Is the ICD-10 transition a rehab project or teardown? At this point it's up to debate, says David Biel, a principal in the ICD-10 practice at Deloitte LLP in Chicago.

Many payers, providers and state agencies--too many, Biel notes--are still in the assessment phase of the ICD-10 transition. While some are focusing on implementing crosswalks and using the CMS general equivalency maps, others, realizing the enormity of the transition from ICD-9 to ICD-10, are considering complete system replacements. "The question being mulled by a lot of organizations is if they want to deal with all the complexity of crosswalks and trying to 'wrap and map" their coding data, or do they want to implement completely new coding technology."

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