The E/M Documentation Traps Family Medicine Keeps Falling Into

Family medicine runs on office visits, which makes E/M coding the single largest lever on both revenue and audit risk in a primary care practice. The 2021 rules were supposed to simplify it: level by medical decision making or total time, and stop counting history and exam. Five years in, the traps have not gone […]

Human Oversight in AI-Assisted Medical Coding

Purpose As organizations evaluate AI-assisted and autonomous coding, the question before leadership is not whether to adopt AI, but how to govern it. This briefing sets out why a human-in-the-loop standard should be a condition of any coding-automation deployment rather than an optional refinement. It draws on three things: the current independent research on AI […]