Timing is everything. On St. Patrick's Day, I wrote a blog about the sobering fact that there were less than 200 days left until the October 1 ICD-10 implementation deadline and that healthcare providers under the gun could be forgiven for indulging in drink. Now, a few weeks later, a crush of events in Washington have turned the ICD-10 compliance deadline on its head, leaving all of us with more questions than answers, particularly concerning what the process will be going forward.

We've been down this road before. This is the second time in nearly two years that the ICD-10 compliance date has been pushed back. However, this time it's Congress, not the Centers for Medicare and Medicaid Services, pulling the trigger. Something feels very different this time around. I know, with the extension of ICD-10 to at least October 2015, the American Medical Association says doctors will now have "much-needed extra year" to prepare for the code switchover. Yet, knowing that human nature is to procrastinate, it doesn't give me any comfort.

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