Virtix Health, the WISeR participant for the State of Washington.
Virtix Health partners with health plans across the country to drive clinical, financial and operational results and was selected for its expertise in clinical data acquisition, coding accuracy and compliance frameworks.
Our technology supports the Centers for Medicare and Medicaid Services (CMS) and their goals of timely, accurate determination grounded in high-quality data, with all operations meeting HITRUST security and privacy standards. Through the Wasteful and Inappropriate Service Reduction (WISeR) initiative, our program is designed to combine cutting-edge intelligent technology with a comprehensive team of highly experienced physicians to validate determinations and conduct complex medical reviews.
The WISeR Model pilot program will run for six years, beginning January 5, 2026 through December 31, 2031. Virtix Health will serve as the Noridian JF Part A and Part B MAC jurisdiction for the State of Washington.
How Virtix Health Can Help Washington Providers and Suppliers
Providers and suppliers may request prior authorization and pre-payment medical review by using the designated Virtix Health WISeR Provider Portal.
The 12 Specific Procedures
Virtix Health’s role is restricted to Washington State and limited to 13 specific procedures that have been pre-determined. These procedures have been identified as high risk for fraud, waste, and abuse. The list of services include:
- Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee
- Induced Lesions of Nerve Tracts
- Vagus Nerve Stimulation
- Phrenic Nerve Stimulator
- Electrical Nerve Stimulators
- Incontinence Control Devices
- Sacral Nerve Stimulation for Urinary Incontinence
- Diagnosis and Treatment of Impotence
- Percutaneous Vertebral Augmentation for Vertebral Compression Fracture
- Epidural Steroid Injections for Pain Management
- Cervical Fusion
- Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea
For WISeR Select Items and Services, Please visit appendix A and C of the CMS WISeR Provider Supplier Guide
How to Access the WISeR Portal
Send an email to: wiser.support@virtixhealth.com
Subject Line: Requesting Portal Access
Include:
- Name
- Phone Number
- Facility Name and Address
- Facility PTAN
- Facility NPI
- Tax ID
Once processed, you will receive a welcome email with login credentials.
Additional WISeR Resources
June WISeR Updates: Webinar Recap, Gold Card Launch, and Claims Guidance
WISeR Model June WISeR Updates: Webinar Recap, Gold Card Launch, and Claims Guidance At Virtix Health, we’re committed to supporting physicians and providers as you continue to navigate the CMS WISeR (Wasteful and Inappropriate Service Reduction) Model initiative....
WISeR in Practice: Pre + Live Webinar Q&A
WISeR in Practice: Pre + Live Webinar Q&AVirtix Health recently hosted “WISeR in Practice: What Washington Physicians and Providers Need to Know,” an insightful and practical webinar focused on the CMS WISeR (Wasteful and Inappropriate Service Reduction) Model,...
Webinar: What Washington Providers Need to Know
WEBINAR | WISeRWISeR in Practice: What Washington Physicians and Providers Need to KnowMay 27, 2026 at 12:00 PM PST Duration: 60 minutes with Q&A Register to View On-Demand Once...
Your WISeR Questions, Answered
May 6, 2026 WISeR Model Your WISeR Questions, Answered Documentation requirements, portal workflows, and turnaround times have created real friction for Washington physicians and providers — and we are here to help. Virtix Health will be hosting a physician...
Quicklinks
Education
WISeR in Practice: Pre + Live Webinar Q&A
WISeR in Practice: Pre + Live Webinar Q&AVirtix Health recently hosted “WISeR in Practice: What Washington Physicians and Providers Need to Know,” an insightful and practical webinar focused on the CMS WISeR (Wasteful and Inappropriate Service Reduction) Model,...
Webinar: What Washington Providers Need to Know
WEBINAR | WISeRWISeR in Practice: What Washington Physicians and Providers Need to KnowMay 27, 2026 at 12:00 PM PST Duration: 60 minutes with Q&A Register to View On-Demand Once...
Advancing Appropriate Care Under the WISeR Model
Advancing Appropriate Care Under the WISeR Model Our Role in WISeR: What We Do, How It Works, and Where to Get Help Waste in healthcare can expose patients to unnecessary risk and drive costs without improving outcomes. Estimates suggest that a significant share of...
What to Expect When Your Doctor Requests Prior Authorization
What to Expect When Your Doctor Requests Prior AuthorizationStarting January 5, 2026, Medicare patients in Washington state receiving certain procedures have the option to obtain prior authorization before care is scheduled. This is part of a federal program called...
Introducing the WISeR Gold Carding Program
Introducing the WISeR Gold Carding ProgramIn coordination with CMS, Virtix Health is pleased to announce the upcoming launch of the WISeR Gold Card Exemption Program, set to debut on July 6. Under the initiative, as outlined on CMS.gov, providers and suppliers who...