Unbundling the confusion about "unbundling" of charges.
Rejecting service codes on the basis that they have been unbundled has become a popular way for payers to reduce total billed charges. However, the contract between the hospital and the payer, and not Medicare or some hastily manufactured and inconsistent industry standard, controls the obligation to pay for healthcare services.
Fedor
Frank
F
Murphy Austin Adams Schoenfeld, LLP, Sacramento, CA, USA. ffedor@murphyaustin.com
D004469:Economics, Hospital / Q000458:organization & administration; D005249:Fees and Charges; D005568:Forms and Records Control; D007344:Insurance Claim Reporting; D012051:Reimbursement Mechanisms / Q000458:organization & administration*; D014481:United States