I and my two staffers share the billing duties. I know how to do it all if one is off. I lost my full-time biller this past March and the economy right now is not conducive to replacing her. My PM program (which I have used and supported since 1997) wants $7000 to link me up to a free clearinghouse that can send Medicare claims (which I previously did through the program via modem). I cannot afford that. So, I looked into OA and find it to meet my current needs. I have been beta testing V7 and, for now, it uses a fee-for-service clearinghouse and the upload of HCFAs is not yet up to par (IMO). So, for now, I am triple entering because I am hoping AC will eventually meet my needs. I am still posting to the old PM program.
But, at least I can send my claims electronically and OA does scrub the claims nicely. Not the ideal set-up for sure but, for now, it will suffice....and it is free. I was able to import patient data into OA from AC fairly painlessly although I did need OA tech support which I have found to be very good.
If starting from scratch, the PM function of OA (called Practice Mate)may well meet your needs. But, with 26 years of billing data, I find I needed something a little more robust.
I know AC has the potential and the drive to make a good PM (we have seen it in their EHR) but they are not there yet.