A case that involves a unique combination of diagnoses and procedures that result in higher-than-usual costs is designated as a cost outlier.

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Quizplus · Accepted Answer

This is true. Cost outliers are defined as cases that involve a combination of diagnoses and procedures that result in higher costs than usual. This designation is typically used in healthcare billing and reimbursement processes to account for unusually expensive cases.

A Case That Involves a Unique Combination of Diagnoses and Procedures