Prior Authorization and Denial Management

A reference guide to use when submitting Prior Authorizations for 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 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 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 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 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.