Michelle A. Green


Dear Instructor,

Welcome to my community website, highlighting the 20th anniversary of Understanding Health Insurance: A Guide to Billing and Reimbursement, a textbook that covers the processing of health insurance claims for all third-party payers and government health plans in an easy-to-understand and comprehensive manner.

My approach in Understanding Health Insurance is to provide an overview about the health insurance industry that cover career opportunities, an overview of health insurance concepts, managed care, claims processing, and legal aspects of health insurance. Then, five chapters are devoted to coding and reimbursement concepts, including ICD-9-CM, ICD-10-CM, ICD-10-PCS, CPT, HCPCS level II, reimbursement methodologies, and coding for medical necessity in the first five chapters. The last seven chapters of the textbook cover the specifics of third-party payer and government plan insurance claims completion requirements: essentials of insurance claims completion, commercial payers, Blue Cross Blue Shield, Medicare, Medicaid, TRICARE, and workers’ compensation.

Understanding Health Insurance is a perfect solution for a one-semester health insurance processing course. It can also be adopted for a two-semester sequence that incorporates an intermediate-to-advanced approach (when related Delmar Cengage Learning products are bundled with the textbook). You just select the chapter concepts to present and the instructor’s manual provides samples of course organization to assist in this process.

The combination of figures, tables, easy-to-read text layout, coding tips, and chapter exercises and reviews demonstrates that this book was written and designed with the student in mind. The textbook contains a StudyWARE™ CD-ROM inside the back cover that includes numerous practice exercises, games, and coding case studies with images and videos. The CD-ROM in the back of the book also includes SimClaim software to provide students with an opportunity to practice claims data entry and receive immediate feedback and a free 30-day access to Ingenix’s sophisticated EncoderPro™ coding encoder software .

The Workbook to Understanding Health Insurance is organized as a companion to the textbook, and each chapter contains many application-based assignments so students can practice the tasks they will eventually complete on-the-job. The workbook also includes a mock CMRS exam and a mock CPC-P exam. The companion website offers additional student (and instructor) resources, including annual coding updates to textbook exercises and workbook assignments.

I am interested in providing you with all of the tools you need to make your class a success. Understanding Health Insurance instructor resources include a(n):

  • Instructor’s Manual organized in an easy-to-use format with teaching tips, course syllabi, chapter lesson plans, answer keys to chapter exercises and reviews, answer keys to workbook assignments, and multiple choice questions (not duplicated in the computerized testbank).
  • An Instructor Resources CD-ROM that contains an electronic version of the instructor’s manual, computerized testbank that includes ExamView Pro test generator software, instructor slides contained in PowerPoint™, and the Insurance, Billing and Coding Curriculum Guide (authored by me).
  • Online Companion website with instructor-only resources (e.g., electronic coding answer keys for patient records).
  • Downloadable WebTUTOR™ course cartridge for Blackboard and WebCT that can be used to supplement on-campus course delivery or as the course management platform for an online course. WebTUTOR™ includes video clips, online quizzes for each chapter, discussion topics and learning links, an online glossary, answer keys to textbook exercises and reviews, instructor slides contained in PowerPoint, testbank, and communication tools, including a course calendar, chat, e-mail, and threaded discussions.

Please enjoy this preview of Understanding Health Insurance, 10th Edition as well as my other texts published by Delmar, Cengage Learning.


Michelle A. Green, MPS, RHIA, CMA (AAMA), CPC, PCS



Post-Secondary School customers can find valuable information on pricing, previous editions and alternate formats by visiting www.cengage.com/highered and searching by ISBN #, author, title, or keyword for materials in your areas of interest. School customers can find additional information on our products by visiting www.cengage.com/school.


Sneak Peek:
Michelle Green’s
3-2-1 Code It, 3E