Anesthesia billing · Massachusetts
Anesthesia billing in Massachusetts
Specialist billing for independent CRNA and anesthesia groups in Massachusetts: coding, claims, denials, payments and credentialing, with a monthly scorecard.
Massachusetts at a glance
What shapes anesthesia billing here
Massachusetts opted out of Medicare's physician supervision requirement for CRNAs in 2024, one of the more recent states to do so. CRNAs working without medical direction can bill Medicare in their own right with the QZ modifier, which makes accurate billing central to an independent group's income.
- Opt-out status: opted out, 2024
- Medicare Part B contractor: NGS (Jurisdiction K)
- Medicaid program: MassHealth
- Employed CRNAs: about 670 (BLS, May 2023), plus self-employed and 1099 CRNAs not counted in that figure
How we help Massachusetts groups
Everything between the anesthesia record and your account
Medicare and MassHealth
Claims built for NGS and your state Medicaid rules, with the right modifiers for how each case was staffed.
Commercial payers
Contract-specific rules for time units, physical status and qualifying circumstances, so nothing is left unpaid.
New and growing groups
Payer enrollment and credentialing for CRNAs starting or expanding a group in Massachusetts.
Also serving nearby: New Hampshire · Vermont · Delaware. See all states.
- Opt-out year: Becker's ASC Review (2026)
- CRNA employment: Becker's ASC Review, BLS data
- Medicare contractor: CMS MAC directory; confirm your contractor before filing