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, TABLE OF CONTENTS
Solutions Manual: Understanding Health Insurance: A Guide to
Billing and Reimbursement, 2023, 18th Edition
Author: Michelle Green
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Chapter 1. Health Insurance Specialist Career
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Chapter 2. Introduction to Health Insurance and Managed Care
Chapter 3. Introduction to Revenue Management
Chapter 4. Revenue Management: Insurance Claims, Denied Claims and Appeals, and Credit and
Collections
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Chapter 5. Legal Aspects of Health Insurance and Reimbursement
Chapter 6. ICD-10-CM Coding
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Chapter 7. CPT Coding
Chapter 8. HCPCS Level II Coding
Chapter 9. CMS Reimbursement Methodologies
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Chapter 10. Coding Compliance Programs, Clinical Documentation Improvement, and Coding
for Medical Necessity
Chapter 11. CMS-1500 and UB-04 Claims
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Chapter 12. Commercial Insurance
Chapter 13. BlueCross BlueShield
Chapter 14. Medicare
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Chapter 15. Medicaid
Chapter 16. TRICARE
Chapter 17. Workers’ Compensation
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, Solution and Answer Guide: Michelle A. Green, Workbook to Accompany Understanding Health Insurance: A Guide to
Billing and Reimbursement - 2023 (18th Ed), 9780357764077; Chapter 1: Health Insurance Specialist Career
Solution and Answer Guide
MICHELLE A. GREEN, WORKBOOK TO ACCOMPANY UNDERSTANDING HEALTH INSURANCE: A
GUIDE TO BILLING AND REIMBURSEMENT - 2023 (18TH ED), 9780357764077; CHAPTER 1:
HEALTH INSURANCE SPECIALIST CAREER
TABLE OF CONTENTS
ST
Assignments .........................................................................................................................1
Assignment 1.1: Interview a Professional .............................................................................. 1
Assignment 1.2: Ready, Set, Get a Job! ................................................................................. 1
UV
Assignment 1.3: Journal Abstract ........................................................................................... 1
Assignment 1.4: Professional Discussion Forums (Listservs)........................................... 2
Assignment 1.5: Learning About Professional Credentials................................................ 2
Assignment 1.6: Professionalism ........................................................................................... 3
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Assignment 1.7: Telephone Messages ................................................................................... 3
Assignment 1.8: Multiple Choice Review .............................................................................. 4
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ASSIGNMENTS
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ASSIGNMENT 1.1: INTERVIEW A PROFESSIONAL
The student will submit a three-page, double-spaced, word-processed report on an
interview of a professional; the paper should be in paragraph form (not written in a
question/answer format). Each paragraph should include a minimum of three complete
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sentences, containing no typographical or grammatical errors. The last paragraph of the
paper should summarize the student’s reaction to the interview and whether the student
would be interested in having this professional’s position (along with why or why not). Also,
the student should think about the future (in terms of family, employment, and so on).
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ASSIGNMENT 1.2: READY, SET, GET A JOB!
The student will submit a résumé and cover letter, using Figures 1-2 and 1-3 in the
Workbook for guidance.
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ASSIGNMENT 1.3: JOURNAL ABSTRACT
The student will submit a one-page, word-processed journal abstract, which should be
evaluated to make sure that it contains the following information:
• Name of article
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0
, Solution and Answer Guide: Michelle A. Green, Workbook to Accompany Understanding Health Insurance: A Guide to
Billing and Reimbursement - 2023 (18th Ed), 9780357764077; Chapter 1: Health Insurance Specialist Career
• Name of author
• Name of journal
• Date of journal
• Journal article summary, in double spaced paragraph format, that summarizes the
article’s content (and does not include the student’s opinion about the content of
the article)
ASSIGNMENT 1.4: PROFESSIONAL DISCUSSION FORUMS (LISTSERVS)
The student will go to the list.nih.gov website, and click on “About NIH LISTSERV” to learn
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about online discussion forums (listservs). The student will also select a professional
discussion forum from Table 1-2 in the Workbook and follow its membership instructions.
If this assignment is completed by a student outside of class, the instructor can require
students to submit a summary of the experience.
UV
ASSIGNMENT 1.5: LEARNING ABOUT PROFESSIONAL CREDENTIALS
American Academy of Professional Coders (AAPC)
www.aapc.com
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Credential Meaning of
Abbreviation Credential Education Experience Exam Fee CEU Requirements
CPC Certified Associate degree Two years of coding $$299 online proctored 36 CEUs every two
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Professional recommended experience years
$$399 physical location
Coder
proctored
COC Certified Associate degree Two years of coding $299 online proctored 36 CEUs every two
Outpatient Coder recommended experience years
$399 physical location
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proctored
CPC-P Certified Associate degree Not applicable $299 online proctored 36 CEUs every two
Professional recommended years
$399 physical location
Biller
proctored
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American Health Information Management Association
www.ahima.org
Credential Meaning of CEU Requirements
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Abbreviation Credential Education Experience Exam Fee
CCS Certified Coding AHIMA-approved Minimum two $299 (member) 20 CEUs every two
Specialist coding program years coding years, plus annual
$399 (nonmember)
experience coding self reviews
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CCS-P Certified Coding AHIMA-approved Minimum two $299 (member) 20 CEUs every two
Specialist - coding program years coding years, plus annual
$399 (nonmember)
Physician-based experience coding self reviews
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0
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RO
PP
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IA
UV
ST
, TABLE OF CONTENTS
Solutions Manual: Understanding Health Insurance: A Guide to
Billing and Reimbursement, 2023, 18th Edition
Author: Michelle Green
ST
Chapter 1. Health Insurance Specialist Career
UV
Chapter 2. Introduction to Health Insurance and Managed Care
Chapter 3. Introduction to Revenue Management
Chapter 4. Revenue Management: Insurance Claims, Denied Claims and Appeals, and Credit and
Collections
IA
Chapter 5. Legal Aspects of Health Insurance and Reimbursement
Chapter 6. ICD-10-CM Coding
_A
Chapter 7. CPT Coding
Chapter 8. HCPCS Level II Coding
Chapter 9. CMS Reimbursement Methodologies
PP
Chapter 10. Coding Compliance Programs, Clinical Documentation Improvement, and Coding
for Medical Necessity
Chapter 11. CMS-1500 and UB-04 Claims
RO
Chapter 12. Commercial Insurance
Chapter 13. BlueCross BlueShield
Chapter 14. Medicare
VE
Chapter 15. Medicaid
Chapter 16. TRICARE
Chapter 17. Workers’ Compensation
D?
?
, Solution and Answer Guide: Michelle A. Green, Workbook to Accompany Understanding Health Insurance: A Guide to
Billing and Reimbursement - 2023 (18th Ed), 9780357764077; Chapter 1: Health Insurance Specialist Career
Solution and Answer Guide
MICHELLE A. GREEN, WORKBOOK TO ACCOMPANY UNDERSTANDING HEALTH INSURANCE: A
GUIDE TO BILLING AND REIMBURSEMENT - 2023 (18TH ED), 9780357764077; CHAPTER 1:
HEALTH INSURANCE SPECIALIST CAREER
TABLE OF CONTENTS
ST
Assignments .........................................................................................................................1
Assignment 1.1: Interview a Professional .............................................................................. 1
Assignment 1.2: Ready, Set, Get a Job! ................................................................................. 1
UV
Assignment 1.3: Journal Abstract ........................................................................................... 1
Assignment 1.4: Professional Discussion Forums (Listservs)........................................... 2
Assignment 1.5: Learning About Professional Credentials................................................ 2
Assignment 1.6: Professionalism ........................................................................................... 3
IA
Assignment 1.7: Telephone Messages ................................................................................... 3
Assignment 1.8: Multiple Choice Review .............................................................................. 4
_A
ASSIGNMENTS
PP
ASSIGNMENT 1.1: INTERVIEW A PROFESSIONAL
The student will submit a three-page, double-spaced, word-processed report on an
interview of a professional; the paper should be in paragraph form (not written in a
question/answer format). Each paragraph should include a minimum of three complete
RO
sentences, containing no typographical or grammatical errors. The last paragraph of the
paper should summarize the student’s reaction to the interview and whether the student
would be interested in having this professional’s position (along with why or why not). Also,
the student should think about the future (in terms of family, employment, and so on).
VE
ASSIGNMENT 1.2: READY, SET, GET A JOB!
The student will submit a résumé and cover letter, using Figures 1-2 and 1-3 in the
Workbook for guidance.
D?
ASSIGNMENT 1.3: JOURNAL ABSTRACT
The student will submit a one-page, word-processed journal abstract, which should be
evaluated to make sure that it contains the following information:
• Name of article
?
0
, Solution and Answer Guide: Michelle A. Green, Workbook to Accompany Understanding Health Insurance: A Guide to
Billing and Reimbursement - 2023 (18th Ed), 9780357764077; Chapter 1: Health Insurance Specialist Career
• Name of author
• Name of journal
• Date of journal
• Journal article summary, in double spaced paragraph format, that summarizes the
article’s content (and does not include the student’s opinion about the content of
the article)
ASSIGNMENT 1.4: PROFESSIONAL DISCUSSION FORUMS (LISTSERVS)
The student will go to the list.nih.gov website, and click on “About NIH LISTSERV” to learn
ST
about online discussion forums (listservs). The student will also select a professional
discussion forum from Table 1-2 in the Workbook and follow its membership instructions.
If this assignment is completed by a student outside of class, the instructor can require
students to submit a summary of the experience.
UV
ASSIGNMENT 1.5: LEARNING ABOUT PROFESSIONAL CREDENTIALS
American Academy of Professional Coders (AAPC)
www.aapc.com
IA
Credential Meaning of
Abbreviation Credential Education Experience Exam Fee CEU Requirements
CPC Certified Associate degree Two years of coding $$299 online proctored 36 CEUs every two
_A
Professional recommended experience years
$$399 physical location
Coder
proctored
COC Certified Associate degree Two years of coding $299 online proctored 36 CEUs every two
Outpatient Coder recommended experience years
$399 physical location
PP
proctored
CPC-P Certified Associate degree Not applicable $299 online proctored 36 CEUs every two
Professional recommended years
$399 physical location
Biller
proctored
RO
American Health Information Management Association
www.ahima.org
Credential Meaning of CEU Requirements
VE
Abbreviation Credential Education Experience Exam Fee
CCS Certified Coding AHIMA-approved Minimum two $299 (member) 20 CEUs every two
Specialist coding program years coding years, plus annual
$399 (nonmember)
experience coding self reviews
D?
CCS-P Certified Coding AHIMA-approved Minimum two $299 (member) 20 CEUs every two
Specialist - coding program years coding years, plus annual
$399 (nonmember)
Physician-based experience coding self reviews
?
0
