Prior Authorization and Denial Management

Heart Failure

Most elective procedures require a process which allows providers to determine coverage and secure an approval from a payor for a proposed treatment or service. However, not all procedures are approved, mainly due to missing information. Physicians and patients have the right to appeal a denial, which consists of both internal and external reviews. This section includes templates for use by providers when seeking prior authorization or appealing denials.

 

Pulmonary Artery Pressure Monitoring

  • Download a sample letter template that provides suggestions to assist in writing a Letter of Medical Necessity or prior authorization request for CardioMEMSTM HF System implant. Physicians should customize the letter based on the patient's medical history and diagnosis, being consistent with any specific prior authorization requirements from the health plan.

  • Download a sample letter template that provides suggestions to assist in writing a Letter of Appeal of a denial of coverage for CardioMEMS implant procedures. Physicians should customize the letter based on the patient's medical history and diagnosis, and to be consistent with any specific appeal requirements from the health plan.

  • This form is intended to be used by the treating physician as a guide to help gather information in connection to a heart failure diagnosis. The documentation referenced in this document may be submitted to the insurance company prior to procedure being performed.

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Patient Therapy Access - CardioMEMS

Patient-level authorization for the CardioMEMS™ HF System

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Health Economics & Reimbursement Disclaimer

This material and the information contained herein is for general information purposes only and is not intended, and does not constitute, legal, reimbursement, business, clinical, or other advice. Furthermore, it is not intended to and does not constitute a representation or guarantee of reimbursement, payment, or charge, or that reimbursement or other payment will be received. It is not intended to increase or maximize payment by any payer. Abbott makes no express or implied warranty or guarantee that the list of codes and narratives in this document is complete or error-free. Similarly, nothing in this document should be viewed as instructions for selecting any particular code, and Abbott does not advocate or warrant the appropriateness of the use of any particular code. The ultimate responsibility for coding and obtaining payment/reimbursement remains with the customer. This includes the responsibility for accuracy and veracity of all coding and claims submitted to third-party payers. In addition, the customer should note that laws, regulations, and coverage policies are complex and are updated frequently, and, therefore, the customer should check with its local carriers or intermediaries often and should consult with legal counsel or a financial, coding, or reimbursement specialist for any questions related to coding, billing, reimbursement, or any related issues. This material reproduces information for reference purposes only. It is not provided or authorized for marketing use.

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