Play 26 · Health and life sciences
Your device cleared, but nothing pays for it yet
A seven-step play for a medical device reimbursement consultancy. It starts from FDA, stacks Firecrawl and CMS data on top, and ends in a message to the device company's market access lead that is useful before anyone replies.
Installs this workflow, five project tables and a draft campaign. Source access and any external outputs are checked before research.
- Category
- Health and life sciences
- Sources
- 3
- Steps
- 7
The workflow
- TriggerFDA510(k) clearances and their predicate devices
- Evidence
- ArtifactWhat you hand overA coding memo: the codes peers bill under, what Medicare pays for each, and what a dedicated code would require.
- ContactGliderFinds the device company's market access lead, with a verified work email and a phone
- MessageSend itFrom your own mailboxes, evidence attached
Why it earns attention
FDA clearance lets a company sell a device; it does not make anyone pay for it. The codes its predicate devices bill under, and what those codes pay, are public and are the first thing a new device company needs.
The play in seven steps
- 01
Catch new clearances
FDA- What you pull
- 510(k) decisions: device name, applicant, decision date, product code, and the predicate devices cited.
- Why it matters
- A new clearance means a company is about to sell, and the predicates tell you which existing devices it most resembles.
ExampleCleared Oct 3 · wearable gait monitor · product code 2 predicates cited
- 02
See how the predicates get paid
Firecrawl- What you pull
- Reimbursement guides and billing pages published by the predicate makers: the CPT and HCPCS codes they point customers to.
- Why it matters
- Makers publish these to help customers bill. It shows the realistic path for a similar new device.
ExamplePredicate A: CPT 95999 (unlisted) · Predicate B: remote monitoring codes 99454 and 99457
- 03
Price each code
CMS data- What you pull
- The Medicare physician fee schedule rate for each code, national and in the company's home region.
- Why it matters
- This is the revenue the customer's clinic would see per use, which decides whether clinics will buy.
Example99454: about $47 a month · 99457: about $48 · unlisted codes priced case by case
- 04
Build the coding memo
Your artifact- What you build
- The candidate codes, their rates, the trade-offs of each, and the evidence a dedicated code would need.
- Why it works
- A founder can take it to their board and their first customers. It is the outline of the engagement you sell.
Example3 candidate codes · rates by region · 4 evidence gaps for a new code
- 05
Check before you send
Coding is specific to how the device is used. Present codes as what peers use, not as advice that this device qualifies, and confirm current rates for the year you cite.
- 06
Find the device company's market access lead in Glider
Glider- Search for
- VP market accessHead of reimbursementCEOVP commercial
- Why them
- Market access owns this problem. At a company that just cleared its first device, that is usually the CEO.
- What you get
- A work email and a direct phone, with the email verified before it goes into a sequence.
- 07
Send the evidence, then run the first test
To: the device company's market access leadEvery line comes from a step above Your gait monitor's 510(k) cleared October 3.1 Your two predicates point customers to an unlisted code and to the remote monitoring codes.2 Medicare pays roughly $47 and $48 a month for the monitoring codes, while unlisted codes are priced case by case.3 I put the candidate codes, their rates and the evidence a dedicated code would need into a short memo.4 Want it?
- Facts from the data (the number is the step)
- What you built for them
- One small ask
- Why it works
- It answers the question every newly cleared company is asking, how will customers get paid, with numbers from their own predicates.
- First test
- Ten recent clearances in one specialty.
- Success looks like
- Three memo requests out of fifteen new clearances, and one paid strategy project.
The sample message is hypothetical and its numbers are illustrative. Verify every claim, date and rule before sending.
Sources used
The three sources this play names. Each links to the other plays that use it.
Related plays
All 63 GTM playsRun this play with Glider.
Deploy the full workflow into a project. Conway checks your scope and source access, builds the evidence, and prepares outreach for review.