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all right well good afternoon everyone Im excited to welcome you all to this complimentary webinar on the upcoming changes to the e m guideline guidelines for hospitalists in the ER Department my name is Rob delgiorno and Im the chair of the investigations audit and compliance group here at Garfunkel wild and Im joined by Garfunkel Health advisors president Alicia schickel and our associate Simon schachler back in 2020 we were here getting you ready for the 2021 e m changes and were back at it again helping everyone get up to speed on the 2023 changes for those of you familiar with the 2021 changes youll see a natural progression here and a continuing focus on your coding levels being driven by medical decision making and an effort to ease documentation burdens though Im not sure that will be accomplished but of course time will tell Garfunkel and Garfunkel Health advisors have always been ahead of the curve on changes in the health care industry and in this case so much so that