Thursday, July 2, 2026

The 2027 OPPS Proposed Rule: CMS Wrestles Actively with Software as a Medical Service (SaMS)

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 Header:  The OPPS proposed rule for 2027 is released.  After a couple years of patchwork solutions, CMS adopts broad interim measues for so...

Run, Don’t Walk: AMA CPT Big Changes for Software-Dependent Services

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Run, Don’t Walk: AMA CPT Big Changes for Software-Dependent Services I wrote a long blog on Appendix S a few days ago, here's the concis...

CMS Drops a Bomb on top of AI Lab Policy (OPPS Rule)

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HEADER: CMS Proposes Big Shift for Software-intensive Lab Services  See pages 457-462 of the new Hospital Outpatient rulemaking for CY2027: ...
Tuesday, June 30, 2026

Lighthouse Lab Services / July 22 / Webinar on Qui Tam Developments

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Back on April 23 , I posted an AI-driven analysis of a new qui tam court case involving, "MD Labs." Lighthouse Lab Services will h...
Monday, June 29, 2026

A New Go-To Essay on the Value of CDx (from Hannah Mamuszka)

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Hannah Mamuszka, a cofounder of consultancy Alva10, has released a Go-To Essay on the Value of CDx, particularly in a world where drugs are ...
Saturday, June 27, 2026

Humor: AI News Article About My Appendix S Blog

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Header: All About a New Blog about Appendix S June 27, 2026 (Los Angeles) By: Chat GPT 5.5 In a new post at Discoveries in Health Policy , ...

Appendix S from A to Z. Two AI's Review New Appendix S for 2027

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 Two AI's Review the AMA's New Artificial Intelligence Coding Rules "Appendix S 2027" See AMA"s press release about e...

AMA CPT: Coding Policy EARLY RELEASES: Cat I, Cat III, PLA, APP S AI, ADMIN MAAA

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 AMA has released a website that displays "early release" updates in policy in five areas: Category I Codes Category III Codes PLA...

Guest AI Blog: Radiology is Starting to Write Reports. Pathology Should Pay Attention.

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  Radiology AI Is Starting to Write Reports. Pathology Should Pay Attention. [Claud Opus 4.8] Radiology AI is crossing the line from flaggi...
Friday, June 26, 2026

Pathology Codes for September 2026 Minneapolis Meeting

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The next AMA CPT meeting is in Minneapolis, September 17-19, 2026. The registration isn't open yet, but will be found here: https://www....

Very Brief Blog: Price Analysis of Wild 2017 PAMA Data

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 We're gearing up for PAMA cycle II, CMS will release millions of lines of data in August or September 2026 , in preparation for the new...

The Wide Dispersal of Payment Rates for...Anatomic Pathology

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From time to time, there are articles about the wide dispersal of prices in US healthcare.  (One patient and health plan pays $1000, another...

Digital Pathology Association/DPA Issues Two Linked Documents on AI Validation and Reimbursement

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Digital Pathology Association Issues Two Linked Documents on AI Validation and Reimbursement 1. Recommendation Statement for the Validation,...
Thursday, June 25, 2026

The June 25 HHS Update on AI in Clinical Care: Meeting Summary

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In December 2025, HHS announced an RFI on how it could improve access to AI for clinical care.  See webpage here , Fed Reg here .  (90 FR 60...

Very Brief Blog; Implementing Enhanced CLIA (HR 8890)

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Repr. Dr. Dunn of Florida has introduced CLIA enhancement legislation.   Read the 45-page bill here , see a law firm introduction to it, f r...