I find it very concerning that approximately 30 percent of physicians and physician groups have not even started to prepare for ICD-10. Right now everyone should be in the final stages of preparation. The delay is over and we all must move full speed ahead. We have five months left to prepare for the transition. Some practices are anticipating another delay; others do not anticipate that it will take much effort to get ready. Many medical practices are expecting that just upgrading their electronic health record (EHR) or practice management system is all they need to do. But getting ready for ICD-10 is much more than that. There is still time to get ready if you begin now. So, how does the medical practice fast-track ICD-10 implementation?