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Bundling Unbundled Charges: A Case Study in an Academic Obstetrical Practice

Bundling Unbundled Charges: A Case Study in an Academic Obstetrical Practice


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by Lynn J. Groome, Fay T. Esters and Stacie G. Carter


In the practice of obstetrics, the non-stress test (NST) and the biophysical profile (BPP) are used to assess fetal well-being. Failure to bundle the NST with the ultrasound BPP will result in a rejected claim if both procedures are performed at the same visit. We implemented a quality improvement program to reduce the number of charge tickets that were coded incorrectly because same-day NST and ultrasound BPP were not bundled. The effectiveness of quality improvement interventions was monitored using statistical process control techniques.