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hi Im Dr Casey Collins Chief documentation officer for usacs and today were going to be talking about an overview of the seismic changes coming to documentation in 2023 before we dive into the 2023 changes its important to see how we got here and it All Began back in 1992 when CPT created the current evaluation and management codes in 1995 three years later the documentation guidelines were created by the American Medical Association and the healthcare financing Administration the hcfa which is now called the centers for Medicare and Medicaid services or CMS in 1997 two years after that there was a revised documentation guideline that was provided by the AMA and again by the hcfa in 1998 providers were instructed to use either the 1995 or the 1997 dgs in 1999 through 2015 there were then multiple failed attempts to revise those documentation guidelines those were never approved in 2021 new evaluation and management guidelines were enacted by CMS and the AMA for office and other outp