Why Does This Happen?

By billing you for a more expensive procedure or medication, healthcare providers can earn more money from your visit. That’s why both upcoding and unbundling are considered fraud under the False Claims Act. However, mistakes happen. Sometimes, you may be charged for something you didn’t receive due to an oversight. Between the high volume of patients and a national physician shortage, it’s easy for something to fall through the cracks. Billing software can also increase the chances of upcoding or unbundling since many steps are automated without human oversight.