Coding Resources

Coding Compliance Plan

The Coding Compliance Plan is an excellent guide for coders, providers, and billers. The original document comes from Peggy Shults at Claremore Indian Hospital, Claremore, Oklahoma.

• Coding Compliance Plan [DOC - 85 KB]
• Example: Jicarilla Service Unit Compliance Plan [PDF - 248 KB]
• OIG Workplan Exit Disclaimer: You Are Leaving www.ihs.gov 

International Classification of Diseases (ICD-10)

As Health Insurance Portability and Accountability Act (HIPAA) covered entities, all Indian Health Service/Tribal/Urban (I/T/U) programs must use the International Classification of Disease, 10th Revision codes (ICD-10 CM/PCS) on all HIPAA electronic transactions (claims, etc.) by October 1, 2015.

• ICD-10 Website

Internal Control Policy

This chapter establishes the Indian Health Service (IHS) policy for recording, controlling, and otherwise accounting for patient-related resources; and for ensuring the accuracy and timeliness of receivable and revenue reporting in the financial statements of the IHS. It also establishes specific internal controls to safeguard and properly account for revenue and related assets, and defines the authorities for collecting debts owed to the IHS by third-party sources and non-beneficiary patients.

• Third Party Internal Controls

Revenue Operations Manual

The Indian Health Service Revenue Operations Manual provides a system-wide reference resource for all Indian, Tribal, and Urban (I/T/U) facilities across the United States, to assist staff with functions related to business operations.

• Revenue Operations Manual (ROM)

Guidelines

ICD Official Guidelines for Coding and Reporting:
CDC - Classification of Diseases, Functioning, and Disability Exit Disclaimer: You Are Leaving www.ihs.gov 
CMS.gov ICD-10 Exit Disclaimer: You Are Leaving www.ihs.gov 

Current Dental Terminology (CDT):
Code on Dental Procedures and Nomenclature (CDT Code) Exit Disclaimer: You Are Leaving www.ihs.gov 

Diagnostic and Statistical Manual of Mental Disorders (DSM):
Diagnostic and Statistical Manual of Mental Disorders Exit Disclaimer: You Are Leaving www.ihs.gov 

Evaluation and Management:
1995 Documentation Guidelines for Evaluation & Management Services
1997 Documentation Guidelines for Evaluation & Management Services

Both versions of the guidelines are available at this website:
CMS.gov Evaluation and Management Services [PDF - 3.1 MB] Exit Disclaimer: You Are Leaving www.ihs.gov 

HCPCS

AHA Coding Guideline Exit Disclaimer: You Are Leaving www.ihs.gov 

American Medical Association Coding Guidelines Exit Disclaimer: You Are Leaving www.ihs.gov 

NCCI edits are updated quarterly Exit Disclaimer: You Are Leaving www.ihs.gov 

Medicare National Coverage Determinations (NCD) Manual Exit Disclaimer: You Are Leaving www.ihs.gov 

ICD-10 data Exit Disclaimer: You Are Leaving www.ihs.gov 

Ethics

Integrity, ethics and professionalism are essential to the HIM profession. The following links provide further guidance:

IHS Ethics Policy
AHIMA Code of Ethics Exit Disclaimer: You Are Leaving www.ihs.gov 
AHIMA Standards of Ethical Coding Exit Disclaimer: You Are Leaving www.ihs.gov 
AHIMA Ethical Standards for Clinical Documentation Improvement (CDI) Professionals Exit Disclaimer: You Are Leaving www.ihs.gov 
AAPC Code of Ethics Exit Disclaimer: You Are Leaving www.ihs.gov 

Coding Training

AHIMA Training and Education Exit Disclaimer: You Are Leaving www.ihs.gov 
AAPC Training and Education Exit Disclaimer: You Are Leaving www.ihs.gov 

IHS does not endorse any of these resources, but provide them only as resources for your use.