Serious fallout from incompetent website delivery: some will know that the US is moving from ICD-9, a coding classification used to describe medical care and one of the main components of healthcare billing in the USA, to ICD-10 in October 2014. CMS had planned not to perform end-to-end testing of the ICD-10 transfer. However, after the untested website debacle, there is noise +++ about the need for thorough end-to-end testing well in advance. Fair enough. Inability to access the website to browse plans was an inconvenience: SNAFUs delaying provider payments by as little as 3 days could push some out of business. Uh oh- there's already been a postponement of ICD-10 from 2013 to 2014 (FWIW most nations moved to ICD-10 last century) so another delay would cause serious upheaval, especially when the AMA has expressed opposition to the change and is supporting legislation to prevent it.