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 ?
DGCA reserves the right to intervene and stop the scheduled airlines from charging for any specific unbundled service if principles such as opt-in, transparency, non-discrimination are found to be violated by the airlines," DGCA stated.
Divorce lawyers have offered cafeteria-style services for years," said Honey Hastings, a divorce lawyer in Wilton, New Hampshire, whose practice is completely unbundled.
The base of unbundled DSL has surged in France, Germany, Scandinavia and in the Netherlands.
Not that many attorneys are doing unbundled work and many judges haven't seen it, but those who have generally had a positive experience," Holcomb said.
Whether they look at our model or purpose-built assisted living models like Sunrise, I think there's going to be more of this unbundled, or unconventional, assisted living because the revenue streams to support traditional long-term care are drying up.
In October 2000, the Maryland Legal Assistance Network convened a national conference on unbundled legal services, with attendees from thirty-four states, the District of Columbia, Canada, and Russia.
Some large British employers favor bundled services, showing a distrust for the unbundled approach, he said.
He became the fourth member of her selection committee, and explained the difference between the bundled and unbundled options.
Unbundled Bitstream Access and UBA Enhanced services are now available from Telecom following previous regulatory reforms.
Approximately 26,500 Anchorage Unbundled Loops Will Be Subject to a Monthly Rate Increase from $18.
In the case of competition in services, the prices of unbundled network elements (UNEs) represent costs for the competitors of incumbent local exchange carriers (ILECs).
In particular, experts assail the FCC for mandating that Incumbent Local-Exchange Carriers (ILECs) offer more than 400 Unbundled Network Elements (UNEs) to Competitive Local-Exchange Carriers (CLECs) at wholesale rates, constraining ILECs to offer UNEs below cost.