I can tell you my experience. I have used Medisoft v6.12 (circa 1997) for nearly 10 years without a hitch. I think I bought it for $79. I used the export of textfile and sent it directly to OfficeAlly which converted the file to HIPPA compliance. It was then sent to the insurers without a fee!!!
Then, due to the NPI reporting standards being initiated, I panicked and bought the hype generated by software company and bought a new license to Medisoft v11. I couldn't upgrade as they stated it's been too long a time period. So bought v11, only to be told I must upgrade to v12 to keep a valid NPI reporting requirement (some fields were changed, I guess).
It's the worst decision I have made. Medisoft (PerSe, in AZ) would not convert the old database to the new format. Instead, technical support stated that the database was "corrupt." There was nothing wrong with the database. The company is the one that is corrupt. I found out later that others have ran into the same situation. Your financial database is held hostage until you fork over $400 to correct this "corrupt database." You know, when your starving, you'll eat anything, even if it is rotten. So we caved into this new demand for money. It still shows error messages that is hobbling the billing/posting process. I'm now "Waiting for Godot" (or a billing software that would treat us fairly). Yes, it is like waiting for the second coming (don't know when, where or how!).
Also, Per Se's technical support waiting time was a record 190 minutes (averages 90 minutes on hold). I paid my biller to stay on the phone. I do feel wronged and the way I was treated by Per Se and I continue to lose sleep thinking about this. I wonder if others have experienced this as well.
Let me know if you (or anyone out there is AC land) has found a billing software that is AFFORDABLE, HONEST, with GOOD SUPPORT, treats doctors FAIRLY, and allows you to use the data/program without the software company having the capability of shutting off your program from off-site.
Thanks.