In our public hospital outpatient department, patients may elected to be seen as PRNI (Privately Referred Non-Insured) and the clinic visit is billed to Medicare. On the same day they will move to the adjacent therapeutic centre for a procedure (also PRNI) and sometimes a blood transfusion. However when (both) occur, the hospital administration has decided to make the blood transfusion event an inpatient episode of care, as it attracts significant ABF Funding. Is this legal?