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.
References in periodicals archive ?
Given the speed of the deployment of our solutions based on our multi- year contract with this ILEC, NHC has proven its ability to penetrate and deliver to one of the world's largest ILECs," said NHC President and CEO Sylvain Abitbol.
Industry analysts will also find the information key to identifying trends and technology in the rapidly evolving ILEC sector.
In addition to the October 2, 2002 release for orders from the Company's major US ILEC no.
With a total of almost 1,000 ILEC profiles, the ILEC Report(TM) provides expanded coverage of the largest ILECs, including:
We are extremely pleased to have begun shipping our orders demonstrating that we are clearly on track to continue a steady deployment process with our ILEC customers," said NHC President and CEO Sylvain Abitbol.
ILEC operators have been very successful growing their digital subscriber line (DSL) customer bases and Fitch believes that the ILECs demonstrated a substantial advantage over cable in acquiring market share during second quarter 2006.
By integrating Albion's Connect gateway adapters with Step 9's iCustomer software, competitive carriers now have a complete solution for carrying out customer-facing functions such as order entry and customer care, along with ILEC functions such as CSR retrieval and LSR/ASR issuance and negotiation.
As the industry's only next-generation IP, Ethernet and Session Initiation Protocol (SIP)-based access platform capable of delivering converged IP TV, high-speed Internet and Primary Line VoIP(SM) with guaranteed lifeline calling and E 911 service capability, all on a per port basis, Pannaway was the clear choice for the Idaho ILEC.
This year's index included two new companies: TELUS, a large Canadian ILEC that has entered the U.
Being able to deliver services to out-of-region CLEC and in-region ILEC customers with a single packet-based platform also provides us with operational efficiencies and accelerates the speed with which we can roll out new broadband services.
based integrated communications provider, has selected SkyStream(R) as its video headend partner for its new IPTV service over Fiber-to-the-Premise (FTTP) that will serve its Virginia ILEC footprint.