The Wasteful and Inappropriate Service Reduction (WISeR) model will focus on reducing fraud, waste and abuse (FWA) in Medicare spending by focusing on pre-service medical necessity review and service coding. The six-year model, effective Jan. 1, 2026, will use technology-driven prior authorization and pre-payment review processes for select services under traditional Medicare. Providers in Arizona, New Jersey, Ohio, Oklahoma, Texas and Washington will be affected as part of the pilot, but the program represents a larger vision by CMS to incorporate prior authorization review as a requirement for high-dollar Medicare services.
Revascent partners with medical practices nationwide, providing revenue cycle management, practice administration and IT management and hosting services. Learn more about our Revenue Cycle Management services.
Contact us at [email protected] to learn how you should prepare for the CMS WISeR model.
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