu Ngarora untuk mengukuhkan identitas kelas.Kata kunci: politik identitas, kelas, pribumi, kolonial

LAS FUNCIONES DE LA ESCUELA SECUNDARIA BRASILEÑA EN EL CONTEXTO DEL AJUSTE NEOLIBERAL Y DE LA CRISIS DEL CAPITAL

Brasil sufre ataques brutales contra los derechos de la clase trabajadora. Entre ellos está la Ley N° 13.415/2017, que cambia la escuela secundaria brasileña, impuesta por encima de manifestaciones y resistencias. Dada la importancia de su comprensión, esta investigación está basada en la referencia del materialismo histórico y analiza las funciones que asume la escuela secundaria con esa normativa, insertada en el marco de las políticas neoliberales y en medio de la fase actual de la reestructuración del capital mundial. En las relaciones sociales contradictorias típicas del capital monopolista, en el que Brasil ocupa una posición subordinada en la división internacional del trabajo, la flexibilización de la escuela secundaria es una de las estrategias de privatización de la educación pública y del control ideológico y político para la conformación de la clase trabajadora. Ello asegura la expansión de las tasas de ganancia del capital, necesarias para su reproducción por medio de crisis periódicas profundizadas desde la mitad de la década de 1970, promoviendo la degradación de la formación humana y su subsunción al capital.Palabras clave: Producción Flexible. Neoliberalismo. Escuela Secundaria.As Funções do Ensino Médio Brasileiro no Âmbito do Ajuste Neoliberal e da Crise do CapitalResumoO Brasil vivencia ataques brutais aos direitos da classe trabalhadora. Dentre eles situa-se a Lei nº 13.415/2017, que altera o Ensino Médio brasileiro, imposta à revelia de manifestações e resistências. Diante da importância de seu entendimento, esta pesquisa, pautada no referencial do materialismo histórico, analisa as funções que o Ensino Médio assume com essa normativa, inserida no arcabouço das políticas neoliberais, em meio à atual fase de reestruturação do capital mundial. Nas contraditórias relações sociais típicas do capital monopolista, em que o Brasil ocupa uma posição subalterna na divisão internacional do trabalho, a flexibilização do Ensino Médio figura dentre as estratégias de privatização da educação pública e de controle ideológico e político para a conformação da classe trabalhadora. Assegura-se, assim, a ampliação das taxas de lucro do capital, necessária para sua reprodução mediante as crises periódicas aprofundadas a partir de meados da década de 1970, promovendo a degradação da formação humana e suasubsunção ao capital.Palavras-chave: Produção Flexível, Neoliberalismo, Ensino Médio.Functions of brazilian high school in the context of neoliberal adjustment and the capital crisisAbstractBrazil experiences brutal attacks on working class rights. Among these attacks there is the Law number 13,415/2017, which changes the Brazilian High School, imposed behind manifestations and resistances. Given the importance of its understanding, this research is based on the reference of historical materialism and analyzes the functions that high school assumes with this normative, inserted in the neoliberal policies framework, amid the current phase of world capital restructuring. In the contradictory social relations typical of monopoly capital, in which Brazil occupies a subordinate position in the international division of labor, the flexibility of high school is among the strategies for privatizing public education and for ideological and politicalcontrol to make the working-class conformation. Hence, it ensures the expansion of the profit rates of capital, what is necessary for its reproduction through periodic crises deepened from the middle 1970s, promoting the degradation of human formation and its subsumption to capital.Keywords: Flexible production. Neoliberalism. High School.

LAS FUNCIONES DE LA ESCUELA SECUNDARIA BRASILEÑA EN EL CONTEXTO DEL AJUSTE NEOLIBERAL Y DE LA CRISIS DEL CAPITAL

Brasil sufre ataques brutales contra los derechos de la clase trabajadora. Entre ellos está la Ley N° 13.415/2017, que cambia la escuela secundaria brasileña, impuesta por encima de manifestaciones y resistencias. Dada la importancia de su comprensión, esta investigación está basada en la referencia del materialismo histórico y analiza las funciones que asume la escuela secundaria con esa normativa, insertada en el marco de las políticas neoliberales y en medio de la fase actual de la reestructuración del capital mundial. En las relaciones sociales contradictorias típicas del capital monopolista, en el que Brasil ocupa una posición subordinada en la división internacional del trabajo, la flexibilización de la escuela secundaria es una de las estrategias de privatización de la educación pública y del control ideológico y político para la conformación de la clase trabajadora. Ello asegura la expansión de las tasas de ganancia del capital, necesarias para su reproducción por medio de crisis periódicas profundizadas desde la mitad de la década de 1970, promoviendo la degradación de la formación humana y su subsunción al capital.Palabras clave: Producción Flexible. Neoliberalismo. Escuela Secundaria.As Funções do Ensino Médio Brasileiro no Âmbito do Ajuste Neoliberal e da Crise do CapitalResumoO Brasil vivencia ataques brutais aos direitos da classe trabalhadora. Dentre eles situa-se a Lei nº 13.415/2017, que altera o Ensino Médio brasileiro, imposta à revelia de manifestações e resistências. Diante da importância de seu entendimento, esta pesquisa, pautada no referencial do materialismo histórico, analisa as funções que o Ensino Médio assume com essa normativa, inserida no arcabouço das políticas neoliberais, em meio à atual fase de reestruturação do capital mundial. Nas contraditórias relações sociais típicas do capital monopolista, em que o Brasil ocupa uma posição subalterna na divisão internacional do trabalho, a flexibilização do Ensino Médio figura dentre as estratégias de privatização da educação pública e de controle ideológico e político para a conformação da classe trabalhadora. Assegura-se, assim, a ampliação das taxas de lucro do capital, necessária para sua reprodução mediante as crises periódicas aprofundadas a partir de meados da década de 1970, promovendo a degradação da formação humana e suasubsunção ao capital.Palavras-chave: Produção Flexível, Neoliberalismo, Ensino Médio.Functions of brazilian high school in the context of neoliberal adjustment and the capital crisisAbstractBrazil experiences brutal attacks on working class rights. Among these attacks there is the Law number 13,415/2017, which changes the Brazilian High School, imposed behind manifestations and resistances. Given the importance of its understanding, this research is based on the reference of historical materialism and analyzes the functions that high school assumes with this normative, inserted in the neoliberal policies framework, amid the current phase of world capital restructuring. In the contradictory social relations typical of monopoly capital, in which Brazil occupies a subordinate position in the international division of labor, the flexibility of high school is among the strategies for privatizing public education and for ideological and politicalcontrol to make the working-class conformation. Hence, it ensures the expansion of the profit rates of capital, what is necessary for its reproduction through periodic crises deepened from the middle 1970s, promoting the degradation of human formation and its subsumption to capital.Keywords: Flexible production. Neoliberalism. High School.