I personally never paid for Xlink - Medisoft Advanced 17 recent update - cost was $1,100 and when installed did not work. After many e mails with sales they finally said that it appears that no one gets the upgrade to work without paying $400.00 for the 'supoort' to install - BTW after a week or two more they finally checked it and Medicare still has not fixed on their end so no pay since 12/23/11.
I think it is smarter just to double enter in Medisoft and AC as that makes you double check the numbers for billing anyway and sometimes the person making appt. and entering chart is not a biller and screws it up. Takes a minute or two one time to enter in Medisoft and then it is in there.
Your CQM, etc will only count if you enter a CPT in AC, otherwise the only charts counted might be race, ethnicity, language which anyone can enter when they enter pt. Otherwise the only patients in numbers will be ones you enter a chart note in.