Unbundle | definition of unbundle by Medical dictionary
unbundling (redirected from unbundle)
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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.
Use of several Current Procedural Terminology codes for a service when one inclusive code is available.
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.