Unbundling? Expect To Be Unpaid

Article Overview

This article discusses the broader issue of unbundling and duplicate billing in the context of Medicare payment policy and the Quality Payment Program. It is aimed at practices, billers, and coders who need to understand how CMS guidance and fee schedule updates relate to bundled services, global periods, and potential payment denials tied to billing the same service more than once. The article also uses a urinalysis example to illustrate the type of billing overlap that can create problems.