We are a Radiation Oncology group practice in Miami, Fl. with 3 hospital-based centers and 2 freestanding centers. The hospital centers use different versions of Impac with different levels of EMR from 100% in one hospital to 30% in another. The freestanding centers use Aria and are 100% paperless. We were outsourcing our billing and the amount of work that we had to do was enormous due to the manual entry of every procedure. There was no follow up on denials by the billing company and their monthly reports only included the "good" things but not what they were missing. We got involved with Iridium Suite almost from the start of this company in 2007 and we just reached patient 6,000 in their database. They have incorporated many of the things we asked for based on our experience, and the system fits us like a glove. We import everything electronically from the 5 locations, no manual entry of anything, which is 99% of our billing and we get electronic remittances from about 80% of our payers therefore minimizing the manual posting and human error. The system has allowed us to bill for a procedure on a Monday and to have the money in our bank account on Friday the same week with direct electronic deposit. This is fantastic. They do periodic updates, which are included in their annual fees, which by the way are extremely reasonable. There is no upfront hardware or software expense, everything is Internet based and their technical support is excellent. We have a person-to-person relationship with them although we do not necessarily speak that often since there is no need. We recommend this system for any Radiation Oncology practice and I am sure it can do the same for any specialty.