Use Medisoft since we started in 2001 - actually is more difficult to switch practice management than EMR I think - if you want to change you have to set up new clearinghouses, new agreements for electronic billing, etc. I don't use x-link due to cost and I don't think it takes much to double enter. We actually use a separate superbill at check in - I circle office visit, procedure code,write in diagnoses and my office manager enters into Medisoft - same way since 2001 and it works well.
