What is the illegal practice of submitting separate claims for maximum reimbursement known as?

The illegal practice of submitting separate claims for maximum reimbursement is referred to as unbundling. This involves separating a procedure or service into multiple claims in order to receive higher payments than would be possible if the services were billed together as a single treatment. Unbundling takes advantage of the reimbursement rules and can mislead insurers about the actual cost or nature of the service provided, making it a form of healthcare fraud.

In the context of compliance, it's important to recognize unbundling as a practice that not only violates ethical standards but may also lead to severe penalties including fines or legal action against the healthcare provider involved. This awareness is crucial for compliance officers and healthcare providers to ensure they adhere to proper billing practices and avoid any actions that could be considered fraudulent.