For me, the change to ICD 10 just does not seem to be that big a deal. In part, this is because of a lucky break.
I was one of those folks who was waiting for integrated PM in AC. When it became clear that that was not going to happen, I accepted the fact that I had to buy a new version of my PM program, Lytec. (Jim, I know that your office uses this also.) Lytec 2014 came out at the end of 2013. It has ICD 10 support. It includes a tool that will convert the diagnosis codes that you have been using. 80% of the codes are 1:1 conversions. For the 20% that are not, it gives you suggested choices and you pick one. So, we did this to add the ICD 10 codes, and cleaned up our code list over the last few days. Since I have been using Lytec for 25 years, almost every diagnosis we need is in Lytec; we very rarely have to set up a new diagnosis.
I hope that others are as fortunate with their PM programs.
AC is way behind, not MU certified until mid 2014, and who knows where they are in ICD 10 preparation or what the procedure will be for converting the existing diagnoses in patients' records. They continue to communicate very little. Confidence continues to erode because of failed initiatives, missed deadlines, etc.
I don't know whether I am going to consider MU 2, so it doesn't matter to me whether I update AC at present. The key function is being able to bill, so, for that, I am ready.