CSA taps Milagro’s AI coding to accelerate revenue cycle across ASC network

Editor's Note

Constitution Billing and Financial Services (CBFS), the revenue‑cycle arm of Constitution Surgery Alliance (CSA), has signed a commercial agreement with health tech startup Milagro to deploy its autonomous medical‑coding platform across CSA’s 26 partnered and managed ambulatory surgery centers (ASCs). The partnership was announced in an April 4 CSA press release.

Under the deal, Milagro’s artificial intelligence (AI) engine will be embedded in CBFS’s existing revenue‑cycle management stack and integrated directly with the Surgical Information Systems electronic health record. The goal is to slash manual coding workloads, boost code accuracy for complex outpatient procedures, and speed up reimbursement from payers.

“Milagro’s platform will be instrumental in reducing manual coding processes, optimizing business operations, and ensuring faster, more accurate reimbursements,” Sayword Hill, CBFS senior vice president of revenue cycle, said in the press release.

Founded in 2020, Milagro says its software uses machine learning to read operative notes in real time, assign CPT and ICD‑10 codes autonomously, and flag discrepancies for human review. By automating a traditionally labor‑intensive step in the revenue cycle, the company claims providers can cut administrative costs and shrink days in accounts receivable.

For CSA—a 25‑year‑old developer and operator of ASCs that handles more than 100,000 cases annually and partners with more than 500 surgeons—the promise is twofold: lighter back‑office workloads and stronger financial performance. Faster, cleaner claims also translate into fewer payer denials and more predictable cash flow, key advantages as ASCs shoulder higher supply costs and shift more complex procedures out of hospitals.

CBFS provides end‑to‑end billing, collections, and financial reporting for the ASC network; executives say the AI upgrade will allow the revenue‑cycle team to redeploy staff toward higher‑value analytics and payer‑contract negotiations instead of line‑by‑line charge entry. Deployment will begin this quarter with a phased roll‑out through early 2025. While financial terms were not disclosed, both companies framed the collaboration as a long‑term play to keep CSA’s centers competitive and free up clinicians to focus on patient care.