Our Practice has been Lytec Users since the early days. When we finally decided to go with an EHR, my original inclination was to go with the LytecPM, in order to have an all in one solution. The PM however seems to have gone up 4 fold, it also has a lot of nickel and dime add on fees to be truly useful, and the clincher was the 8,000 in mandatory training fees! That said we instead found Amazing Charts. In the near term we will use two systems, AC for charting and our current Lytec for billing, no interface, just double entry. The plan is to see how the AC, practice management works and switch to that if the program works as well as AC! If not we will probably go with the interface to our current system.