Monday, September 15, 2025

Tamara Syrek Jenkins Leaves CMS, Joins Rubrum Advising

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Tamara Syrek Jenkins, an attorney who has had a long career at the Coverage Group at CMS , has moved to the consulting world.   Syrek Jenki...
Saturday, September 13, 2025

Geneoscopy Gets Reopening of NCD for Stool DNA Tests

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A stool-DNA test from Geneoscopy, ColoSense, was FDA approved in May 2024  (PMA P230001).   CMS covers the revised Cologuard test under the ...
Friday, September 12, 2025

Oncomine Dx Express Test - FDA's 85-page Summary

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In terms of transparency of its review process and standards, for genomic tests, FDA publishes a detailed "Summary of Safety and Effect...
Wednesday, September 10, 2025

Update on AMA Digital and AI Coding Frameworks: Tab 94: Thursday September 18

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AMA may radically update its coding & concepts for AI, software. Register to see the proposal AKA "Tab 94." ALSO and separatel...

Genetic CPT Codes in 2024: The Massive Boom in Epilepsy Code 81419 (NOVITAS Again!)

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This past week, CMS released data on lab test utilization by CPT code for CY2024 and CY2023 .  I published a rapid blog on this and looked ...
Tuesday, September 9, 2025

CMS Releases Proposed Lab Code Crosswalks & Final Gapfill Pricing

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On September 9, 2025, CMS released proposed new lab test pricing for 2026, for public comment. CMS also released final Gapfill pricing for 2...

MolDX New Cancer LCD: For Non-NGS Testing in Cancer

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On August 28, 2025, I flagged two new proposed LCDs from MolDx, one for thrombophilia (F5) testing, one for liver disease steatosis risk.  ...

Can Chat GPT Psychoanalyze MolDX?

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Can CHAT GPT 5 psychoanalyze MolDx?  We feed it some documents to find out. ### One of the flagship uses of AI is to summarize things - to s...

IBEX and Her2 as Killer App. But: The Creaky State of Dig Path Coding and Coverage.

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HEADER: BOSTON, MA, September 4, 2025 – Ibex Medical Analytics ( Ibex ), a leader in artificial intelligence (AI)-powered cancer diagnostics...
Friday, September 5, 2025

Van Calster (2025) Why Adoption of Clinical Predictors Is So Low

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 Annual Reviews of Statistics just released a paper with an interesting title: The Enemies of Reliable and Useful Clinical Prediction Models...

Bipartisan Policy Center: Report: Rise of AI in Federal Health Agencies

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 On August 10, 2025, the Bipartisan Health Center released a detailed report, with numerous graphics, on "Mapping the Rise of AI in Fed...

Chat GPT 5 Reviews House Hearing on AI in Healthcare

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Overshadowed by the 3-hour RFK Jr Senate hearing, don't lose track of the 3-hour "AI in Healthcare" hearing in the House. Find...
Thursday, September 4, 2025

Chat GPT 5 reviews the RFK Senate Hearing (September 4, 2025)

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This is an unedited Chat GPT 5 review of the 9/4/2025 Senate hearing on HHS.  Based on a YouTube auto-transcript .  The essays below are dir...