unbundling

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The practice of expanding into individual units a group of diagnostic or procedural test codes—based on the 4th edition of Current Procedural Terminology (CPT) coding promulgated by the American Medical Association—that might have been previously included as a ‘panel’, to maximise reimbursement from third party payers

unbundling

Exploding Medicare reimbursement A fraudulent practice in which provider services–eg, blood or chemistry panels are broken down to their individual components, resulting in a higher payment by Medicare. See Fraud, HIPA Act, Rebundling, Upcoding.

un·bund·ling

(ŭn-bŭnd'ling)
Use of several Current Procedural Terminology codes for a service when one inclusive code is available.

unbundling

Separately billing for laboratory tests or procedures that are normally linked in order to extract more money from a payer (such as Medicare). This practice is illegal in the U.S.
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References in periodicals archive ?
The ILECs have played the balancing act between providing mechanisms for competition to enable their entry into long distance and constructing sufficient impediments so that the CLECs do not steal significant market share.
* the impact of the Federal Communications Commission's comprehensive business data services reforms that may result in greater capital investments and customer and revenue churn because of possible price increases by our ILEC suppliers for certain services we use to serve customer locations where we do not have facilities;
The data on total wireline penetration, defined as the ratio of ILEC and CLEC residential access lines (including cable) to a state's population, tell a very similar story.
Second, in response to a petition for forbearance filed by AT&T, the FCC recently decided to eliminate economic regulation of the ILEC's high speed data transmission services purchased primarily by large enterprise business customers--i.e., Ethernet, optical networking, Frame Relay and ATM.
At the corresponding quantity of [Q.sub.1], the ILEC's average cost is [AC.sub.1].
Figure 1 presents a stylized representation of the local telecommunications network, including the local telephone loop that provides access to the customer's premise and the service provider's central office that contains switching facilities of the ILEC and co-located equipment owned by the competitive carrier.
Established by a group of visionary entrepreneurs in 1910, CityTel is the only independent ILEC in Canada's Western Provinces.
(NHCMF), Montreal,a provider of automated mainframe solutions for the copper-based telecommunications and Internet access markets, has announced new orders of $575,000 from its current principal Incumbent Local Exchange Carrier (ILEC) customer.
Much of the delay in rolling out DSL service has been blamed on the lack of a seamless fulfillment process between DSL providers, such as Covad, NorthPoint and Rhythm NetConnections, and the ILEC owning the copper loops over which the DSL service runs.