Basically true, but salaries can be a huge expense. The EMR itself, if properly made and used, and priced reaonably, can really provide a cost savings by just eliminating paper, paper charts, file cabinets and the salaries associated with "maintaining/using" these items. Now, add in Online Appointment Scheduling,and you can vastly reduce the need for someone to schedule appointments (reduce, not eliminate). Use automated email (or automated phone, but I prefer email) to remind patients of their appointments instead of having a staff member call. In general, us technology to handle things more efficiently and less costly than the staff that is available. If you reduce it enough, what is left may be best just done by yourself. At least try to reduce your staff to just one, or possibly 2 people. If dealing with insurance companies, one of those people will deal with billing issues. If not, well, you just eliminated that too.