the system and it's ridiculous when someone is being, you know, something as simple as patient isn't npt, is missing from a record from a guy we paid already to have his leg amputated. >> and we do have regular meetings with cms and with their appeals, their appeals group within cms. i think those happened on a weekly basis? weekly basis. when we identify a trend, we would bring that up at those meetings, or that was significant trends i would bring it up with marilyn tavenner. i'm not, i'm not aware of the specific instance that you are describing. >> all, it's more than one. we have 100 orthotics and prosthetics in this country gone out of business waiting to be reimbursed. and have gone out of business. and there's more than one. i am sure that we can get you a lot of those examples. >> if we become aware of them i think that's part of, you know, part of the issue. our judges are individually adjudicators. and so we have to become aware that there is a trend and when we do, we have those feedback loops in place, and we are able to do that. >> how do you spot a trend? you have a system