Medical Coding Practice Test 2025 – 400 Free Practice Questions to Pass the Exam

Question: 1 / 400

What does the term "unbundling" mean in medical coding?

The practice of combining multiple services into one charge

The practice of separating services that should be billed as a single bundled charge

The term "unbundling" in medical coding refers to the practice of separating services that should be billed as a single bundled charge. In medical billing, certain services are often grouped together (bundled) under a single code for ease of billing and to provide a comprehensive view of care delivered during a particular episode or procedure. When providers unbundle these codes, they submit claims for each individual service instead of the bundled charge, which can lead to increased reimbursement but is often against payer guidelines.

This practice is typically frowned upon because it can lead to overbilling or an inflated perception of the complexity of care provided, complicating the claims process and resulting in potential audits or penalties. A solid understanding of bundled versus unbundled services is crucial for accurate and ethical medical coding, ensuring compliance with billing regulations and standards.

Get further explanation with Examzify DeepDiveBeta

The process of renegotiating billing rates with insurance companies

The evaluation of medical necessity for bundled services

Next Question

Report this question

Download Medical Coding Practice Test PDF Study Guide
Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy