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The speaker introduces Dr. Dave Friedensen, CMO of Reventix, a key partner in coding for emergency medicine. They discuss significant upcoming changes from CMS regarding documentation and coding practices set for 2023. These changes represent the first major update since the 1990s, which had defined emergency medicine documentation standards for decades. The speaker emphasizes that this upcoming shift will fundamentally alter how emergency department charts are created, marking a significant and transformative moment in the field.