In early 2009, 11-hospital BayCare Health System, serving the Tampa, Fla., region, started mapping out its three-phase plan for complying with the ICD-10 code sets that have a compliance date of Oct. 1, 2013.

That plan this year included testing about 80 coders to assess their existing knowledge in medical terminologies, anatomy, physiology, pathophysiology and pharmacology to assess their educational gaps. But explaining the need for the tests to the coders was tricky; they feared if they didn’t score well they might lose their jobs.

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