Various industry agencies, organizations, payers, providers, and physicians are reporting that there has been a reasonably smooth start for such a gigantic undertaking as the recent implementation of ICD-10. Like all momentous challenges, there have been some hot spots, some notable failures, some minor toe-stubbing, and some smooth sailing. Keep in mind that many organizations have begun reporting on early poll results. We all know that those may eventually be proven accurate or erroneous in the final results. Given that those outcomes were expected, are there any lessons learned? Any things we could have done better?