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Lewis Jr. M - According to Baltimore-based Nachimson Advisors, the ICD-10 upgrade will cost $83,290 for an average small physician practice, $285,195 for an average medium practice, and $2.7 million for an average large practice. Nachimson defines a small practice as 3 physicians and 2 administrative assistants; a medium practice as 10 physicians and midlevels, a coder, and 6 administrative staff; and a large practice as 100 physicians and midlevels, 10 full-time coders, and 54 medical-records staff.

   

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