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so we had somebody who come in with a question that they dont understand how the APC indicators influence coding so of course they influenced billion in revenue but as a coder why do they have to pay attention to them and because in one hand theres a lot of services that are bundled they have a status indicator and and on the other hand their course instructs them to code them regardless of whether theyre going to get a cost so they want us some clarification so when were looking at APCs those are ambulatory payment classifications and those are established by Medicare and they are payment rates affiliated with your ASC or ambulatory surgical centers and they deal with the OPP S which is Ill go into that minute - so the ASC you dont have to be theyre not Medicare providers theyre suppliers of surgical services but they must accept Medicare and they have to be participating they must have their own individual contract with Medicare so they can be Stafford from a hospital so if y