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...

Gapfill-ology 2026: Variances in MAC Gapfill Proposals Summer 2026

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This year 18 codes are in the Gapfill process, with comments accepted to July 13, 2026. Find the spreadsheet at the CMS CLFS webpage, scroll...
Wednesday, June 24, 2026

The Mystery of Wellpoint Federal (aka NGS MAC) CAC Meetings

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Recently, Noridian announced that on August 20, 2026, there will be a Contractor Advisory Meeting on the topic of tests for neurodegeneratio...

Part 2: DOJ Treasure Trove of Health Fraud:Twelve Themes and Two Defenses

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Yesterday, I published a long blog taking a first look at a 'treasure trove' of over 300 DOJ case summaries and some 300 actual full...
Tuesday, June 23, 2026

Part 1: DOJ Releases Little-Remarked Treasure Trove of Medical Fraud Data

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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-...