Live pages mean corrections land everywhere at once. This log records the ones that matter: value corrections, rule fixes, and engine upgrades, dated and in the open. Errors caught by readers arrive through the report a miscode link on every tool.
Tools now holds only tools and Guides holds reading and reference; dropdowns stay open while the pointer moves down the list; site search matches code descriptions, so loose body finds 29874; the author credential reads the same everywhere; and the Complication Navigator lost its clutter, with colored answers before any stage is chosen and the rarely used lists folded into one line.
Selected diagnoses now produce a running on-screen list with ICD-10 codes and an editable chart text that contains no measure language; every diagnosis that needs a listed procedure shows, before you select it, which orthopaedic procedures are listed for the current joint; a cohort exclusion now states plainly that no complication on the patient will be counted; search matches whole words with weighted synonyms, so erythema finds cellulitis first and septic no longer matches aseptic.
Five patient stages (still admitted, clinic, ED or observation, outpatient surgery, readmitted) with plain statements of what would count if the patient were admitted; a procedure helper that asks whether a procedure was performed or is being considered and, for aspiration, washout, DAIR, revision, superficial debridement, hematoma evacuation, closure, ORIF, and reduction, states from the CMS table whether it is a listed procedure; and a search that understands concepts, so infection also returns cellulitis, stitch abscess, and the other look-alikes that do not count.
One search box now answers most questions: type a diagnosis, a code, or a finding and see whether it counts, with exclusion codes flagged in the same results. The guided path is three steps, case, category, and your selection with its note, and the bottom bar and drawer are gone. Nothing was removed; the rarely used parts fold away.
Type any diagnosis or procedure code from the index claim and the tool checks it against the 7,403 cohort exclusion codes in Table 2, names the exclusion and its condition, and ticks the matching box; on a readmission, the principal diagnosis is checked against the 243 outcome exclusion codes in Table 7 and the staged procedure rule is applied. The malignant neoplasm exclusion, missing from the original list, was added.
All 442 counted diagnoses and 1,191 listed procedures from the 2025 CMS specification are built in: every category shows its complete, filterable list, any code can be selected and documented, and the procedure question lists which procedures count. The finding-based lists were audited against the file with zero status disagreements.
Diagnoses that count only with a listed procedure now ask whether one is on the claim; diagnoses are ranked by how many checked findings they require rather than grouped by outcome; only checked findings are treated as present; and, per the CMS methodology, outpatient claims never count and windows run from the start of the index admission.
Sections now run THK-1 through THK-8 with death included, the page opens with the diagnosis pairs that split counted from not counted, and the worksheet leads with the selected diagnosis in a few lines.
The mobile Tools menu was clipping its last three entries, including the Complication Navigator; it now expands to fit.
Every chapter now shows its 15 second version directly under the bottom line, so the busy reader gets the whole point on the first screen; 72 filler phrases were removed sitewide. A laptop width navigation overflow that caused sideways scrolling on every page was fixed, and the Complication Navigator was tested on phone, tablet, laptop, and desktop sizes.
A category lookup crashed the tool before it could draw its sections; fixed, and the page now reaches the first input in half a screen with the explanations folded away. A dormant script error on every page was also removed.
The navigation and stylesheet now carry the release number in their address, so phones stop showing a cached old menu after a deploy.
The Complication Navigator gains a periprosthetic joint infection presentation built on the 2018 ICM criteria (draft for clinical review), Sepsis-3 language, and a documentation sentence for every selected diagnosis; a 2027 update hub tracks the proposed rule through finalization; and Analytics now records tool runs, limit hits, pricing views, sign ins, and purchases.
The tool now asks where the patient is (index admission, readmission, or outpatient) and whether a selected diagnosis was present on admission, and closes each category's window by day, so a pulmonary embolism on day 45 correctly shows as no longer counted. Every diagnosis carries its measure category number, death appears as the sixth category, infection and sepsis lead the list, and opening a section no longer jumps the page.
A new interactive tool for hip and knee replacement: check the findings present, see which diagnoses are consistent, and see which of them CMS counts as a complication, which count only with a listed procedure, and which are outside the measure. The right diagnosis is always the true one; this shows what each one does.
The annual plan is now a renewing subscription like the monthly, with access running exactly to the end of each paid year.
Monthly and annual plans now renew automatically, access runs exactly to the end of each paid period, every renewal extends signed-in access and emails a fresh code, and cancellation keeps access through the period already paid. The footer version indicator is back.
The G2211 and modifier 25 pages now carry a clearly labeled note on what CMS proposed for 2027, with the 2026 rules unchanged until the final rule.
With paying customers live, every release now passes a payment path check, a health endpoint reports the deployed version and configuration, and a written rollback procedure ships in every build.
Terms, privacy, security, pricing, and the footer now identify Mima, Inc. as the operator and the party purchases are made from; authorship is unchanged.
Four early page addresses that Google still remembered now forward to their modern homes instead of returning not found.
The changelog filters now wear the site's own button design instead of the browser default.
The homepage buttons are centered and evenly sized on phones again, touch targets meet the 44 pixel minimum, form text no longer triggers zoom on paste, and wide code tables scroll sideways instead of breaking the page.
Every page now carries complete social and search metadata, the references chapter's section links work again, the site search index and AI index cover every page, and the last full and access wording inconsistencies are gone. All 67 structural checks pass simultaneously.
Five review and fix cycles: review dates unified to August across forty files, dollar examples now state their assumptions, the operative question pages route to the operative tool, the security page got its own metadata, the AI-readable site index learned the new pages, orphaned pages were linked, and the closing battery reports every structural check clean.
Incident-to supervision updated for 2026 virtual presence with its exclusions, the dual conversion factor stated, the last 99406 wording residue fixed, safer copy templates, a security and data page, bylines and review dates on every guide, a simpler homepage, honest pricing language, and a changelog you can filter.
New quick answers for the telehealth codes 98000 to 98016 and Medicare's two track reality, the sports physical question, G0402, syndesmosis fixation 27829, and smoking cessation 99406 and 99407, each verified against primary sources and the site's own value library.
Preparation for a possible traffic surge.
The homepage now has a Try It Right Now section directly under the hero: a paste box with the PHI reminder and one gold button.
The search box in the navigation bar was quietly sending every query to the guide library filter, which only knows guide cards, so searching for the glossary or the AI tools found nothing even though the real search page indexes all 63 pages.
Rather than fixing reported spots one at a time, a scanner walked every page for whole classes of inconsistency and the results are unified in one pass.
A telehealth follow up coded level 4 by time while its decision making independently reached level 4, and the output both recited the full MDM breakdown and called time the higher result, which is nonsense when the two are equal.
An annual wellness visit with a knee injection exposed three procedure-layer defects, all fixed: the reader could emit a therapeutic injection administration code alongside a joint injection or a vaccine when neither is ever.
One large visual pass so the whole site speaks one language: the reading column widened to use real laptop screens, the On This Page box now matches the bottom line callout family and floats beside the text as a sticky guide on.
A STEMI note coded correctly as 99285 raised the right question: should it have been critical care?
The second wave of stress notes brought the most consequential E/M correction yet: inpatient neonatal and pediatric critical care is reported with per day codes selected by age, never by minutes.
The companion stress test of five hospital grade clinic notes exposed the day's most important defect, and it was not a coding rule: three of five notes failed to analyze at all inside the Five Note Audit.
A five note stress test spanning cardiac, orthopaedic revision, neurosurgery, surgical oncology, and vascular surgery drove the largest catalog expansion since launch, and the answer key that came with the test was itself wrong three times, which the engine now gets right.
Two further outside reviews arrived, one confirming that the largest earlier corrections (the knee arthroscopy rule, prolonged services thresholds, the postoperative table, the pricing pages) now stand.
The largest correction reverses this site's own earlier position, and it is logged here by name.
Eight new one screen verdicts, weighted to the questions office medicine actually asks: the wellness visit with a problem visit, the annual physical with a problem visit.
The wRVU Tracker gained optional account sync: signed-in physicians can switch it on from the tracker page, and their logged codes, counts, and goal back up to their account and follow them to any signed-in device, with the newer copy winning when two devices disagree.
Full access now follows the physician instead of one browser. Sign in from the account page by typing your email and the six digit code it receives; there is no password to create, remember, reset, or breach.
Four structural steps from the outside reviews, built in honest first versions.
Coding rule corrections: the prolonged services guide now presents CPT 99417 and Medicare G2212 as the different frameworks they are, 55 and 75 total minutes under CPT versus 69 and 89 under Medicare, never interchangeable.
A page by page hunt for errors fixed in one place but surviving in another.
The cleanup the E/M Assistant received now applies to all of them: the same one line PHI reminder above every paste box, the same access card stating the free trial and the price with one clear button.
A slow reread of the highest traffic pages caught what quick sweeps miss.
The access note on each AI tool, previously one dense sentence with three competing links, is now a clear card: what the free trial includes, what full access costs, one prominent button to get it, and one line for entering a purchased code.
A fresh outside read of the site as a primary care physician trying to raise low RVU numbers drove this pass.
Get Full Access now sits in the site navigation on every page, styled so it can be found, and each AI tool offers it right beside the access code entry.
Purchased access codes now run exactly 366 days for annual and 31 days for monthly, replacing the padded 380 and 40 day terms.
The 195 note exam outgrew the fifteen minute window its worker is allowed, so long runs were dying partway and freezing at whatever number they reached.
The buy buttons on the pricing page now go straight to checkout: pay by card, land on the redemption page, and walk away with a working access code in under a minute, no human in the loop.
The last missing piece of self service purchase is built: after paying on Stripe, the buyer lands on the redemption page, which verifies the payment server side, mints a signed expiring access code.
Three layers of automated verification now ship inside the site itself, in a tests folder that survives everything.
The safety net added for missed counseling mentions had an ordering flaw: it scanned the note after the facts had already been copied for scoring, so its findings went nowhere, which is why a live note saying she is a smoker and we discussed cessation still produced no minutes question.
A live note that said, in plain words, she is a smoker and we discussed cessation, produced no counseling question at all.
An independent reviewer went through the site cold and found what fresh eyes find.
The modifier 25 chapter and its companion question article now teach the four legs doctrine the tools enforce: independent interpretation with the study named, prescription management separate from the procedure with drug, dose.
A live note exposed a real flaw: with a knee injected and cessation counseling documented, the tool let nicotine dependence serve as the separate diagnosis carrying a level 4 visit while also offering the counseling code, which is double counting and exactly what an auditor hunts.
Questions now reveal themselves one at a time as you answer, with no buttons to hunt; a faint skip link covers the rare unanswerable one.
On a procedure day, modifier 25 now rests on the doctrine physicians actually use.
The office visit tool was redesigned around a simple idea: ask one question at a time, in one column, and only the questions the note actually left open.
Live clinic feedback drove this pass. The warning above the paste box is now one calm sentence; the full guidance stays at the bottom of the page.
With the pricing library now covering the entire musculoskeletal surgical range, the operative note reader is instructed to name the exact CPT for any procedure outside its structured catalog, trauma fixation especially.
The VA fee table was loaded and put to work carefully.
The Orthopaedic Coding Companion has merged into the wRVU Calculator, which now does everything the Companion did and more: 549 searchable codes, modifiers on every line, and shorthand search.
Every trauma code added last release now carries a verified 2026 work RVU instead of a placeholder, loaded from published fee schedule data: patella ORIF (27524, 10.
Two gaps found in live use, fixed.
The E/M Assistant now has a See an example button: a clearly fictional diabetes and hypertension note runs through the real deterministic engine on your own device, producing the full two column result, the 99214 plus G2211 coding, the rationale, and every live control, with no AI call and no free analysis consumed.
An independent product review drove this release.
Every page now lives at exactly one address: the extensionless URL is canonical, every.
The self-test battery caught the operative extractor occasionally omitting posterior segmental instrumentation from a multi-procedure lumbar fusion when template noise surrounded it.
A second, independent implementation of the AMA E/M framework and CMS payment rules was written from the rulebooks and 6,000 generated scenarios combining common and complex rules (procedures with modifier 25.
Twenty two new scenarios, deliberately different from every prior test, were pushed through the engine and every output was reviewed line by line.
Real clinic notes carry a lot of template text, and the longest ones were being cut off by the hosting platform's ten second limit on synchronous requests, surfacing as a generic "Something went wrong.
When a postoperative note carries the surgery date and the service date, the assistant now computes the interval itself: inside the 90 day global period it says which day you are on, and outside it says so plainly, drops any postoperative modifier, and codes the visit as separately payable.
Two rule fixes from live clinic use.
Both AI tools now run two channels on every note.
A new Search page finds any phrase across every guide, and typing a code like G2211 or 99214 shows its current work RVU with a one-click jump into the calculator alongside every page that discusses it.
The complete PPRRVU2026 April relative value file was applied to the library: 59 codes that displayed verify are now valued, and 232 existing values were corrected to the April revision, including the wound repair family, the 2023 hernia family (49593 rose to 10.
The tumor catalog grew from ten thigh and femur entries to fifty two spanning shoulder, upper arm, forearm, hand, pelvis and hip, thigh, leg and ankle, and foot soft tissue (with each site's own size thresholds.
The Op Note Assistant now carries the arthroplasty tool's full playbook: the infection staging map for hip and knee (single stage with modifier 22, head and liner or poly exchange, explant with static or articulating spacer.
The E/M Assistant now codes psychotherapy-only sessions (90832, 90834, 90837 by documented minutes) and psychiatric diagnostic evaluations (90791, or 90792 when medical services such as prescribing are documented), completing the behavioral health core alongside the existing E/M-with-psychotherapy pairing.
Critical care (99291 with 99292 units) now codes by documented time, home and residence visits (99341 to 99350) joined the engine, and psychotherapy documented alongside medication-management E/M now pairs the correct add-on (90833, 90836, or 90838) automatically.
Prolonged services in the hospital and nursing facility now code 99418 at the published thresholds, and the nursing facility family arrived end to end: initial care (99304 to 99306), subsequent care (99307 to 99310, four levels), and discharge (99315 and 99316 by documented time).
The E/M engine now codes hospital consultations (99252 to 99255, with their own time table) and same-date admission and discharge (99234 to 99236).
An automated audit found thirteen engine values that disagreed with the site's fee schedule library, including total knee and total hip arthroplasty and both meniscectomy codes.
Initial hospital or observation care (99221 to 99223), subsequent care (99231 to 99233), and discharge day management (99238 and 99239, selected by documented time) now code end to end, with G2211 and wellness codes correctly barred outside the office.
When documented tobacco cessation minutes appear in a note, the E/M Assistant now reports 99406 or 99407 directly with modifier 25 on the visit, instead of only coaching about it.
The Op Note Assistant now selects 22842, 22843, or 22844 automatically when three or more fixation segments are documented, reserving 22840 for non segmental constructs, and reports multi level add-ons as units (a three level ACDF reports 22552 x2).
The E/M engine now produces the Medicare AWV combination directly: G0438 or G0439, the problem visit with modifier 25, and G2211 under the CMS preventive exception.
The laparoscopic hysterectomy family (58570 through 58573) and hysteroscopy with biopsy (58558) now carry verified 2026 values.
A prose sentence stated 99204 at 3. 00 wRVU; the correct 2026 value is 2. 60. Caught by external review; every value on the site resolves from one shared library, and this sentence now does too.
Removal of a loose body from a different compartment now bundles into knee arthroscopy with the Medicare G0289 guidance shown in the output; some commercial payers accept 29874 with modifier 59.
CMS applied a 2. 5 percent efficiency adjustment to most surgical wRVUs for 2026; the library reflects the post adjustment file and the companion says so.
Anterior abdominal hernia repairs now resolve to the exact code among 49591 through 49596 and 49613 through 49618 from documented size, reducibility, and recurrence; deleted legacy codes were removed.
29877 with meniscectomy now bundles per current NCCI in the same or a separate compartment, and the public validation example demonstrates it.
Two sources conflicted on 33533, so the value was removed rather than guessed; the code shows "verify" everywhere until an official figure is confirmed.