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In this webinar, Rob DelGiorno, chair of the investigations audit and compliance group at Garfunkel Wild, welcomes participants to discuss the upcoming changes to the evaluation and management (E/M) guidelines for hospitalists in the ER Department. He is joined by Alicia Schickel, president of Garfunkel Health Advisors, and associate Simon Schachler. They reflect on their previous webinar in 2020 regarding the 2021 E/M changes and emphasize the natural progression towards the 2023 updates. Focus remains on coding levels influenced by medical decision-making and efforts to reduce documentation burdens, although achieving this may be uncertain. Garfunkel and Garfunkel Health Advisors continue to lead in adapting to industry changes.