Medical Office Assistant · Medical Economics, Billing, and Coding

Bundling and Unbundling Concepts

On this page 3 sections
  1. Quick check
  2. Study tools
  3. Sources & references

Quick check

5 questions here, of 89 in this lesson’s practice set. Answers stay hidden until you check.

Question 1 of 5foundational

In medical billing and coding, what does the term 'bundling' mean?

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Question 2 of 5foundational

Which organization maintains the National Correct Coding Initiative (NCCI)?

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Question 3 of 5foundational

What is the primary purpose of NCCI edits?

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Question 4 of 5foundational

In an NCCI column 1/column 2 (comprehensive/component) edit, the column 1 code is the ______ code and the column 2 code is the ______ code.

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Question 5 of 5foundational

A 'component' service in coding is best described as a service that:

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Practice all 89

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Study tools & related lessonsYou’ll learn to · Related

You’ll learn to

  • Explain the concept of bundling, including comprehensive, component, and incidental services and the NCCI edits that govern them.
  • Recognize unbundling as improper billing and describe its compliance, audit, and legal risks.
  • Apply compliant reporting by using comprehensive codes and documenting the distinctness required for any separate reporting or modifier use.
  • Identify the medical assistant's scope of practice by supporting coding administratively and escalating coding and billing decisions to certified coders or the clinician.

Sources & references

  1. Centers for Medicare & Medicaid Services — CMS.gov
  2. American Medical Association — CPT (Current Procedural Terminology)
  3. AAPC — Medical Coding and Billing

This lesson was adapted from the open educational references above; their licenses and attributions are preserved. See Copyright & Licensing.

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