The Wasteful and Inappropriate Service Reduction (WISeR) Model is a Centers for Medicare & Medicaid Services (CMS) initiative that introduces prior authorization for select outpatient services in traditional fee-for-service Medicare. The goal is to reduce unnecessary utilization while maintaining timely access to medically necessary care.
Providers have a choice: they can submit a prior authorization request before before providing an eligible service or or opt out and have their claim subject to pre-payment medical review.
This education sheet provides an overview of the WISeR Model as it applies to Ohio podiatrists. It is intended for educational purposes and does not include every operational detail or scenario.
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