Thursday, November 13, 2025

Trump Administration: Far Less Rulemaking 2025 vs 2024

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Did the Trump Administration do far less rulemaking in their first year than Biden in year four? Last year, the Physician Fee Schedule final...

For-Example AI Essay: CLIA Registration but not a License

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Someone was talking to me about a lab having "CLIA Registration but not a License." I asked Chat GPT what that means. ## AI CORNER...

AMA Opens Registration for Palm Springs CPT Meeting (February 5-7, 2026, Grand Hyatt)

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AMA has opened registration for the February 5-7, 2026, CPT Editorial Panel meeting in Palm Springs, CA.   The location is the Indian Wells ...

AI Chat GPT 5 Explores the Rules for CAP's Distributive Testing CLIA Model

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I've heard for a number of years that CAP allows "distributive testing" of parts of one  complex test when two labs formally c...
Wednesday, November 12, 2025

John Oliver Does Not Like Medicare Advantage

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 John Oliver turns his attention to Medicare Advantage in a recent episode. I know what I think, so I asked Chat GPT 5 what it thought of th...

Hot News: AMA Moving PLA Applications to the Main CPT Application Portal

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Here's an exciting email from AMA CPT, arriving on November 12, 2025.  Effective in December, PLA code applications will be handled thro...
Tuesday, November 11, 2025

Amal Thommil / DeciBio / Updates Us on Reimbursement for MRD

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  Amal Thommil , Senior Research Associate at DeciBio , regularly updates us on coverage for minimal residual disease testing.  Each updates...
Monday, November 10, 2025

Center for Medicare Innovation: Warshawsky at AEI Proposes Reforms

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Tag line:  Can the long-maligned CMMI redeem itself under Trump? Warshawsky argues that only mandatory models and smart use of AI can finall...
Thursday, November 6, 2025

Has Artificial Intelligence Arrived at Clinical Hematology? The Case of AML.

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Artificial intelligence has arrived at the hematology clinic? A new review in JAMA Oncology ( Ansarian et al., 2025 ) surveys how AI systems...
Monday, November 3, 2025

Podcast: MedTech Talk. Valuation bubble; Reimbursement challenges.

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Recently I ran across the podcast, MEDTECH TALK, and I'll mention a few that caught my attention.  (I'm citing a couple from 2023, 2...

CAP's Newest Podcast - CIPI Council on Informatics and Pathology innovation

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 CAP launches a new podcast, CIPI CONNECTIONS. ### CIPI Cup One of the several Councils of the College of American Pathologists (CAP) is CIP...
Sunday, November 2, 2025

CMS Releases PFS Final Rule Despite Shut-Down. OPPS Final Rule Pending.

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Each fall, CMS normally releasing the final PFS rule and final OPPS rule on November 1, giving them 60 days to take effect (January 1).   CM...

PLA Codes at Novitas: Vastly Less Controlled than at MolDx

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The Novitas MAC seems to go through one payment disaster after another , with notoriously high and bizarre-looking payments for 81408 (rare ...
Thursday, October 30, 2025

Chat GPT Asks: How Do Commercial, Medicare, and Medicare Advantage Rates Compare?

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The point of this blog is just to show how Chat GPT 5 performs, to a request for a medical policy essay. Issue:  Now and then I see an artic...

AMA Releases PLA Applications for 4Q2025

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 Each quarter, AMA receives and processes a couple dozen PLA code applications.  The ones for this quarter are posted.  There will be an AMA...