Understanding Health Insurance: A Guide to Billing and Reimbursement (with Premium Website Printed Access Card and Cengage EncoderPro.com Demo Printed ...

by Michelle A. Green

Understanding Health Insurance, Eleventh Edition, is the essential learning tool you need when preparing for a career in medical insurance billing. This comprehensive and easy-to-understand text is fully-updated with the latest code sets and guidelines, and covers important topics in the field like managed care, legal and regulatory issues, coding systems, reimbursement methods, medical necessity, and common health insurance plans. The eleventh edition has been updated to include new legislation that affects healthcare, ICD-10-CM coding, implementing the electronic health record, the Medical Integrity Program (MIP), medical review process, and more. The practice exercises in each chapter provide plenty of review, and the accompanying workbook provides even more application-based assignments and additional case studies for reinforcement. Includes free online StudyWARE software that allows you to test your knowledge, free online SimClaim CMS-1500 claims completion software, and free-trial access to Ingenix's EncoderPro.com--Expert encoder software.

Genres: Health Care, Reference, Textbooks

800 pages, Paperback

First published January 1, 1999

About the author

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.

Reviews

[Bridgette · Rating 3 out of 5]

It was fair, but I found the thinness of the paper used for the pages to be a problem and distracting. It would be preferable for this to be a two volume work with a heavier weight of paper used to improve ease of use. Turning pages was difficult, time consuming, and left me wondering if the pages were going to tear any moment.