WISeR Model NJ – Provider Info Session

Effective for dates of service on and after January 15, 2026, CMS is implementing the 6-year prior authorization Wasteful and Inappropriate Service Reduction (WISeR) Model for services provided in jurisdictions JH and JL for New Jersey, Oklahoma, and Texas states only. The WISeR Model, created by CMS, is partnering with organizations (referred to as participants) experienced in applying Artificial Intelligence (AI) and Machine Learning (ML), along with human clinical review, to ensure timely and reasonable and necessary Medicare coverage for select items and services.

CMS partnered with participant Genzeon to conduct prior authorization and prepayment reviews for services provided in New Jersey to eligible Part A and B Medicare beneficiaries. Join this webinar to prepare for the WISeR prior authorization process and learn more about Genzeon.

Audience: This presentation is intended for Part A and B Medicare providers rendering services in New Jersey only.

For more general information about the WISeR program, please visit our WISeR program page