U.S. Department of Health and Human Services
Indian Health Service: The Federal Health Program for American Indians and Alaska Natives
A - Z Index:
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
V
W
X
Y
Z
#
Business Office Enhancement
 
border

Revenue Operations Manual (ROM)


Part 2 - Patient Registration

Click on any Chapter Title to download, view, or print individual chapters and appendices.

Chapter 1. Overview of Patient Registration [PDF-75KB]

  • 1.1 About the Revenue Operations Manual
  • 1.2 About Patient Registration
  • 1.3 IHS National Registration Policy and Procedures
  • 1.4 Customer Service
  • 1.5 Telephone Etiquette
BACK TO TOP

Chapter 2. Patient Eligibility, Rights & Grievances [PDF-72KB]

  • 2.1 Patient Eligibility Criteria
  • 2.2 Other Eligible Categories of Patients
  • 2.3 Determination of the Degree of Indian or Alaska Native Blood
  • 2.4 Patient Rights and Grievances
BACK TO TOP

Chapter 3. Direct Care and Contract Health Services [PDF-59KB]

  • 3.1 Direct Care Services
  • 3.2 Contract Health Services (CHS)
  • 3.3 CHS Medical Priority Criteria
BACK TO TOP

Chapter 4. Registration, Discharge, and Transfer [PDF-139KB]

  • 4.1 About the Medical Record
  • 4.2 Temporary Medical Record Number Assignments
  • 4.3 Master Patient Index (MPI)
  • 4.4 Name/Birth Date Change Requests
  • 4.5 New Patient Registration
  • 4.6 Established Patient Registration
  • 4.7 Non-Beneficiary Registration
  • 4.8 Commissioned Officers and Dependents Registration
  • 4.9 Scheduled Patient Registration
  • 4.10 Unscheduled Walk-in Registration
  • 4.11 Inpatient Admissions Registration
  • 4.12 Scheduled Inpatient Admission Procedure (Adult, Pediatric)
  • 4.13 Newborn Admission Procedure
  • 4.14 Observation Bed Admission Procedure
  • 4.15 Discharge and Transfer Processes
  • 4.16 Non-Beneficiary Exit and Collection Process
  • 4.17 Reconciliation of RPMS Admission/Discharge/Transfer Statistics
BACK TO TOP

Chapter 5. Third Party Coverage [PDF-208KB]

  • 5.1 About Medicaid and Medicare
  • 5.2 Medicaid
  • 5.3 Medicare
  • 5.4 Medicare Part A
  • 5.5 Medicare Part B
  • 5.6 Medicare/Medicaid Dual Eligibles
  • 5.7 Medicare Advantage, Part C
  • 5.8 Medicare Managed Care
  • 5.9 Medicare Prescription Drug Plan (Part D)
  • 5.10 Railroad Retirement
  • 5.11 Private Insurance
  • 5.12 Managed Care
  • 5.13 Dental Insurance
  • 5.14 Pharmacy
  • 5.15 CHAMPUS/TRICARE
  • 5.16 Workman's (Worker's) Compensation
  • 5.17 Third Party Liability
  • 5.18 Grant Programs
  • 5.19 Medicare Secondary Payer (MSP)
  • 5.20 Tribal Self Insurance
  • 5.21 Verifying Third Party Insurance Coverage
  • 5.22 Prior Authorization Process
  • 5.23 Patient Referral to the Benefit Coordinator
BACK TO TOP

Chapter 6. Scheduling Appointments [PDF-34KB]

  • 6.1 About Scheduling Appointments
  • 6.2 Appointment Scheduling Process
  • 6.3 Exceptions to the Standard Scheduling Process
  • 6.4 Preventing "Did Not Keep Appointments" (DNKA)
BACK TO TOP

Chapter 7. Benefit Coordinator [PDF-83KB]

  • 7.1 About the Benefit Coordinator
  • 7.2 Outpatient Identification and Verification Process
  • 7.3 Eligibility Verification
  • 7.4 Inpatient Identification and Verification Process
  • 7.5 Medicaid Eligibility and Application
BACK TO TOP

Appendixes

  1. Application for Medical Services (Form 58, Adult) [PDF-53KB]
  2. Indian Blood Quantum Formula [XLS-16KB]
  3. Name Change/Birth Date Correction Request [PDF-20KB]
  4. Admission Call-In/Check-Off List [PDF-39KB]
BACK TO TOP