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The number of Medicare-licensed ASCs increased 5.3 percent compounded annually from 3,135 centers in 2000 to 5,234 centers in 2010, according to VMG Health's Multi-Specialty ASC Benchmarking Study.

Denials and poor follow-up processes. Charge entry errors. Accounts receivable (A/R) days well above industry standards. High self-pay balances. Failure to negotiate or load payor contracts. Incomplete operative notes.

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