As a result of the current Federal government funding situation, the information on this website may not be up to date or acted upon. Updates regarding government operating status and resumption of normal operations can be found at www.opm.gov . Despite the lapse in appropriations, IHS will continue to provide direct clinical health care services as well as referrals for contracted services that cannot be provided through IHS clinics. For more information on how IHS is impacted, visit: HHS Contingency Plan
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
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.
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.
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.
ICD Official Guidelines for Coding and Reporting:
CDC - Classification of Diseases, Functioning, and Disability
Current Dental Terminology (CDT):
Code on Dental Procedures and Nomenclature (CDT Code)
Diagnostic and Statistical Manual of Mental Disorders (DSM):
Diagnostic and Statistical Manual of Mental Disorders
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]
Integrity, ethics and professionalism are essential to the HIM profession. The following links provide further guidance:IHS Ethics Policy
AHIMA Code of Ethics
AHIMA Standards of Ethical Coding
AHIMA Ethical Standards for Clinical Documentation Improvement (CDI) Professionals
AAPC Code of Ethics
Coding TrainingAHIMA Training and Education
AAPC Training and Education
IHS does not endorse any of these resources, but provide them only as resources for your use.