A case that cannot be assigned an appropriate DRG because of an atypical situation is called a cost outlier.

Name: A case that cannot be assigned an appropriate DRG because of an atypical situation is called a cost outlier.
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This statement is true. A cost outlier occurs when the cost of a case is significantly higher than the average cost of other cases in the same DRG, and cannot be assigned an appropriate DRG due to a unique and atypical situation.

A Case That Cannot Be Assigned an Appropriate DRG Because