Certified Medical Administrative Assistants (CMAA) Practice Exam 2025 – Comprehensive All-In-One Guide to Exam Success!

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In medical billing, what does "bundling" refer to?

Separating unrelated services for billing purposes

Combining multiple related services or procedures into one charge

Bundling in medical billing refers to the practice of combining multiple related services or procedures into one charge. This approach often simplifies the billing process and can lead to cost savings for both the provider and the patient. For example, a surgical procedure may include several elements such as pre-operative assessments, the surgery itself, and post-operative care. By bundling these related services, the healthcare provider issues a single claim rather than multiple claims for each separate service, which streamlines administrative processes and can enhance efficiency in reimbursement.

This method also reflects the way many healthcare services are delivered, as multiple related procedures often occur in conjunction, thereby making it logical to charge for them together rather than as isolated events. Bundling is often governed by guidelines from coding systems such as the Current Procedural Terminology (CPT) codes, ensuring that services are appropriately grouped based on clinical relevance and intent. Ultimately, bundling facilitates accurate billing practices and aligns with healthcare payment models that favor comprehensive care over episodic services.

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Creating different billing codes for each procedure performed

Utilizing insurance policies to cover unrelated services

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