Final answer:
The statement that increased costs are always an issue with self-referral is false. Not all instances of self-referral lead to increased costs; some may involve necessary and fairly priced services or cost-efficient continuity of care within an integrated system. The correct option is B.
Step-by-step explanation:
The statement 'Increased costs are an issue in all instances of self-referral' is False. Self-referral occurs when a healthcare provider refers patients to facilities in which they, or their family members, have a financial interest.
While instances of self-referral can potentially lead to increased costs due to services that may not be necessary, it does not necessarily mean that increased costs are an issue in all cases. There could be instances where self-referral does not lead to increased costs if the referred services are indeed necessary and priced fairly.
Moreover, certain integrated healthcare systems, where providers may refer within their own network, aim to provide a continuity of care that might be cost-efficient. It is important to analyze each case individually to determine if increased costs are indeed a concern.
Hence, Option B is correct.