What is unbundling or fragmented billing?
What will be an ideal response?
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.
Health Professions
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Which HIPAA section dictates the provider must have privacy policies and disclose these to patients?
A. The administration simplification rule B. Title I: Portability C. The security rule D. Red flags rule
Health Professions
Coders should NOT assign ________ codes when the patient has a current condition that is coded from a body system chapter
Fill in the blank with correct word.
Health Professions