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and um as one of the items we also have is a handout I kind of condensed the um medical decision making table um so youll be able to access that too so welcome while we work through the evaluation and management code updates part one and just kind of a disclaimer that we always have to do for these that its current as um you know as current as as it is today but you know tomorrow can always bring something new it seems like um and so uh what well be covering today are the general guideline changes um Ill be discussing the inpatient and observation Services which kind of pairs nicely with the admit and discharge on the same day services and then Ill be talking about the prolonged services and tomorrow Mickey gets to cover um all of the other stuff that goes along with it so in this section well just cover some of the general guideline changes and this is really not um any specific guidelines section so just um um just kind of as a reminder that these are based on E M codes that us