Coding Protocol Plan
The Coding Protocol Plan is a useful tool in developing local coding policies and procedures and implementation of a coding compliance program that advances the prevention of fraud and abuse, while furthering the mission of providing quality healthcare to our patients.
The Plan was written by Brett Maycock, California Area Clinical Application Coordinator (CAC)/HIM, and implemented by the Naval Hospital Oak Harbor, and adopted by the Area Health Information Management Consultants.
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.
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, 2014. The current, Ninth Revision (ICD-9) is obsolete and unable to meet current health care data needs or support the transition to an inter operable health data exchange in the United States.
Internal Control Policy
Revenue Operations Manual