We just bit the bullet and dropped four grand in to updating our copy of Lytec. Not planning on using X-link. We bill manually off the coded chart notes. Means entering the billing into another program, but our biller also catches coding mistakes that the docs make (like forgetting to bill that Rapid Strep for a kids sore throat, etc).
We'll look at Amazing Charts' PM stuff once there's something to look at. It's in the works, but definitely won't be ready in time for the NPI / CMS-1500 deadline (which is what? next week?!?!)
V.