Integrating ICD-10 software is an overwhelming task for even the largest healthcare enterprises; however, it is especially daunting for small- and medium-sized practices that have limited resources. For that reason, the Centers for Medicare and Medicaid Services, which requires that all providers covered by the Health Insurance Portability Accountability Act comply with ICD-10 requirements by October 2015, provides the "Road to 10: The Small Physician Practice's Route to ICD-10." This manual serves as a guide down the path to ICD-10 implementation. One of the most important steps along the way is coordinating your efforts with your healthcare IT vendors, according to the CMS guide.