Wednesday, June 3, 2026

CMS Releases Data for "87798" Billing in 2024

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On May 21, 2026, CMS released data by lab and by CPT code (also by physician and CPT code) for Part B payments in CY2024. There's been a...
Tuesday, June 2, 2026

Predicting the Scientific Future: From UCSF's Robert Wachter

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Robert Wachter of UCSF is both a medical leader and a futurist. In his newest book, A GIANT LEAP, he discusses AI in medical care.  From his...

CMS Releases Rich Cloud Database for CY2024 Claims, Medicare Part B

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 If you love CMS Part B data, Christmas comes every May or June, when CMS releases extensive cloud data for all labs and all  physician prov...

A New Commercial Source for Rapid Complete Medicare Claims Research LUMA CLAIMS

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CMS has some free databases for Part B claims - like this one for annual Excel spreadsheets and this one for a cloud database x CPT code x...
Sunday, May 31, 2026

Using AI: (1) Finding Half-Remembered Papers; (2) Finding Papers of Major Importance. For: Computational Pathology.

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Summary of This Long Post :Creatively Using AI at Work Case Study: Digital Pathology This blog begins with an unexpectedly mundane task: fin...
Saturday, May 30, 2026

A Must-Read Article: Use of Comprehensive Genomic Profiling in Metastatic Cancer of Medicare Beneficiaries

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JAMA Network Open publishes a must-read paper on comprehensive genomic profiling (CGP) by Chow et al.   The paper headlines "a differen...
Thursday, May 28, 2026

NGS MAC Updates LCD in a Few Weeks

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 I hear many people complain that it takes years - literally, years - to get updates to LCDs, let alone, consider opening a NEW LCD on some ...
Wednesday, May 27, 2026

Can AI Write Deep Strategic Business Reports? We Compare Claude and ChatGPT on "Digital Pathology"

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 Can AI Write Deep Strategic Business Reports? More and more, I am seeing complex reports automatically generated by Claude Opus 4.7 and by ...
Tuesday, May 26, 2026

How MACs Price Major Services That Lack Fixed RVU's (Case Study: PET CT)

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Header: AMA CPT has created some new Category III codes for whole-slide imaging proprietary tests.  However, as of May 26, CMS has NOT adde...

United Healthcare Publishes Variations from "Date of Service" Rule

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Medicare's date of service (DOS) rule for laboratory tests - often given the name, "14 day rule" - gets a new spin in a public...
Saturday, May 23, 2026

Upending the MAC System: Bold Idea Proposed for a Radically Different MAC

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Unhappy with your local MAC?  Waiting til you-know-where freezes over before they can issue a new LCD?   Anderson/Jackson/Miller have a new ...
Wednesday, May 20, 2026

Dunn Introduces H.R. 8890, Enhanced CLIA - Deja Vu Again

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There have been a few attempts at "Enhanced CLIA" legislation, and there's a new kid in town: H.R. 8890. It's introduced b...

Senate Resolution would put Part B Prior Auth (WISeR) on Chopping Block

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HEADER: A  new Senate resolution seeks to overturn CMS’s WISeR pilot.  This is the CMMI Medicare model that applies A I-supported prior auth...
Monday, May 18, 2026

Augmented AI and AMA Thinking: Wishful Thinking?

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There's a new paper going the rounds of commentary at Linked In: Open access; find it here . See comment at LinkedIn by Jan Beger here ....
Friday, May 15, 2026

Dr Bien-Willner Is Departing MolDx - An Update

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  Gabriel Bien-Willner to Transition Out of MolDX Medical Director Role May 15, 2025  (Columbia, SC) LinkedIn by GBW: here . Gabriel A. Bien...