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WISeR (Wasteful and Inappropriate Service Reduction) Model
Dec 4, 2025 · The voluntary model will encourage care navigation, encouraging safe and evidence-supported best practices for treating people with Medicare. WISeR will run for six performance years …
CMS WISeR Model: What Providers Need to Know by January 2026
4 days ago · The CMS WISeR Model starts January 1, 2026 and affects prior authorization and prepayment review processes for select services. See how providers can prepare.
CMS Announces WISeR Model Tests to Begin in New Year
3 days ago · New WISeR Model Aims to Leverage AI Technology to Reduce Costs and Inefficiencies by: Margia Corner, Michael D. Sutton , Sheppard, Mullin, Richter & Hampton LLP - Healthcare Law Blog
CMS Launches WISeR Model to Curb Overuse of Medicare Services
Jul 25, 2025 · WISeR applies the prior authorization requirements to all Medicare-enrolled providers in the six pilot states. While the program is billed as "voluntary," claims for included services submitted …
New WISeR Model Aims to Leverage AI Technology to Reduce Costs …
4 days ago · The Centers for Medicare and Medicaid Services (“CMS”) recently announced the first six participating states in the Wasteful and Inappropriate Service Reduction (“WISeR”) Model that will …
WISeR Model: A Wound Care Provider Guide to the New CMS …
5 days ago · The WISeR Model is piloting in six states for skin and tissue substitutes in 2026, elevating the importance of accurate, consistent documentation.
CEO of WISeR vendor addresses provider concerns | HFMA
Learn about the concerns and challenges surrounding Medicare's new prior authorization program, as addressed by a CEO of a participating vendor.
CMMI Launches WISeR Model to Target Waste and Inappropriate …
On June 27, 2025, the Center for Medicare & Medicaid Innovation (“CMMI”) announced the Wasteful and Inappropriate Service Reduction (“WISeR”) Model, its latest model focused on reducing clinically …
WISeR Model Will Explore Ways to Improve Prior Authorization ... - AAPC
Jul 1, 2025 · Under the WISeR model, a Medicare-enrolled provider/supplier may submit a request for prior authorization to either the MAC or the model participant with documentation to support …