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In this video tutorial, the speaker introduces Dr. Dave Friedenson, CMO of Reventix, who is a partner in coding for emergency medicine. The discussion highlights significant upcoming changes from CMS regarding documentation and coding practices, set to take effect in 2023. These are the first substantial updates since the 1990s, indicating a major shift in how emergency department charts are created and understood. The speaker emphasizes the importance of adapting to these changes, as they represent a long-overdue evolution in the standards for emergency medicine documentation, indicating a seismic shift in the existing paradigm.