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Upcoding Is the Assignment of a DRG That Does Not

question 31

True/False

Upcoding is the assignment of a DRG that does not match documentation and is for the purpose of increasing outpatient reimbursement.


Definitions:

Social Category

A group of people who share a common characteristic or attribute but do not necessarily interact with one another.

Triads

A type of organized crime syndicate in China and in countries with significant Chinese populations.

Collective Good

Benefits or values that are shared and accessible by all members of a given community, often exemplified by public goods like clean air and public parks.

Partner Constrained

A situation in relationships where one partner limits the choices or actions of the other, often leading to power imbalances.

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