Paul, have you and Nancy switched to Practice Fusion? Do you like all the ads, or are you paying money to have them deleted. Glad you have no issues with them selling your data.
I truly did not know that PF has a robust PM system (this is not cynical, I did not know this.) On review of their website, you can export to your current biller (AC can do this) sign on to one of their billing partners (AC can do this) or sign up for their "affordable" billing software (AC's not there yet, but the software will be included.
I have achieved meaningful use. The costs of using AC for 10 years have been recouped. I will hopefully go on to the next stages and actually have a surplus, but if not, I still have the best EMR out there and I am satisfied. My understanding is that PF will NOT achieve MU2, and I am comfortable that AC will, thus, AC is more cost effective.
I do think that AC should have considered joining with an existing billing software such as either Office Ally's software or EZclaims.
It might have been cheaper for them to buy a version of EZClaims for everyone than spend the time they have on coding and then they could CLAIM they have an integrated PM system. EZClaims is not great but it would have filled the nitch.
Office Ally has their own agenda and has their own EMR, but perhaps that could have worked. I do not know enough about their Practice Mate product to have a comment about it's pro's and con's.
But AC felt it would be better to build it from the ground up. They have done a marvelous job. V7 is very good but there are still some glitches. You can't have glitches when you are dealing with peoples money, so it has not been released in general circulation. As James said, it's a tall task and easy to get bogged down on little details. I accept their way and continue to do my billing outside at the present, but I am ready to change as soon as practical.
Many software products are delayed from expected release, AC is no exception, but they let you know what is in the pipeline and often let you beta it easier than many companies.