AAPC - Back to school
Results 1 to 2 of 2

Thread: Bundling procedures

  1. #1
    Join Date
    Apr 2007

    Question Bundling procedures

    AAPC: Back to School
    I have a question regarding bundling procedures. We have some procedures that are getting paid by Private payers that are being bundled by say Medicare. Is this correct to submit and get paid for these claims that are being billed out to the private payers. Or should we follow the Medicare guidelines. Any websites or anything would be helpful.


  2. #2
    Join Date
    Apr 2007
    North Carolina


    While it is true that not all carriers follow Medicare's edits, most major carriers do. Most of my carriers have a statment on their website (example- UHC, BCBS...) that they do enforce Medicare's NCCI edits and even some of Medicare's LMRP. I would check with your individual carriers for this information.

Similar Threads

  1. Bundling HELP!
    By jaimo in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 04-21-2015, 11:45 AM
  2. Bundling
    By amym in forum Cardiology
    Replies: 2
    Last Post: 07-25-2011, 09:04 AM
  3. Bundling Help Please???
    By cmac in forum Pathology & Clinical Laboratory
    Replies: 1
    Last Post: 06-24-2010, 04:44 PM
  4. Bundling of procedures
    By ssebikari in forum Orthopaedics
    Replies: 6
    Last Post: 07-28-2009, 08:46 AM
  5. Bundling
    By lcoopercoop in forum Medicare Regulations
    Replies: 1
    Last Post: 04-19-2009, 03:30 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.