UCR 255: Medicare’s WISeR Program – Prior Auth Comes to Traditional Medicare and Facility Payments for Catheters That Suck
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UCR 255: Medicare’s WISeR Program – Prior Auth Comes to Traditional Medicare and Facility Payments for Catheters That Suck
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August 15, 2025
In this episode, Scott, Mark, Ray, and special guest Dr. John Lin dive deep into Medicare’s upcoming Wiser Program—set to begin in 2026—which brings prior authorization to traditional Medicare for select urology services. Learn which states are impacted, what procedures are targeted, and what steps urologists need to take to prepare. The team also discusses the growing use of steerable ureteral catheters and how facilities can (or can’t) use code C9761 for reimbursement. Get practical advice on documentation, appeal strategies, and how to advocate for your practice in this evolving regulatory landscape.
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