Thanks so much for the input. To be honest, the Audit tools can really be confusing. I don't use them now, but I have been trying to make sense of the Marshfield Audit tool as well as other Audit tools since it was reccomended for use with the exam. I code ER records on a daily basis & I've even kinda gotten away from the point system & just determine the levels based on what was done such as EKG'S, labs, etc. & weighing that against if the HPI, ROS, etc is sufficient enough to code it to a certain level. It justs seems easier to look at the whole picture other than just relying on the Audit tools. I plan to take the exam in June. I'll have plenty of time to prepare. Thanks again for everyone's input. This helps alot!!