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The commenter indicated that the cardiac MRI procedures are more resource intensive because of stress protocols, continuous patient monitoring, specialized staff to care for patients undergoing these procedures, longer procedure room time, and post-stress observation time and many of the other procedures that are in these APCs are lower-acuity, non-cardiac tests

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The WISeR (Wasteful and Inappropriate Services Reduction) model is a Medicare Part B prior authorization pilot running from January 2026 through December 2031 in six states: Arizona, New Jersey, Ohio, Oklahoma, Texas, and Washington

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