
03/10/2025
Upcoding and unbundling are common billing errors that can lead to claim denials, audits, or even legal penalties.
🔹 Upcoding: Billing for a more expensive service than what was provided. This can result in higher reimbursements but also serious compliance violations.
🔹 Unbundling: Separating procedures that should be billed together under a single code to increase reimbursement unfairly.
✅ Always use accurate codes that reflect the provided service
✅ Follow CMS and payer guidelines to avoid coding violations
✅ Implement regular coding audits to ensure compliance
At Medical Billing Soft, we help practices maintain ethical and accurate billing while maximizing legitimate reimbursements. Contact us today for expert coding support!
☎️ +1 212-461-0253
✉️ [email protected]
🌐 https://www.medicalbillingsoft.com