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 ?
The announcement today by MFS Communications asking the FCC to order all larger carriers to unbundle their local loop is nothing new.
The Initiative petitioned the FCC to adopt a federal mandate requiring the LECs to interconnect with CAPs such as MFS on a nationwide basis and to unbundle interstate dedicated and switched local access tariffs into their component parts.
Examine in-depth discussion and analysis of Western European DSL markets, including strategy for how to maintain retail market share, how and where to unbundle and future regulatory issues.