I split this thread from the General Discussion Forum. This was Dr. Mody's question.
http://www.amazingcharts.com/ub/ubbthreads.php/topics/25037/Voice_Dictation#Post25037 This is my answer.
Most small practices can get away with using Dragon Medical 10.1 Small Practice Edition ~
http://www.knowbrainer.com/ShopOnli.../dns-medical-sm-practice-edition-101.cfm which carries an SRP of $1199 but is MAP priced and typically sold from Nuance certified speech recognition specialists for $1149. I recommend going to a reseller for, as David pointed out, that extra layer of Technical Support.
The microphone that's included in the box should only be considered as a starter microphone at best. To get the most out of NaturallySpeaking you need a good sound card and microphone. Otherwise you are just putting bicycle tires (by using the OEM microphone and your integrated soundcard) on a race car (Dragon Medical).
To specifically answer your question, you either need to use Dragon Full Medical or the Small Practice Edition (our recommendation) to work with Amazing Charts. All other versions of NaturallySpeaking are disabled their use in EMR applications.
It is not easy to make a specific microphone recommendation because it really depends more on your needs which can range from hand-held microphones (to avoid looking like a cyborg in front of patients), multitask microphones (works on your telephone and computer), ultra noise canceling headset microphones and even desktop microphones. Without knowing more information, it's difficult to make a single microphone recommendation but what I can do is point you to our KnowBrainer Microphone Comparison Matrix ~
https://www.knowbrainer.com/storefront/index.cfm?fuseaction=category.display&category_id=18 where you can view our latest microphone test results which compare pricing, accuracy, noise cancellation, features and even comfort.