What is “the effect of unbundling” in medical billing?

The Effect of Unbundling in Medical Billing

Unbundling refers to the practice of billing separately for procedures that should be billed together under a single code.

The Effect of Unbundling in Medical Billing Explained

In medical billing, unbundling can result in overbilling or claims denial, as insurance companies expect related services to be billed under one comprehensive code. Providers may face audits or penalties for unbundling services incorrectly.

For example, if a provider bills separately for each step of a surgery instead of using a bundled surgical code, the claim may be denied for unbundling.

See common acronyms and abbreviations in Medical billing glossary.

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