Umm - WRONG -Again. Your previous links had no mention of CMS, and this one is for FDA breakthrough devices only. It has nothing to do with LOBBYISTS working with the CMS. Any lobbying done here would be with legislators, trying to get a bill passed. THAT's what lobbyists do.
Assume that Kelly submits a 510(k) for the indication of phantom pain. She hires a lobbyist to help get this 510(k) cleared. Does the lobbyist directly contact the FDA Lead Reviewer?
or does the lobbyist contact the Lead Reviewer's supervisor?