Well luckily I don't deal with the billing side, just the coding (whew!). I was asking the question for a friend of mine, who was auditing for a facility that was post d/c converting the ambulatory surgeries that were IP only procedures to IP's. If the patient was d/c'd on the 25th, and that order was entered in on the 26th as - Per MD, should have been IP from beginning (written by case manager RN)- something just seems screwy with that whole scenario. 8o

A DRG that pays more than the cost/charges??? NAAHHH...that happens?? :eek

I read that portion of the manual you posted above and it just isnt listed there. Thanks for your help!!!
Shannon