We kept seeing telehealth E/M claims fail on the first pass even when the clinical documentation was solid. The common thread was not medical decision-making. It was a place of service. Clinicians were documenting telehealth correctly, but patient location was buried in free text or assumed. That left room for POS 02 and POS 10 to be selected incorrectly at charge capture. We made one operational change. We required a patient physical location as a discrete field during the encounter and configured the system so it automatically drove POS selection. If the patient was at home, POS 10 was locked. If not, POS 02 was locked. The claim could not be released without this alignment. We paired it with clear modality and modifier rules so nothing conflicted downstream. The result was measurable. Telehealth E/M denials tied to POS errors declined by more than 60 percent within two months. First-pass acceptance improved across multiple practices without asking clinicians to write longer notes or remember new rules. The system enforced correctness instead of relying on memory. The broader lesson is about design. When errors repeat, education is rarely the answer. Structure is. If a data point drives payment or risk, make it discrete, required, and connected directly to output. This applies whether you are building healthcare workflows, financial systems, or any process where small ambiguities create large downstream costs. Remove choice where accuracy matters and let the system do the hard work.