"There are no more delays and the system will go live Oct. 1. Let's face it guys, we've delayed it several times, and it's time to move on." - CMS Administrator Marylin Tavenner.

Delivering a keynote in February at the Health Information and Management Systems Society's annual conference, Ms. Tavenner seemed dedicated to finally implementing ICD-10 in 2014 - something the rest of the industrialized world started doing some 20 years ago.