, Solution manual for Understanding Health
Insurance A Guide to Billing and Reimbursement -
2021 Edition, 16th Edition Michelle A. Green
Notes
1- The file is chapter after chapter.
2- We have shown you few pages sample.
3- The file contains all Appendix and Excel
sheet if it exists.
4- We have all what you need, we make
update at every time. There are many new
editions waiting you.
5- If you think you purchased the wrong file
You can contact us at every time, we can
replace it with true one.
Our email:
, Solution and Answer Guide: Green, Understanding Health Insurance, 2021, ISBN 9780357515587; Chapter 1: Health Insurance
Specialist Career
Solution and Answer Guide
Green, Understanding Health Insurance, 2021, ISBN 9780357515587; Chapter 1: Health
Insurance Specialist Career
Table of Contents
Review .............................................................................................................................. 1
Review
1. b
2. b
3. b
4. b
5. a
6. c
7. c
8. c
9. c
10. a
11. a
12. a
13. b
14. a
15. b
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 1
website, in whole or in part.
,Solution and Answer Guide: Green, Understanding Health Insurance, 2021, ISBN 9780357515587; Chapter 2: Introduction to Health
Insurance
Solution and Answer Guide
Green, Understanding Health Insurance, 2021, ISBN 9780357515587; Chapter 2: Introduction to
Health Insurance
Table of Contents
Review ............................................................................................................................. 1
Review
1. c
2. b
3. a
4. c
5. d
6. a
7. c
8. b
9. a
10. a
11. b
12. b
13. a
14. b
15. d
16. a
17. b
18. c
19. d
20. b
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 1
website, in whole or in part.
,Solution and Answer Guide: Green, Understanding Health Insurance, 2021, ISBN 9780357515587; Chapter 3: Managed Health Care
Solution and Answer Guide
Green, Understanding Health Insurance, 2021, ISBN 9780357515587; Chapter 3: Managed
Health Care
Table of Contents
Review .............................................................................................................................. 1
Review
1. c
2. b
(Note: The formula for calculating the total risk score is demographic risk factor + health status
risk factor; thus, (0.7 × $1,500) + (0.9 × $1,500) = $1,050 +$1,350 = $2,400.)
3. b
4. a
5. b
6. d
7. d
8. a
9. a
10. d
11. c
12. b
13. a
14. c
15. d
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 1
website, in whole or in part.
, Solution and Answer Guide: Green, Understanding Health Insurance, 2021, ISBN 9780357515587; Chapter 4: Revenue Cycle
Management
Solution and Answer Guide
Green, Understanding Health Insurance, 2021, ISBN 9780357515587; Chapter 4: Revenue Cycle
Management
Table of Contents
Review .............................................................................................................................. 1
Review
1. b
2. d
3. d
4. a
5. a
6. b
7. d
8. a
9. b
10. c
11. c
12. d
13. a
14. b
15. a
16. b
17. a
18. c
19. a
20. a
21. d
22. d
23. b
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 1
website, in whole or in part.
, Solution and Answer Guide: Green, Understanding Health Insurance, 2021, ISBN 9780357515587; Chapter 4: Revenue Cycle
Management
24. d
25. b
26. b
27. d
28. b
29. c
30. d
31. b
32. d
33. a
34. c
35. b
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 2
website, in whole or in part.
, Solution and Answer Guide: Green, Understanding Health Insurance, 2021, ISBN 9780357515587; Chapter 5: Legal Aspects of
Health Insurance and Reimbursement
Solution and Answer Guide
Green, Understanding Health Insurance, 2021, ISBN 9780357515587; Chapter 5: Legal Aspects of
Health Insurance and Reimbursement
Table of Contents
Review .............................................................................................................................. 1
Review
1. d
2. c
3. a
4. c
5. a
6. b
7. c
8. d
9. b
10. a
11. b
12. d
13. c
14. d
15. a
16. b
17. b
18. c
19. a
20. c
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 1
website, in whole or in part.
, Solution and Answer Guide: Green, Understanding Health Insurance, 2021, ISBN 9780357515587; Chapter 6: ICD-10-CM Coding
Solution and Answer Guide
Green, Understanding Health Insurance, 2021, ISBN 9780357515587; Chapter 6: ICD-10-CM
Coding
Table of Contents
Exercises .......................................................................................................................... 2
Exercise 6.1: General Equivalency Mappings ........................................................................................... 2
Exercise 6.2: Overview of ICD-10-CM and ICD-10-PCS ............................................................................. 2
Exercise 6.3: ICD-10-CM Coding Conventions .......................................................................................... 2
Exercise 6.4: Table of Neoplasms ............................................................................................................. 3
Exercise 6.5: Table of Drugs and Chemicals ............................................................................................. 3
Exercise 6.6: ICD-10-CM Index to Diseases and Injuries ........................................................................... 4
Exercise 6.7: ICD-10-CM Tabular List of Diseases and Injuries ................................................................. 4
Exercise 6.8: Official Guidelines for Coding and Reporting ...................................................................... 4
Review ............................................................................................................................. 5
6.1: Certain Infectious and Parasitic Diseases .......................................................................................... 5
6.2: Neoplasms ......................................................................................................................................... 5
6.3: Diseases of the Blood and Blood-Forming Organs and Certain Disorders Involving the Immune
Mechanism ....................................................................................................................................... 6
6.4: Endocrine, Nutritional, and Metabolic Diseases ................................................................................ 6
6.5: Mental and Behavioral Disorders ...................................................................................................... 7
6.6: Diseases of the Nervous System ........................................................................................................ 7
6.7: Diseases of the Eye and Adnexa ........................................................................................................ 7
6.8: Diseases of the Ear and Mastoid Process .......................................................................................... 8
6.9: Diseases of the Circulatory System.................................................................................................... 8
6.10: Diseases of the Respiratory System................................................................................................. 8
6.11: Diseases of the Digestive System .................................................................................................... 9
6.12: Diseases of the Skin and Subcutaneous Tissue................................................................................ 9
6.13: Diseases of the Musculoskeletal System and Connective Tissue .................................................. 10
6.14: Diseases of the Genitourinary System ........................................................................................... 10
6.15: Diseases of Pregnancy, Childbirth, and the Puerperium ............................................................... 10
6.16: Certain Conditions Originating in the Perinatal Period .................................................................. 11
6.17: Congenital Malformations, Deformations, and Chromosomal Abnormalities .............................. 11
6.18: Symptoms, Signs, and Abnormal Clinical and Laboratory Findings ............................................... 12
6.19: Injury, Poisoning, and Certain Other Consequences of External Causes ....................................... 12
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 1
website, in whole or in part.
, Solution and Answer Guide: Green, Understanding Health Insurance, 2021, ISBN 9780357515587; Chapter 6: ICD-10-CM Coding
6.20: Burns ............................................................................................................................................. 12
6.21: Foreign Bodies ............................................................................................................................... 13
6.22: Complications ................................................................................................................................ 13
6.23: Poisonings, Adverse Effects, and Underdosing.............................................................................. 13
6.24: External Causes of Morbidity ........................................................................................................ 14
6.25: Factors Influencing Health Status and Contact with Health Services ............................................ 14
6.26: Codes for Special Purposes ........................................................................................................... 15
(Note: For coding exercises, ICD-10-CM index main terms are underlined for the instructor’s
convenience.)
Exercises
Exercise 6.1: General Equivalency Mappings
1. 078.81
2. A88.1
3. A74.89
4. 078.88
5. 078.82
Exercise 6.2: Overview of ICD-10-CM and ICD-10-PCS
1. disease
2. procedure
3. ICD-10-CM/PCS
4. clinical
5. 7 (seven)
6. tabular list
7. HIPAA
8. necessity
9. encounter
10. value
Exercise 6.3: ICD-10-CM Coding Conventions
1. Acariasis infestation B88.0
2. Costen’s complex M26.69
3. ST elevation myocardial infarction, anterior wall, I21.01
involving left main coronary artery
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 2
website, in whole or in part.
Insurance A Guide to Billing and Reimbursement -
2021 Edition, 16th Edition Michelle A. Green
Notes
1- The file is chapter after chapter.
2- We have shown you few pages sample.
3- The file contains all Appendix and Excel
sheet if it exists.
4- We have all what you need, we make
update at every time. There are many new
editions waiting you.
5- If you think you purchased the wrong file
You can contact us at every time, we can
replace it with true one.
Our email:
, Solution and Answer Guide: Green, Understanding Health Insurance, 2021, ISBN 9780357515587; Chapter 1: Health Insurance
Specialist Career
Solution and Answer Guide
Green, Understanding Health Insurance, 2021, ISBN 9780357515587; Chapter 1: Health
Insurance Specialist Career
Table of Contents
Review .............................................................................................................................. 1
Review
1. b
2. b
3. b
4. b
5. a
6. c
7. c
8. c
9. c
10. a
11. a
12. a
13. b
14. a
15. b
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 1
website, in whole or in part.
,Solution and Answer Guide: Green, Understanding Health Insurance, 2021, ISBN 9780357515587; Chapter 2: Introduction to Health
Insurance
Solution and Answer Guide
Green, Understanding Health Insurance, 2021, ISBN 9780357515587; Chapter 2: Introduction to
Health Insurance
Table of Contents
Review ............................................................................................................................. 1
Review
1. c
2. b
3. a
4. c
5. d
6. a
7. c
8. b
9. a
10. a
11. b
12. b
13. a
14. b
15. d
16. a
17. b
18. c
19. d
20. b
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 1
website, in whole or in part.
,Solution and Answer Guide: Green, Understanding Health Insurance, 2021, ISBN 9780357515587; Chapter 3: Managed Health Care
Solution and Answer Guide
Green, Understanding Health Insurance, 2021, ISBN 9780357515587; Chapter 3: Managed
Health Care
Table of Contents
Review .............................................................................................................................. 1
Review
1. c
2. b
(Note: The formula for calculating the total risk score is demographic risk factor + health status
risk factor; thus, (0.7 × $1,500) + (0.9 × $1,500) = $1,050 +$1,350 = $2,400.)
3. b
4. a
5. b
6. d
7. d
8. a
9. a
10. d
11. c
12. b
13. a
14. c
15. d
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 1
website, in whole or in part.
, Solution and Answer Guide: Green, Understanding Health Insurance, 2021, ISBN 9780357515587; Chapter 4: Revenue Cycle
Management
Solution and Answer Guide
Green, Understanding Health Insurance, 2021, ISBN 9780357515587; Chapter 4: Revenue Cycle
Management
Table of Contents
Review .............................................................................................................................. 1
Review
1. b
2. d
3. d
4. a
5. a
6. b
7. d
8. a
9. b
10. c
11. c
12. d
13. a
14. b
15. a
16. b
17. a
18. c
19. a
20. a
21. d
22. d
23. b
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 1
website, in whole or in part.
, Solution and Answer Guide: Green, Understanding Health Insurance, 2021, ISBN 9780357515587; Chapter 4: Revenue Cycle
Management
24. d
25. b
26. b
27. d
28. b
29. c
30. d
31. b
32. d
33. a
34. c
35. b
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 2
website, in whole or in part.
, Solution and Answer Guide: Green, Understanding Health Insurance, 2021, ISBN 9780357515587; Chapter 5: Legal Aspects of
Health Insurance and Reimbursement
Solution and Answer Guide
Green, Understanding Health Insurance, 2021, ISBN 9780357515587; Chapter 5: Legal Aspects of
Health Insurance and Reimbursement
Table of Contents
Review .............................................................................................................................. 1
Review
1. d
2. c
3. a
4. c
5. a
6. b
7. c
8. d
9. b
10. a
11. b
12. d
13. c
14. d
15. a
16. b
17. b
18. c
19. a
20. c
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 1
website, in whole or in part.
, Solution and Answer Guide: Green, Understanding Health Insurance, 2021, ISBN 9780357515587; Chapter 6: ICD-10-CM Coding
Solution and Answer Guide
Green, Understanding Health Insurance, 2021, ISBN 9780357515587; Chapter 6: ICD-10-CM
Coding
Table of Contents
Exercises .......................................................................................................................... 2
Exercise 6.1: General Equivalency Mappings ........................................................................................... 2
Exercise 6.2: Overview of ICD-10-CM and ICD-10-PCS ............................................................................. 2
Exercise 6.3: ICD-10-CM Coding Conventions .......................................................................................... 2
Exercise 6.4: Table of Neoplasms ............................................................................................................. 3
Exercise 6.5: Table of Drugs and Chemicals ............................................................................................. 3
Exercise 6.6: ICD-10-CM Index to Diseases and Injuries ........................................................................... 4
Exercise 6.7: ICD-10-CM Tabular List of Diseases and Injuries ................................................................. 4
Exercise 6.8: Official Guidelines for Coding and Reporting ...................................................................... 4
Review ............................................................................................................................. 5
6.1: Certain Infectious and Parasitic Diseases .......................................................................................... 5
6.2: Neoplasms ......................................................................................................................................... 5
6.3: Diseases of the Blood and Blood-Forming Organs and Certain Disorders Involving the Immune
Mechanism ....................................................................................................................................... 6
6.4: Endocrine, Nutritional, and Metabolic Diseases ................................................................................ 6
6.5: Mental and Behavioral Disorders ...................................................................................................... 7
6.6: Diseases of the Nervous System ........................................................................................................ 7
6.7: Diseases of the Eye and Adnexa ........................................................................................................ 7
6.8: Diseases of the Ear and Mastoid Process .......................................................................................... 8
6.9: Diseases of the Circulatory System.................................................................................................... 8
6.10: Diseases of the Respiratory System................................................................................................. 8
6.11: Diseases of the Digestive System .................................................................................................... 9
6.12: Diseases of the Skin and Subcutaneous Tissue................................................................................ 9
6.13: Diseases of the Musculoskeletal System and Connective Tissue .................................................. 10
6.14: Diseases of the Genitourinary System ........................................................................................... 10
6.15: Diseases of Pregnancy, Childbirth, and the Puerperium ............................................................... 10
6.16: Certain Conditions Originating in the Perinatal Period .................................................................. 11
6.17: Congenital Malformations, Deformations, and Chromosomal Abnormalities .............................. 11
6.18: Symptoms, Signs, and Abnormal Clinical and Laboratory Findings ............................................... 12
6.19: Injury, Poisoning, and Certain Other Consequences of External Causes ....................................... 12
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 1
website, in whole or in part.
, Solution and Answer Guide: Green, Understanding Health Insurance, 2021, ISBN 9780357515587; Chapter 6: ICD-10-CM Coding
6.20: Burns ............................................................................................................................................. 12
6.21: Foreign Bodies ............................................................................................................................... 13
6.22: Complications ................................................................................................................................ 13
6.23: Poisonings, Adverse Effects, and Underdosing.............................................................................. 13
6.24: External Causes of Morbidity ........................................................................................................ 14
6.25: Factors Influencing Health Status and Contact with Health Services ............................................ 14
6.26: Codes for Special Purposes ........................................................................................................... 15
(Note: For coding exercises, ICD-10-CM index main terms are underlined for the instructor’s
convenience.)
Exercises
Exercise 6.1: General Equivalency Mappings
1. 078.81
2. A88.1
3. A74.89
4. 078.88
5. 078.82
Exercise 6.2: Overview of ICD-10-CM and ICD-10-PCS
1. disease
2. procedure
3. ICD-10-CM/PCS
4. clinical
5. 7 (seven)
6. tabular list
7. HIPAA
8. necessity
9. encounter
10. value
Exercise 6.3: ICD-10-CM Coding Conventions
1. Acariasis infestation B88.0
2. Costen’s complex M26.69
3. ST elevation myocardial infarction, anterior wall, I21.01
involving left main coronary artery
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 2
website, in whole or in part.
