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 New Jersey, Ohio, Oklahoma, Texas, Arizona, and Washington. An AI-driven prior authorization now sits between wound clinics and payment on skin substitutes, electrical nerve stimulators, knee arthroscopy, and a growing list of elective procedures through 2031. Skip the PA and every claim auto-routes to pre-payment medical review. Templated, copy-paste notes get rejected outright.
WoundScribe is built WISeR-Ready. Every suggested procedure and code is cross-checked against WISeR criteria before you submit — not a bolt-on, a capability already inside the AI-powered EMR for wound care.
How WoundScribe gets you to "affirmed"
- Point of care: the AI scribe for wound care proposes procedures and CPT/HCPCS codes as you document.
- Validation: agents check codes against the WISeR select-items list and the governing NCD or LCD.
- Rationale: patient-specific clinical justification is assembled — never templated.
- Submission: a prior-auth package formatted for your state's WISeR participant — 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 WISER claims and compliance at woundscribe.ai/wiser.