Paul,
Yes I have used Visionary for about 10 years. When I first found it on the Web, they were a small business very similar to AC and the attention, tech support and price reflected this. I think it is still basically a good program although it definitely has room for improvement. The price I think is still towards the low end as PMRs go. I don't know what they charge new users but I pay $900/year for 5 licenses (I can put it on 5 computers). The tech support has been pretty good although more recently you tend to get the foreign, difficult-to-understand-their-English techies. When that happens I just ask them to enter my system (which they can do remotely) and fix the problem. They have updates regularly which are easy to download. I think its biggest weakness is the inability to produce all the "how-am-I-doing" reports which I would find helpful. There are a bunch of reports available; it just seems they are not in a format I like. They also have an electronic billing platform for all the major carriers but I have chosen not to use it. We do send our Medicare and Indiana Blues electronically and they set this up for us.
Although I am not really unhappy with it, should AC ever get a dependable PMR, I likely would switch so I can keep everything in one place and not have to duplicate data entry.
I will say this for them. They were very helpful when I had to update my server and laptops and did not have the cash or credit to do so. They worked with a leasing company and got me a good plan with which I have been happy.

Leslie

Leslie
Hospital Employed Physician Who Misses The Old AC

"It's a good thing for a doctor to have prematurely grey hair and itching piles. It makes him appear to know more than he does and gives him an expression of concern which the patient interprets as being on his behalf. "