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ICD-10 presents one of the greatest changes to health information in decades. For any change of this magnitude the risks of problems and ultimately failure are significant. To mitigate the impact of these predictable challenges, it is critical to have a well thought-out contingency plan in place. This presentation will discuss the key aspects of contingency planning. • Making the contingency plan part of the project plan • Identifying risks • Defining options • Picking the right options for the right problem • Options triggers and execution • Understanding the impact of options • Recovering from options • Monitoring the result of implementation Contingency planning cannot be an afterthought. As much as we want to believe in success, being ill prepared to address problems and develop alternatives can result in catastrophic failure. Dr. Joe Nichols is a board certified Orthopedic Surgeon with a long history in health information technology. He has a wide range of experiences in healthcare information technology on the provider, payer, government and vendor side of healthcare business. He has served in positions in executive management, system design, logical database architecture, product management, consulting and healthcare value measurement for the last 18 of his 35 years in the healthcare industry. He has given over 100 presentations nationally related to ICD-10 over the past 3 years on behalf of CMS, payers, providers, integrated delivery systems, consulting groups, universities, government entities, vendors and trade associations. He is also an AHIMA approved ICD-10 coding trainer.