Understanding Health Insurance: A Guide to Billing and Reimbursement, 10th Edition by Michelle A. Green, offers a comprehensive guide to the essential concepts of health insurance billing and reimbursement. This fully updated edition covers the latest code sets, guidelines, and claim forms, making it an invaluable resource for students and professionals in the healthcare field. The book delves into managed health care systems, legal and regulatory issues, coding systems including medical necessity coding, various reimbursement methods, and a detailed exploration of common health insurance plans.
Each chapter includes exercises to help learners practice billing and reimbursement techniques, enhancing practical understanding. Additionally, an accompanying workbook provides further application-based assignments and case studies to reinforce learning. A free software component is included to test knowledge and deepen comprehension. With 720 pages of detailed content, this edition ensures readers have the most current information needed in their roles within healthcare.
