This session is for experienced coders who want to stay ahead of the curve. We will go beyond traditional coding rules to confront today's most pressing challenges in ear, nose throat (ENT) revenue cycle management. Through interactive case studies and a deep dive into payer logic, we’ll expose the root causes of common denials and equip you with a new set of tools. You’ll learn how to defend your coding from automated downcoding and understand how payer AI is reading medical records. We'll also provide a strategic framework for appealing these AI-driven denials, especially in complex scenarios involving in-office evaluation and management (E/M) visits with a same-day procedure (modifier 25). Leave with the strategies and insights needed to navigate the future of coding with confidence.