I have to add, thst the more I read about AC, and the more I play around with it, the more I like it. One of the main things we will need in our practice is something that is FAST. One of our sister sites is going to be getting NexGen, because their HMO is going to help subsidize it. They are as busy as we are, and though I don't have any experience with that system I do think it may be slower than AC. I like the ability to work around things with AC, and the flexibility that that affords.
And of course, the price, and the fact that there is no other crap to put up with (as Barb said), are very enticing.
Although the CCH IT certification was probably a big pain, ours is one situation where that will make a big difference. I am certain that our partnerships compliance officer would never allow us to utilize a program that didn't have this certification!
Melanie