Austin, Texas – September 15, 2026 -- Milagro has extended its autonomous surgical coding platform to three additional ambulatory surgery centers operated by Constitution Surgery Alliance (CSA), bringing total deployment to 12 CSA facilities across New England and the Northeast.
CSA scales automated coding while keeping certified coders in the review loop
The expansion supports increasingly complex surgical coding workflows at CSA, one of the largest independent operators of outpatient surgery centers in the U.S. Sayword Hill, SVP of Revenue Cycle for CSA, said Milagro's automation is layered with the organization's existing coding review, quality assurance and auditing processes, allowing certified coding professionals to maintain oversight as automation scope grows.
Anna Ravvin, Vice President of Customer Success and Operations at Milagro, said the multi-year relationship with CSA has repeatedly expanded coverage, efficiency and productivity for the revenue cycle team, calling the growth in automation scope a direct indicator of client trust in the platform.
Milagro adds clinical data extraction to support outcomes tracking and payer negotiations
Beyond coding, Milagro is now enabling clinical data extraction across multiple CSA surgery centers. The capability is designed to support clinical research, clinical data benchmarking, payer contracting negotiations, and outcomes-based insights, while helping CSA scale its clinical outcomes and Patient-Reported Outcome Measures (PROMs) programs.
Nicole Vit, EVP and Chief Clinical Officer at CSA, said the expanded data capability shifts the organization from periodic outcome snapshots to continuous, cross-facility visibility into patient care results.
Staffing shortages and rising surgical volumes push ASCs toward automation
Ambulatory surgery operators are scaling automated coding and data extraction as a response to persistent staffing shortages and growing surgical case volumes, aiming to expand revenue cycle capacity without adding administrative headcount.