Answer the following statements true (T) or false (F)

1. An emergency room physician who admits a patient to the hospital and has no further involvement in the patient's care is referred to as the attending physician.
2.The prospective payment system (PPS) is NOT widely used as a reimbursement method for inpatient care.
3. A case that cannot be assigned an appropriate DRG because of an atypical situation is called a cost outlier.
4. Comorbidity may affect payment if the condition causes an increase in hospital length of stay by at least 2 days in approximately 50% of cases.
5. The UB-04 claim form is considered a summary document and is supported by an itemized or detailed bill.


1. FALSE
2. FALSE
3. TRUE
4. FALSE
5. TRUE

Health Professions

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