Sample LCD Appeal Letter
[Date] [Name and Address of MAC Contact] Re: Proposed/Draft LCD for [insert specific Title and ID] Dear Sir/Madam: I am writing to [comment on/appeal] Medicare's [proposed/draft] local coverage determination (LCD) for [specific title]. [Explain specifically what you want: e.g., reconsideration of these policies that are impacting your Medicare beneficiaries with [X condition], and revisiting and reexamining
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