As an NP, Medicare is not authorizing us for $$. This is a great EMR and I use this independently with Medisoft. However, I am very interested in the Practice Mgmt as currently, I am being faced with Medisoft requiring updates due to coding changes and other stuff that is over my head such as ICD10 in 2012. They also want me to buy into their EMR. As a small office, I don't need all the bells and whistles. From previous posts, I'm guessing the PMR is still in line... Thanks if you have any other input.