What is “unbundling” in medical billing?

Unbundling in Medical Billing

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

Unbundling in Medical Billing Explained

In medical billing, unbundling is considered improper billing and can lead to claim denials or reduced payments. Payers expect certain services to be billed together under a comprehensive code, and unbundling can be seen as an attempt to increase reimbursement.

For example, billing each step of a surgical procedure separately instead of using a bundled code could lead to a denial for unbundling.

Find common acronyms and abbreviations in Medical billing glossary.

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