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hello there guys um my name is Dr Carlo o Iamp;#39;m a board certified amerage physician and in the past I created an rvu uh black belt course which taught the five levels of care how to get there based on the uh back then the 42810 rule where it means that you needed so many elements in hbii so many review system so many physical exam so many decision making to get to 12 level five and the course Focus heavily on the importance of critical care documentation the good news is the critical care part of it has not changed so thatamp;#39;s the quickest and best way to get your chart to level up to the best highest level of uh billing but the new changes on the uh how the charts are analyzed and then built for has changed dramatically itamp;#39;s not based on HPI on physical exam findings itamp;#39;s based heavily on MDM and thatamp;#39;s how much more time consuming a more difficult part of the chart to beef up because it takes time you have to show that you did this and you check la