At numerous meetings since the ICD-10 delay was announced, the chasm between large and small providers, entities, and practices has been evident.

Obviously, some small groups are well ahead of the pack and some large groups are lagging, but the profound discrepancies keep reappearing. Stanley Nachimson recently commented on the need to do things differently in this additional year. My first thought was, “What things? We need to stay the course.”

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