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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Business Office Enhancement
 
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Revenue Operations Manual (ROM)


Part 3 - Coding

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

Chapter 1. Overview of Coding [PDF-53KB]

  • 1.1 About the Revenue Operations Manual
  • 1.2 About Coding
  • 1.3 National Correct Coding Initiative
  • 1.4 Standards of Ethical Coding
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Chapter 2. Medical Record Documentation [PDF-51KB]

  • 2.1 About the Medical Record
  • 2.2 Principles of Medical Record Documentation
  • 2.3 Provider Documentation Requirements for Evaluation and Management Codes
  • 2.4 Customer Service
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Chapter 3. Coding Guidelines [PDF-148KB]

  • 3.1 Guidelines for Selecting Codes
  • 3.2 Selecting the Appropriate Code for Provider Services
  • 3.3 International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM)
  • 3.4 International Classification of Diseases Tenth Edition, Clinical Modification (ICD-10-CM) and Procedure Coding System (PCS)
  • 3.5 Healthcare Common Procedural Coding System (HCPCS)
  • 3.6 Level I - Current Procedural Terminology (CPT)
  • 3.7 Level II HCPCS Codes
  • 3.8 Level III HCPCS Codes
  • 3.9 Modifiers
  • 3.10 Dental Codes
  • 3.11 Requirements for Clinical Reporting
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Chapter 4. Data Entry [PDF-38KB]

  • 4.1 Overview of Data Entry
  • 4.2 Helpful Data Entry Hints
  • 4.3 Mnemonics
  • 4.4 Health Factors
  • 4.5 Patient Education Codes
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