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Exceptions to Services in Bundled Surgery Procedures

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Pam works for an outpatient surgery center. She knows that most surgical procedures are bundled together and include all of the necessary components from start to finish for a surgical procedure; however, she also knows that there are two exceptions for types of services that are not included and may be billed separately.

What are the two types of services that can be billed separate from a bundled surgical procedure?
Do you agree with these two exceptions? Explain.
Explain why you feel they should be billed separately or why they should be a part of the surgical bundle.

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Solution Summary

This detailed solution outlines the two types of services that can be billed separately from bundled surgical procedure, gives explanation and reasoning, and includes links.

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The initial visit to the physician is not part of the bundled surgical procedure. This is because the physician is in the evaluation phase of treatment and is determining the diagnosis. Once a diagnosis is made and the patient is advised, then the bundled surgical package steps in. THis is important so that the doctor is not limited by time/tests/payments and various restraints in finding the ...

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Sally Baldwin, Ed.D
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  • BA, University of Southern California
  • MSS, United States Sports Academy
  • Ed.D, Boise State University
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