Prior Authorization and Denial Management

A reference guide to use when submitting Prior Authorizations for atrial single chamber leadless pacemaker.

A sample letter template that provides suggestions to assist in writing a Letter of Medical Necessity or Prior Authorization request for right atrial single chamber leadless pacemaker device implant procedures. Physicians should customize the letter based on the patient's actual medical history and diagnosis and to be consistent with any specific prior authorization requirements.

A sample letter template that provides suggestions to assist in writing a Letter of Appeal of a denial of coverage for right atrial single chamber leadless pacemaker device implant procedures. Physicians should customize the letter based on the patient's actual medical history and diagnosis, and to be consistent with any specific appeal requirements.

A sample letter template that provides suggestions to assist in writing a Letter of Appeal of a claim denial for right atrial single chamber leadless pacemaker device implant procedures. Physicians should customize the letter based on the patient's actual medical history and diagnosis, and to be consistent with any specific appeal requirements

CED Policy Information for leadless pacemaker procedures for all Medicare beneficiaries which include Traditional Medicare Fee for Service and Medicare Advantage

A reference guide to use when submitting Prior Authorizations for right ventricular single chamber leadless pacemakers.

A sample letter template that provides suggestions to assist in writing a Letter of Medical Necessity or Prior Authorization request for right ventricular single chamber leadless pacemaker device implants. Physicians should customize the letter based on the patient's actual medical history and diagnosis and to be consistent with any specific prior authorization requirements.

A sample letter template that provides suggestions to assist in writing a Letter of Appeal of a denial of coverage for right ventricular single chamber leadless pacemaker device implant procedures. Physicians should customize the letter based on the patient's actual medical history and diagnosis, and to be consistent with any specific appeal requirements.

A sample letter template that provides suggestions to assist in writing a Letter of Appeal of a claim denial for right ventricular single chamber leadless pacemaker device implant procedures. Physicians should customize the letter based on the patient's actual medical history and diagnosis, and to be consistent with any specific appeal requirements.

CED Policy Information for leadless pacemaker procedures for all Medicare beneficiaries which include Traditional Medicare Fee for Service and Medicare Advantage

A reference guide to use when submitting Prior Authorizations for dual chamber leadless pacemakers.

A sample letter template that provides suggestions to assist in writing a Letter of Medical Necessity or Prior Authorization request for dual chamber leadless pacemaker device implants. Physicians should customize the letter based on the patient's actual medical history and diagnosis and to be consistent with any specific prior authorization requirements.

A sample letter template that provides suggestions to assist in writing a Letter of Appeal of a denial of coverage for dual chamber leadless pacemaker device implant procedures. Physicians should customize the letter based on the patient's actual medical history and diagnosis, and to be consistent with any specific appeal requirements.

A sample letter template that provides suggestions to assist in writing a Letter of Appeal of a claim denial for dual chamber leadless pacemaker device implant procedures. Physicians should customize the letter based on the patient's actual medical history and diagnosis, and to be consistent with any specific appeal requirements.

CED Policy Information for leadless pacemaker procedures for all Medicare beneficiaries which include Traditional Medicare Fee for Service and Medicare Advantage.

A reference guide to use when submitting Prior Authorizations for Implantable Cardiac Monitors.

A sample letter template that provides suggestions to assist in writing a Letter of Medical Necessity or Prior Authorization request for ICM device implants. Physicians should customize the letter based on the patient's actual medical history and diagnosis and to be consistent with any specific prior authorization requirement. 

A sample letter template that provides suggestions to assist in writing a letter of appeal of a denial of coverage for ICMs.  Physicians should customize the letter based on the patient's actual medical history and diagnosis and to be consistent with any specific appeal requirements.