We bit the bullet Literally due to cost and bought advanced MD but didn't link it with AC. McKesson is the clearing house. We brought billing in house the beginning of this year. It is web based and we double entered the data. It is nice from the fact that the secondaries go out automatically once the original claim is posted. Billing (my office manager wife) likes the fact that it is very customizeable and she is a techophobe but set it up with the help of the company. She is doing well now. Our nightmare was the our outsourced biller sat on the months worth of billing before she left as she knew she would no lnger be billing. This stopped our cash flow. I guess that would be my caution to all no matter what program you choose if it means a change.
