Thanks Donna --
We are on 9.4 now -- it was only a moderate hassle, but I couldn't do it all myself, finally had to call professional IT.
There are some improvements over 6.3.3 -- but not dramatic -- and in some ways it is slower (though reading ImportedItems is enough faster that it is probably worth it). I still have the 6.3.3 install files, but I don't suppose there is any way to roll back the database.
Medware works find -- they just aren't updating it any more. So it will be useable until Medicare does another number on us.
We currently use Office Ally -- it works well.
Maybe we won't hurry into AC PM after all.
