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New!

Understanding Health Insurance: A Guide to Billing and Reimbursement, 2026 Edition, 21st Edition

Michelle A. Green

  • Copyright 2027
  • {{checkPublicationMessage('Published', '2026-01-01T00:00:00+0000')}}
Starting At $84.95 See pricing and ISBN options
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Understanding Health Insurance: A Guide to Billing and Reimbursement, 2026 Edition 21st Edition by Michelle A. Green
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Overview

Prepare students for careers in revenue management, medical billing and health insurance processing with Green’s "Understanding Health Insurance: A Guide to Billing and Reimbursement," 2026 Edition, with print and digital options. MindTap's online learning platform supports student learning and simplifies instruction. Features include auto-graded chapter reviews for instant feedback, instructional videos for coding guidance and SimClaim™ software for CMS-1500 claim practice. Medical Office Simulation Software (MOSS) is used to complete real-world administrative tasks in a simulated medical office environment. Application Activities, Writing Assignments and Chapter Quizzes promote critical thinking and assess mastery of learning objectives. This digital learning experience integrates with your school’s LMS and gradebook to enhance student engagement, build confidence and support success.

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Meet the Authors

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Michelle A. Green

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.

What's New

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  • Content about health insurance, reimbursement and coding systems, including related chapter exercises and review, has been revised.
  • Revisions throughout this edition's MindTap online learning platform reflect functionality enhancements, customization improvements and assessment updates.
  • New and revised ICD-10-CM, CPT® and HCPCS Level II codes are included in Chapters 6–16. Content, exercises and reviews in Chapters 6–8 reflect the latest changes to codes, guidelines and their impact on assigning codes.
  • Chapters 10–16 and SimClaim™ software offer updated CMS-1500 claim instructions, case studies and auto-graded feedback for hands-on billing practice.

Features

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  • Chapters feature clear objectives and bold key terms to support comprehension, vocabulary mastery and alignment with core topics in coding, billing and reimbursement.
  • Chapter reviews use multiple choice and application questions to assess comprehension, including practice calculating insurance, Medicare, co-pay and coinsurance.
  • To gain valuable hands-on practice, students complete coding exercises throughout Chapters 6–8.

Table of Contents

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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.

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MindTap Options

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MindTap
Each MindTap product offers the full, mobile-ready textbook combined with superior and proven learning tools at one affordable price. Students who purchase digital access can add a print option at any time when a print option is available for their course.

This Cengage solution can be seamlessly integrated into most Learning Management Systems (Blackboard, Brightspace by D2L, Canvas, Moodle, and more) but does require a different ISBN for access codes. Please work with your Cengage Learning Consultant to ensure the proper course set up and ordering information. For additional information, please visit the LMS Integration site.

Standalone Digital Access — Ultimate Value

Recommended and most popular

  • ISBN-10: 8214482151
  • ISBN-13: 9798214482156
  • RETAIL $84.95
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Textbook Only Options

Traditional eBook and Print Options

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  • ISBN-10: 821448216X
  • ISBN-13: 9798214482163
  • RETAIL $84.95

  • ISBN-10: 8214482089
  • ISBN-13: 9798214482088
  • RETAIL $162.95
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Supplements

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Cengage provides a range of supplements that are updated in coordination with the main title selection. For more information about these supplements, contact your Learning Consultant.

FOR STUDENTS

International MindTap Instant Access for Green's Understanding Health Insurance: A Guide to Billing and Reimbursement - 2026 Edition

ISBN: 9798214482156
International MindTap Instant Access for Green's "Understanding Health Insurance: A Guide to Billing and Reimbursement," 2026 Edition, is the digital learning solution that powers students from memorization to mastery. It gives you complete control of your course to provide engaging content, challenge every individual and build their confidence. Empower students to accelerate their progress with MindTap. MindTap: Powered by You. MindTap gives you complete ownership of your content and learning experience. Customize the interactive syllabi, emphasize the most important topics and add your own material or notes in the eBook. All online text media materials accessible through this access code are available in EMEA, Latin America, Asia, and India only.