What Is Unbundling?
Separating codes that should be submitted together as a single procedure into multiple distinct claims to increase reimbursement. Payers use bundling edits to combine these codes back together before payment.
Unbundling across 2 exams
Unbundling appears on the following exams. Each defines it in the context candidates are tested on:
- CBCS (NHA)
- Separating codes that should be submitted together as a single procedure into multiple distinct claims to increase reimbursement. Payers use bundling edits to combine these codes back together before payment.
- CPC
- The improper practice of billing separately for procedures that should be reported under a single comprehensive code, which can be flagged as fraudulent billing.