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The video discusses the evolution and challenges of evaluation and management (E/M) coding. Initially criticized for its complexity, E/M coding has undergone changes since it was first established in 1995, with revisions in 1997. The scoring is based on the patient's history, examination, and medical decision-making. However, Medicare's "Patients Over Paperwork" initiative aims to alleviate unnecessary paperwork for healthcare providers, highlighting that E/M coding remains outdated and burdensome. The video seeks to address the ongoing issues surrounding the current E/M coding system and the impact of these challenges on patient care.