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All covered entities (health plans, health care clearinghouses, and certain health care providers) should start their preparations with the following steps:

1. Inventory current information systems to determine which ones will be impacted by the change.
2. Communicate with existing information systems vendors to determine their upgrade plans.
3. Evaluate current business partners (clearinghouses, practice management software vendors, etc.) to determine their plans to meet the deadline.
4. Educate and train your business and technical staff on the changes and how best to address any challenges.