In a recent letter to HHS Secretary Kathleen Sebelius, the Medical Group Management Association is not advocating a quick determination of new implementation timelines for ICD-10.

MGMA offers seven recommendations that involve extensive cost/benefit analysis, pilot testing, analysis of overlapping initiatives, evaluation of additional code set approaches such as improving ICD-9 or mandating only inpatient use of ICD-10, staggered implementation dates with clearinghouses and insurers first and providers at least a year later, development of a single set of ICD-9/ICD-10 crosswalks, and certification of insurers, clearinghouses, and practice management/billing software.

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