Monday, May 11, 2026

WISeR Prior Authorization - It's Worse Than We Knew. Case study: DBS in PD.

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Announced last summer, CMS has now instituted the WISeR program to force prior authorization into Medicare Part B using outside venders and ...

AI Guest Column: Will Genomics Move In-House or to Send-Out?

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Header: For years, one of the Grand Questions in genomics has been "in house versus send out."  I asked Claude Opus 4.7 to write ...

AI Guest Column: What Next for ArteraAI?

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Header: Digital pathology at warp speed - Tempus acquires Paige, Roche aquires PathAI, ArteraAI gets a true FDA application (Breast cancer p...
Sunday, May 10, 2026

What? CMS Runs RFI on Why Labs Hate Prior Authorization

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A big thanks to Vitali Khvatkov at Linked In for highlighting a CMS RFI on 'Prior authorization" with specific attention to the n...
Friday, May 8, 2026

AI Guest Column: the Roche-PathAI Acquisition?

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Big news that Roche buys PathAI for up to $1B.   I pulled together some twenty viewpoints harvested from Linked In, press releases, a Health...
Thursday, May 7, 2026

H.R. 8500: Ensuring Timely LCDs! The Bill's Language is Posted!

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HEADER:  Old News: Last week, CAP and some Congressionial offices announced H.R.8500, the "Timely Access to Coverage Decisions Act....

Deep Dive: The New UPMC/Pitt Report on Access to Genomic Testing

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UPMC report here .   See subscription coverage at Genomeweb here . (Alexandra Byrne.) ### AI CORNER (Chat GPT) ## UPMC Precision Medicine Re...

HUMOR: I Start Using CLAUDE OPUS. Claude Opus Reviews "Me"

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Header: Using CLAUDE.    I have been using Chat GPT exclusively for three years.   Recently, friends have introduced me to areas where Cla...
Wednesday, May 6, 2026

Legislation Would Demand Faster LCDs. See H.R. 8500 from Congressman Dunn (R FL).

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SEE UPDATE : THE BILL IS POSTED. CAP and LCD Policy College of American Pathologists has taken the point position, for years, on improving L...
Tuesday, May 5, 2026

Medicare's 14 Day Rule and 3 Day Rule: Why One is Crazy and the Other Isn't

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 . I learned much about this when I recently asked Chat GPT to write long detailed essays on the history of each rule, 3-day and 14-day .  ...

Congr Comer Asks CMS - Does AMA CPT Complexity Support Fraud?

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Header: Congressman Comer (KY) writes CMS, raises questions about AMA CPT structure and coding, and fraud and abuse issues. Comer letter her...
Monday, May 4, 2026

Chat GPT Discusses the Serena-6 Trial, ESR1 by LBx, and FDA Advisory Committee ODAC

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Chat GPT summarizes the data on the recently released SERENA-6 trial and ODAC-FDA advisory board.  OncLive here .  Fierce Biotech here .  Pr...
Sunday, May 3, 2026

RFK Blog 02: Chat GPT Assesses the Seven RFK-Hill Transcripts (April 2026)

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  RFK Jr.’s Seven-Hearing Hill Marathon: April 16–22, 2026 Blog 01 - I asked Chat GPT to find all 7 hearings and identify transcripts. Blog...