U.S. Department of Health and Human Services
Indian Health Service: The Federal Health Program for American Indians and Alaska Natives
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Revenue Operations Manual (ROM)


An updated Revenue Operations Manual (ROM) is expected by April 2015.

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 any and all staff with any function related to business operation procedures and processes.

The Revenue Operations Manual is available for viewing, saving, and printing at the local level. Each part and chapter of the manual addresses a specific area, department, or function. A part may also contain one or more appendices of topic-related reference materials. Access to the manual has been designed to allow facilities to view, save, and print only those chapters that relate to their type of facility.