Hi Indy
At present here is breakdown of the achitecture my office has mapped as possible solution:
Medisoft v17 Advanced (will have to be upgraded to Pro: $2600-$3000 Inital cost)
X-Link approx $1000 plus upgrades at time of Medisoft or AC new version.
AC approx $2k ($1k therafter)great value I believe
UpDox annual of approx $500 based on service and page volume estimates.
I do have some hardware upgrades that look to be pegged at $1500k one time (Workstation replacement and migration to Windows 7. A few other periferals etc...
In total proejcted project inital cost of about $7k and $1k-$1500 in IT support costs.
Annual of about $1800 assuming Medisoft and AC upgrades every 2-3 years or so.
For a solo practice in California with avg CPT reimbursement per encounter of approx $80, Managed care out the wazoooo and MediCal payments the lowest in the lower 48 any solution that allows me to maintain 25% overhead is welcomed. The one glitch being my need to stay with Medisoft and 700 pages of faxed docs monthly.
B/R
Roxanne