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Finally, the critical importance of ICD-10 testing in healthcare has a national stage. The overwhelming evidence that such testing was overlooked and not performed properly is being highlighted during the current U.S. Department of Health and Human Services (HHS) hearings concerning the launch of the healthcare.gov insurance exchange website.

As professional testers, we see this type of laissez-faire approach to general testing on a daily basis, and the same mistakes are on display in ICD-10 testing as well. Lack of testing always has had the same reasoning behind it: not enough time, not enough money, not enough environments, it’s too hard, etc. Healthcare has never fully invested in testing, which is clearly evident in the complete lack of end-to-end testing environments.

The industry is still learning what other industries have known for decades: that it costs 50 to 100 times more to fix defects once they hit production mode. We have seen every excuse in the book used to justify why testing can’t be done properly, all of which reflect why it doesn’t hold the importance it should.


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