Independent WISeR Preparation Software

Prepare and Review CMS WISeR Cases

Organize synthetic demonstration cases, review rule-based preparation results, identify documentation gaps, and record next actions. Results are preparation aids, not official coverage, payment, or prior authorization determinations.

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Synthetic

Demonstration data only

Gated

Real PHI intake disabled

Independent

Not a CMS participant

Preparation Status Review Complete

Documentation Complete

Rule Check No demo gaps found

Result Type

Preparation only

60-Second Product Film

See the preparation workflow before you sign up.

Follow a synthetic WISeR case from applicability inputs to evidence findings, human review, deadline ownership, and authorized handoff preparation.

Watch Full Walkthrough Explore the Demo

Synthetic demonstration only. No real patient data is shown. WISeRly is independent, is not an official WISeR participant, and does not issue official determinations.

Synthetic demo • no real PHI

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Case

Synthetic case workspace

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Rules

Explainable preparation checks

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Review

Human action for uncertainty

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Track

Official outcome recording

WISeRly does not guarantee authorization, payment, coverage, coding correctness, processing time, savings, or denial reduction. CMS publications and instructions from the assigned official WISeR participant remain authoritative.

Preparation Workflow

Explainable Case Preparation

Use structured case information and cited rules to prepare a package for review outside WISeRly.

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Applicability Preparation

Review state, service, code, date, beneficiary program, place of service, and exclusions against the rule version shown.

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Documentation Checklist

Identify missing, conflicting, stale, or unsupported demonstration evidence with source citations.

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Rule Provenance

See source URLs, publication and effective dates, retrieval dates, and rule-version freshness warnings.

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Activity History

Record case and workflow actions in the application activity history. No claim of regulatory certification is made.

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Human Review

Route ambiguous preparation results for assignment, notes, escalation, and a recorded human decision.

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Account Controls

Account roles and server-side authorization support access control; real PHI remains blocked by a separate release gate.

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PHI Release Gate

Clinical submission remains disabled until required agreements, routing evidence, safeguards, and authorized activation are recorded. Signing up does not execute a BAA.

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Participant-Ready Handoff

Prepare an export and track the reference and outcome entered from an official channel. WISeRly does not submit to participant portals or issue determinations.

Transparent Results

Preparation, Not Determination

Preparation results show the applicable rule, evidence found or missing, source version, confidence, and recommended next action.

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Deterministic Rules First

Rule checks remain distinguishable from optional evidence suggestions.

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Source Citations

Users can inspect the source and version behind a result.

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Human Judgment

Qualified users must verify results and use official participant channels.

Pricing

Enterprise Plans for Every Size

Flexible pricing that scales with your organization. Implementation from $5K-$25K one-time.

Solo

$349/mo

or $3,769/year · 14-day free trial

Up to 5 users
500 submissions/month
Synthetic demonstration cases
Rule-based preparation results
Documentation gap detection
Email support

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Intelligence Packs (Add-On Modules)

Specialized compliance engines for specific use cases

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Pediatric Milestone Mapper

EPSDT developmental tracking for pediatric practices

$49/mo

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VA Nexus-Guard

Advanced VA Community Care compliance for hospital systems

$5,000/mo

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Adolescent Transition Portal

Age-transition documentation for teen-to-adult care transfers

$25/case