I remember doing billing and coding and right in the ICD-9 book (what number are they up to now??) it would tell you how many days aftercare were covered by which procedure. So, if you had something done, and came in for a follow up, if there was a 10 day window, and you came in on day 11, the doc could bill a visit.
I guess DRG can mean whatever you want it to mean. It's all regulated. PPO, HMO... whatever. You get what you get by what the insurance will cover (or not cover), including length of hospital stay.
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