I think I would like to see reviews from actual users of the system. I have been using it for almost 2 years. I have heard the PM side is quite good, with an excellent appointment scheduler. We only use the billing side. I do not deny that there are many very good qualities in Advanced MD. I will tell you the one thing we hear all the time: "that's just the way our system is." Although there are a lot of reports from which to choose, the most basic reports have not been created. There is very very little autonomy. Very little flexibility. They used to have a wonderful support team. They try, but most of the time it's just easier to accept that either you have to find an alternate route to make things work for you, or just work with the system. Because you go into their system via the web, changing screens is quite slow. Good qualities include ease of posting payments. There is a popup tickler, however, if you put in an end date, your notes are gone. No trail. If you make any mistake, a change cannot be easily made. Even if you try do it immediately. If you need to change a rendering provider, because of a data entry error, forget it. In this day of HIPAA, audit reports are virtually non existent. You can find out the info, but not easily. I would not give this system more than 2 stars.