Understanding Health Insurance: A Guide to Billing and Reimbursement 10th Edition
Michelle A. Green | Jo Ann C. Rowell
ISBN-13: 9781111035181 | ISBN-10: 1111035180
© 2011 | Published |  736  Pages
Previous Editions: 9781418067069

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Understanding Health Insurance, Tenth Edition is fully updated to the latest code sets, guidelines, and claim forms to provide students with the most essential and up-to-date knowledge on billing and reimbursement.
With Understanding Health Insurance, Tenth Edition, students will learn about managed health care, legal and regulatory issues, coding systems, reimbursement methods, coding for medical necessity, and common health insurance plans. Exercises in each chapter provide plenty of practice for learning how to bill and reimburse, and the accompanying workbook provides more application-based assignments for each chapter, as well as additional case studies to reinforce knowledge. The text includes free software that allows students to test their knowledge.

  • 1. Health Insurance Specialist Career.
    2. Introduction to Health Insurance.
    3. Managed Health Care.
    4. Processing of an Insurance Claim.
    5. Legal and Regulatory Issues.
    6. ICD-9-CM Coding.
    7. CPT Coding.
    8. HCPCS Level II Coding.
    9. CMS Reimbursement Methodologies.
    10. Coding for Medical Necessity.
    11. Essential CMS-1500 Claim Instructions.
    12. Commercial Insurance.
    13. Blue Cross Blue.
    14. Medicare.
    15. Medicaid.
    16. TRICARE.
    17. Workers' Compensation.

    • 30-day free trial of Encoder Pro™ from Ingenix lets you look up codes and descriptions quickly and with greater accuracy.
    • Alerts such as the HIPAA Alerts, Coding Tips, ICD-10, and Managed Care Alerts draw attention to critical areas of content and provide experience-based recommendations.
    • Notes appear throughout and clarify content, give references, provide background, or emphasize rule exceptions.
    • Study Checklist at the end of each chapter directs you to other learning aids to enhance understanding and build confidence.
    • Free StudyWare™ CD-ROM provides chapter quizzes and games for practice and self-testing, and features unique Coding Case Studies with animations and video to challenge your ICD-9-CM, CPT, and HCPCS Level II coding skills.
    • ICD-10-CM Coverage- Chapter 6 includes an overview of ICD-10-CM and ICD-10-PCS, and ICD-10-CM codes now included alongside ICD-9-CM codes in chapters 11 through 17.
    • Chapter 1 now focuses on professionalism and health insurance career opportunities, internships, and interpersonal skills.
    • New content covering medical documentation and the electronic health record (EHR) added to Chapter 2.
    • Chapter 4 renamed Processing an Insurance Claim and includes new content about electronic data interchange (EDI).
    • SimClaim CMS-1500 practice software has improved functionality in feedback mode, targeted block help with video, and the option to print completed forms to PDF for easy emailing.
  • This text combines all concepts of Health Insurance into one, user-friendly text. It has excellent pedagogical elements presented to keep the students attention and help make information easily understandable. This text will make the transition from classroom to medical office easy for students. There is an outstanding supplement package available for instructors.

For more information about these supplements, or to obtain them, contact your Learning Consultant

  • Instructor’s Resource for Green’s Understanding Health Insurance: A Guide to Billing and Reimbursement, 10th
    ISBN-10: 1111035199 | ISBN-13:9781111035198
    List Price = 135.95
    The Instructor Resources CD-ROM includes presentations written in PowerPoint™ for each core textbook chapter, a computerized test bank, Instructor’s Manual, and other text-specific resources.
    Workbook for Green's Understanding Health Insurance: A Guide to Billing and Reimbursement
    ISBN-10: 1111035202 | ISBN-13:9781111035204
    List Price = 77.95
    The student workbook is design to help the user retain key chapter content. Included within this resource are chapter objective questions, key term definition queries, multiple choice, fill in the blank and true or false problems.
    Instructor's Manual for Green's Understanding Health Insurance: A Guide to Billing and Reimbursement, 10th
    ISBN-10: 1111035210 | ISBN-13:9781111035211
    List Price = 30.95
    The instructor's Manual serves as an instructional resource and provides teaching tips or guidelines, essay questions, answers to review and test questions, key objectives, glossary, appendices and exercises for content reinforcement.
    WebTutor™ Advantage on WebCT™, 1 term (6 months) Printed Access Card for Green’s Understanding Health Insurance: A Guide to Billing and Reimbursement, 10th
    ISBN-10: 1111035229 | ISBN-13:9781111035228
    List Price = 39.00
    Improve your grades with WebTUTOR™ online review and test prep Designed to accompany specific Delmar Cengage Learning textbooks, WebTUTOR™ is an eLearning software olution that turns everyone in your classroom or training center into a front-row learner. Blackboard and WebCT components are offered across all of our disciplines. Each Webtutor may include chapter learning objectives, online course preparation, study sheets, glossary flashcards, discussion topics, web links, and an online forum to exchange notes and questions. In addition online chapter quizzes are provided in various formats including, matching exercises, true-false questions, short-answer, and multiple-choice questions with immediate feedback for correct and incorrect answers. Multiple-choice questions also include rationales for right and wrong choices. Whether you want to Web-enhance your class, or offer an entire course online, WebTUTOR™ allows you to focus on what you do best, Teaching. This Access Code is an in-stock item. The Code is contained on a printed card that will be mailed to you.  In some cases, an Instant Access version may also be available. To find out if an Instant Access version of this product is available, please contact Customer Service at 866-994-2427
    WebTutor™ Advantage on Blackboard®, 1 term (6 months) Printed Access Card for Green’s Understanding Health Insurance: A Guide to Billing and Reimbursement, 10th
    ISBN-10: 1111035237 | ISBN-13:9781111035235
    List Price = 39.00
    Contains text-specific content to reinforce what your students are learning including Chapter Outlines, Summaries, Tutorial Quizzes, Flashcards, Discussion Topics, related Web links, animations, simulations, and interactive exercises and games.
    WebTutor™ Advantage on Angel, 1 term (6 months) Printed Access Card for Green/Rowell's Understanding Health Insurance: A Guide to Billing and Reimbursement, 10th
    ISBN-10: 1111316716 | ISBN-13:9781111316716
    List Price = 43.00
    Designed to complement the book, WebTutor is a content-rich, web-based teaching and learning aid that reinforces and clarifies complex concepts. Online quizzes offer automatic grading and electronic tracking for instructors, and feedback for students to reinforce learning.
    Studyware for Green/Rowell's Understanding Health Insurance: A Guide to Billing and Reimbursement, 10th
    ISBN-10: 1111538263 | ISBN-13:9781111538262
    List Price = 100.95
    Workbook for Green's Understanding Health Insurance: A Guide to Billing and Reimbursement (Book Only)
    ISBN-10: 1111318794 | ISBN-13:9781111318796
    List Price = 75.95

  • Mount Wachusett Community College, Gardner, Massachusetts
    R Bio: Michelle A. Green, MPS, RHIA, FAHIMA, CPC is an Adjunct Professor in the Health Information Management Department at Mount Wachusett Community College, Gardner, Massachusetts. Ms. Green has also held the position of SUNY Distinguished Teaching Professor in the Physical and Life Sciences Department at the State University of New York, College of Technology, Alfred, from 1984 through 2016. An active member of the American Academy of Professional Coders (AAPC) and American Health Information Management Association (AHIMA), Ms. Green has been recognized both for her excellence in teaching and for her significant contributions to the Health Information Management profession. She has earned numerous awards, including the State University of New York Chancellor’s Award for Excellence in Teaching, Alfred State College’s Alumni Association Teacher of the Year, Who’s Who Among America’s Teachers, and the FORE Triumph Educator Award from the AHIMA. Ms. Green is a Registered Health Information Administrator (RHIA), a Fellow of the American Health Information Management Association (FAHIMA), and a Certified Procedural Coder (CPC). She earned a BS from Daemen College and an MPS degree from Alfred University. Ms. Green has authored three successful books related to coding and health information.

    Founder and Former Chairperson, Medical Assisting Department
    Anne Arundel Community College, Arnold, MD