Tuesday, June 23, 2026

DOJ Releases Little-Remarked Treasure Trove of Medical Fraud Data

›
On June 23, 2026, you couldn't swing a cat without encountering news articles about a big HHS anti-fraud operation.   Most of the first-...

AI Guest Column: Digital Pathology Association's 27-page Recommendation for AI SW Validation & Implementation

›
[Chat GPT 5.5 Guest Author] ## Digital Pathology AI Moves from “Cool Demo” to Clinical Infrastructure:  The New DPA Recommendation Statement...

Follow Up: CMS and Ancient Cobol Claims Processing; RFI for System Change

›
 A few weks ago, I published a blog article on the status of "ancient" claims processing systems at CMS - here .    By chance, I r...
Monday, June 22, 2026

CMS Coverage History: How "CAC" Meetings Evolved (2004, 2015, 2019)

›
 Medicare's contractor advisory committees have evolved greatly from 2005, to 2015, to the present (2019 forward).   I've put the Me...
Sunday, June 21, 2026

Slow LCDs: Some Date Snapshots

›
We often hear about slow timeliness for LCDs, and outsiders can't always believe the numbers.  ("We can turn in your LCD request by...
Thursday, June 18, 2026

OIG: Another Workplan, This Time It's Genetic Tests in Part B

›
 A few days ago we flagged an OIG workplan about pathogen panel coding for > 5 pathogens (think 87798) - here. OIG has another another m...

AI Corner: Chat GPT Interprets German-Language Sequencing Policy Documents

›
This week, Genomeweb has an excellent article about reimbursement and policy changes in German regarding NGS.   The article includes a numb...

CMS Puts HCPCS Modifiers for Local, Metastatic Cancer - On Hold

›
Last fall, CMS proposed to create two cancer modifiers as two-letter HCPCS codes, for local versus metastatic cancer.  (See my February blog...
Wednesday, June 17, 2026

Vinay Prasad: HE'S BACK

›
Before Vinay Prasad, the UCSF oncologist, served as head of CBER at FDA, he was famously outspoken—in blogs, vlogs, podcasts, and peer-revie...

Register Now for June 25 HHS Webinar on AI, Policy, and Reimbursement

›
HHS Webinar June 25: What Did HHS Hear About AI in Clinical Care? ## AI Corner: Chat GPT 5.5 ## In December 2025 , HHS issued a broad Reques...

Very Brief Blog: Using AI to FInd Someone's Name

›
 We live at a time where some people use AI like second nature and some nearly never. Here's a real life example.  For a moment today I ...