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Author Question: What is unbundling or fragmented billing? What will be an ideal ... (Read 72 times)

BrownTown3

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on: Jun 27, 2018
What is unbundling or fragmented billing?
 
  What will be an ideal response?

Question 2

What is the purpose of cross-references in the CPT code book?
 
  What will be an ideal response?
Comprehensive Health Insurance: Billing, Coding, and Reimbursement ¦ Vines, Braceland, Rollins, Miller ¦ 3rd Edition
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tandmlomax84

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Reply #1 on: Jun 27, 2018
Answer to Question 1

Answer: Unbundling occurs when procedures are reported individually that should have been included under a bundled code. This practice will result in a claim denial and may also be considered fraud.

Answer to Question 2

Answer: Cross-references provide additional information and direct the coder to other entries that may apply to the procedure or service.


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BrownTown3

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Reply #2 on: Jun 27, 2018
Thank you


tandmlomax84

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Reply #3 on: Jun 27, 2018
No problemo


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