 CPT not changing only the DX codes  Cost for mid-size practice could be around $300,000 for costs associated to ICD-10 changes (Training, system upgrades)  Increase in denials resulting in a decrease in cash flow  Practices could have a significant productivity impact for 3-6 months (Increase in documentation time, larger code sets)  Reduced productivity due to training and increased documentation requirements Impacts to Physician Practices
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