In 2015, ICD-10 finally became a reality, and the dire predictions of problems seem to be wrong. Providers now have codes to describe just about every conceivable (and a few simply bizarre) medical occurrences. If a patient is ever sucked into a jet engine, remember code V97.33XD, or if a patient is burned due to water-skis on fire (is that even possible?), code V91.07XD can be used. On a more serious note, this year may be viewed as the turning point for pay-for-value reimbursement, with CMS pursuing several new initiatives and private payers, including BCBS of Alabama and VIVA, implementing value-based payment programs for primary care physicians. As with other years, the government continues to aggressively pursue fraud, waste and abuse, with a reported return on investment of $7.70 for every dollar spent pursuing improper payments. According to the late Yogi Berra, "the future ain't what it used to be." With that in mind, following are my top ten 2015 health care events for Alabama providers.