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Anesthesia billing · Wisconsin

Anesthesia billing in Wisconsin

Specialist billing for independent CRNA and anesthesia groups in Wisconsin: coding, claims, denials, payments and credentialing, with a monthly scorecard.

Wisconsin at a glance

What shapes anesthesia billing here

Wisconsin opted out of Medicare's physician supervision requirement for CRNAs in 2005, one of the longer-standing opt-out states. 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, 2005
  • Medicare Part B contractor: NGS (Jurisdiction 6)
  • Medicaid program: BadgerCare Plus and Wisconsin Medicaid
  • Employed CRNAs: about 950 (BLS, May 2023), plus self-employed and 1099 CRNAs not counted in that figure

How we help Wisconsin groups

Everything between the anesthesia record and your account

Medicare and BadgerCare Plus and Wisconsin Medicaid

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 Wisconsin.

Also serving nearby: Iowa · Minnesota · Michigan · Ohio. See all states.

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