In medical billing, "inclusive" and "bundle" are terms used to describe different methods of billing for multiple services or procedures that are provided to a patient during a single episode of care. Here's the difference between the two:
- Inclusive Billing:
Inclusive billing, also known as "global billing" or "all-inclusive billing," refers to a billing method where a comprehensive fee is charged for a package of services or procedures related to a specific treatment or medical encounter. Instead of billing separately for each individual service, all services deemed necessary for that particular episode of care are combined into one all-encompassing charge.
For example, if a patient undergoes surgery, the inclusive billing approach would involve charging a single fee that covers the surgery itself, any pre-operative evaluations, post-operative follow-ups, anesthesia services, and any related supplies or medications needed during the surgical procedure.
- Bundle Billing:
Bundle billing, on the other hand, involves grouping together and billing for a set of related services or procedures that are frequently performed together. These bundled services are charged as a single fee, even though they are distinct services, and the charges are combined for billing purposes.
For instance, a medical facility might have a bundle for a specific diagnostic test that includes the test itself, the interpretation of the results, and any necessary follow-up consultations or additional tests related to the initial diagnosis.
The key difference between inclusive and bundle billing lies in the scope of services covered by the billing approach:
Inclusive billing covers all services and procedures related to a specific episode of care under one comprehensive charge.
Bundle billing groups together related services or procedures but may not encompass all aspects of care for a particular medical encounter.
Both inclusive and bundle billing methods aim to simplify medical billing and streamline reimbursement processes for healthcare providers and payers. However, it's essential to ensure that the billing practices comply with applicable healthcare regulations and guidelines to avoid potential billing errors or issues. Healthcare providers and medical billing staff should stay up-to-date with the latest billing guidelines to accurately and ethically bill for the services provided to patients.