CMS 12/4 Q&A on WISeR

Starting January 1, 2026, the Centers for Medicare & Medicaid Services (CMS) will begin implementing the WISeR model, which will use AI-assisted clinical review systems to impose prior-authorization and pre-payment review requirements on a defined subset of Medicare Part B services, including:

• epidural steroid injections for pain management,
• percutaneous vertebral augmentation for vertebral compression fracture,
• percutaneous image-guided lumbar decompression for lumbar spinal stenosis, and
• neurolytic destruction of the trigeminal nerve.

On December 4, 2025, CMS will host a Q&A session to walk providers through how the model will work and answer questions. Click here to register.
 

IPSIS, advocates for evidence-based policies that expand access to safe, effective treatments for individuals suffering from debilitating pain and stands against "black box" prior authorization models — seeking a unified, standards-based prior authorization system as mandated by CMS. Help sustain this vital advocacy with your donations. The International Pain and Spine Intervention Society (IPSIS) is a tax exempt organization under US section 501(c)(3) of the Internal Revenue Code. As such, contributions are deductible to the extent allowed by law.