Preparing for ICD-10 was difficult for two-physician Girgis Family Medicine in South River, N.J., and Linda Girgis, M.D., did not appreciate the lack of preparedness of multiple insurers and its clearinghouse when the compliance date came.

However, what really worried Girgis was how payers would reimburse the practice under ICD-10. She feared that it would receive lower payments “simply because they can do it.”

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