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some time ago I made this video that said hey do you think e m coding kind of sucks well e m coding has changed a lot since then so its really time to do an updated video series about why evaluation and management coding still sucks so in my previous videos we talked about scoring evaluation and management based off of the history the exam and the medical decision making that is how evaluation and management has been scored since the scoring system was developed in 1995 and then it was revised in 1997 to develop different exams so weve been working with those 95 and 97 guidelines for a long long time but then some time ago Medicare came in with their patience over paperwork plan patience over paperwork was medicares supposed initiative to help reduce the amount of paperwork for Physicians and health care workers so that they could focus on patient care because the way we score evaluation and management was so outdated of course that was one of of their big targets that they said oh