Ethics & Law · single question
Billing an FMX as individual radiographs to increase reimbursement is an example of:
Show answer and explanation
Correct answer: C. Unbundling
Unbundling is the fraudulent practice of separating a bundled procedure (18-film FMX) into individual component parts to bill each separately and collect more reimbursement. Upcoding bills a higher-complexity code than performed; downcoding deliberately bills at a lower code.