Understanding Health Insurance: A Guide to Billing and Reimbursement, 2026 Edition

Michelle Green (Autor)

Buch | Softcover

688 Seiten

2026 | 21st edition
Delmar Cengage Learning (Verlag)
979-8-214-48208-8 (ISBN)

Infos

Establish a strong foundation for a career in revenue management, medical billing and health insurance processing with Green’s "Understanding Health Insurance: A Guide to Billing and Reimbursement," 2026 Edition. Updated guides to current medical code sets and coding guidelines equip you to assign ICD-10-CM, HCPCS Level II and CPT® codes, complete health insurance claims and master revenue management and reimbursement concepts. MindTap's interactive learning experience allows you to practice what you learn with chapter reviews, instructional videos and the SimClaim™ software for CMS-1500 claim practice. Complete real-world administrative tasks in a simulated medical office environment with Medical Office Simulation Software (MOSS). This digital learning experience integrates with your school’s LMS and gradebook to enhance your engagement, build your confidence and support your success.

Autor

Michelle Green has served as a full-time or adjunct faculty member since 2017. During Spring 2023, Green was named interim Program Director in the Health Information Technology department at Mohawk Valley Community College in Utica, New York. She was the SUNY Distinguished Teaching Professor in the Physical and Life Sciences department at the State University of New York College of Technology at Alfred for over 30 years. She has authored three popular textbooks related to coding, revenue management and health information management. An active member of the AAPC and American Health Information Management Association, Green has been recognized for her excellence in teaching as well as her significant contributions to the health information management profession. Her numerous accolades include 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, AHIMA's FORE Triumph Educator Award and NYHIMA’s Educator Award. In addition, she is a Registered Health Information Administrator, a fellow of the American Health Information Management Association and a Certified Professional Coder. She earned an MPS from Alfred University and a Bachelor of Science from Daemen College.

Inhalt

1. Health Insurance Specialist Career.
2. Introduction to Health Insurance and Managed Care.
3. Introduction to Revenue Management.
4. Revenue Management: Insurance Claims, Denied Claims and Appeals, and Credit and Collections.
5. Legal Aspects of Health Insurance and Reimbursement.
6. ICD-10-CM Coding.
7. CPT Coding.
8. HCPCS Level II Coding.
9. CMS Reimbursement Methodologies.
10. CMS-1500 and UB-04 Claims.
11. Commercial Insurance.
12. BlueCross BlueShield.
13. Medicare.
14. Medicaid.
15. TRICARE.
16. Workers’ Compensation.
Appendices.
Bibliography.
Glossary.
Index.

Produkt-Details

• Erscheinungsdatum: 06.01.2026
• Verlagsort: Clifton Park
• Sprache: englisch
• Themenwelt: Medizin / Pharmazie ► Pflege
• Themenwelt: Betriebswirtschaft / Management ► Spezielle Betriebswirtschaftslehre ► Versicherungsbetriebslehre
• ISBN-13: 979-8-214-48208-8 / 9798214482088
• Zustand: Neuware