Bundling unbundled charges: a case study in an academic obstetrical practice.

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.