I am in solo practice with one employee. We've been using AC to EZ claim to office ally ( to quickbooks) for a billing and PM since we opened 4 years ago without any problems. My one employee and I set up the process without any help, and neither of us is particularly experienced in this, so I have to say, it must not be that hard. This year when we had to replace our 'server' we had to reset it all up again, and it is a little challenging, but not at all impossible. However, nothing is bidirectional. I would give you more details, but honestly I don't even have the vocobulary to do so. (That's how pretty much illiterate I am in all of this, and my employee is not really a lot better). So all I am really doing, is testifying that's it's pretty damn easy to do!
Joan