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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.
- 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.
- 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.
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.