WoundScribe is WiSER-Ready
healthcareai
CMS's WISeR model is live in six states — WoundScribe validates codes and builds patient-specific rationale so your prior auths get affirmed the first time.
As of January 2026, CMS's WISeR model is live in six states — New Jersey, Ohio, Oklahoma, Texas, Arizona, and Washington — and an AI-driven prior authorization now sits between wound clinics and payment. Skip the PA, and every claim auto-routes to pre-payment medical review. Templated notes get rejected outright. WoundScribe is built WISeR-Ready. Every suggested procedure and code is cross-checked against WISeR criteria before you submit. ### How WoundScribe gets you to "affirmed" 1. Point of care: AI proposes the procedures and the CPT and HCPCS codes as you document. 2. Validation: Agents check codes against the WISeR select-items list and the governing NCD or LCD. 3. Rationale: Patient-specific clinical justification is assembled — never templated, never copy-paste. 4. Submission: You get a prior-auth package formatted for your state's WISeR participant, whether that's Cohere Health, Genzeon, Humata Health, Innovaccer, Virtix Health, or Zyter. ### Why this protects your revenue WISeR doesn't change what Medicare covers — it tests whether your paperwork proves it. WoundScribe delivers 95%+ audit-ready submissions and is engineered to clear the 90% affirmation bar that earns Gold Card exemption, freeing your clinic from prior auth entirely. License WoundScribe WISeR-Ready at woundscribe.ai/wiser.
#woundscribe #wiserready #priorauthorization