Moving to ICD-10 CM/PCS will require a tremendous effort and can incur incredible cost for private health care organizations. The root of the issue, as we have recently learned from the HIPAA Format 5010 transition, goes much deeper than merely upgrading billing staff acumen. It stems from legacy software systems that continue to function on outdated procedures and codes. As an industry we’ve learned that if a practice’s HIT partner cannot respond quickly and accurately to regulatory changes, both billing staff performance and payer collections are negatively affected. Now, months after the January 1st cut-off occurred and retired the 4010 standard, medical practices are starting to recognize the value of software automation and system sophistication, billing technologies with the capability of managing more than 120,000 new ICD-10 codes in a way that allows simple, accurate look-up and application of codes in a busy clinical setting.