Cardiac Event Monitors 2.01.03

By November 15, 2025: Billing team must update prior authorization requirements for cardiac event monitors. Verify patient meets specific criteria before ordering: external monitors require rhythm disturbance symptoms, post-ablation assessment, or drug therapy monitoring; implantable loop recorders require failed 28-day external monitoring and documentation that results will change care plan; stop billing for mobile cardiac outpatient telemetry (MCOT/MCT) as these are now considered not medically necessary. Update encounter forms to include required documentation elements.