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chapter 18 ambulatory surgery centers and the objectives for lesson 18 is one explain the revenue cycle of reimbursement systems for ambulatory surgical center claims two understand the ambulatory surgery center billing process using by ambulatory surgical centers three discuss the importance of medical coder and biller rules in reimbursement four describe the components of the outpatient prospective payment and ambulatory surgical payment systems five recognize the features of the relative value unit and factors of the resource-based relative value skill payment system with the emphasis on the ambulatory surgery center rates six explain the role of the international classification of diseases 10th revision clinical modifier coding system also known as the icd-10-cms 7. explain the role of and it should be current procedural terminology fourth revision procedure coding system cpt-4 and ambulatory surgical billing eight identify the role of a healthcare common procedural coding system