That it shuts down. Honestly, while it feels cheap, it does most of what it promises most of the time successfully. It does handle whos checked in vs in the room vs done pretty well, and the scheduler handles multiple doctors well, as long as you are fairly careful scheduling.
Current issue (detailed after) serious enough to cause financial patient info issues aside, They fail at most of what they do. You cannot get a manager or help, I've been trying for 6 months. The program is slow, clunky, and awkward.
The scheduler scroll wheel defaults to changing doctors, so it misschedules people once every other day or so, and we spend time correcting it each day. The checkout area pauses for 3-5 seconds every time you post something. The patient management gets messed up if you actually click on the search bar instead of just typing. Inventory cant handle more than 100 items, so if you do you have to scroll to the bottom, and it adds 100. So for 500 items, you have to scroll to the bottom, wait, scroll to bottom, wait, 5x times. The new update changed the layout, except only cosmetically. It now looks like html5's generic style. No seriously, it looks about as good as a web form.
As for my issue: The internal payment system that they run messed up and took someone payment but applied a debt. I can't change or delete it, and its been since august that this difference of $473 is on a patients account, and they won't change it. They told me in september (30 days after, a dozen calls later) that its a known issue, and they are patching it and will update me. Well, countless calls from my side later, they updated it a month ago, but it didn't fix the number. We are now in 2018 and we still cant get an accurate report from the system because of it. So, lets say they want a copy of their billing of 2017. I cant give it to them without handwriting things on it, or recreating their entire history day by day, item by item. I've asked and asked, and left messages, and never a call back. Please don't support them, I regret our purchase.
Unless you have a very simple-standard office, don't. Its prickly, awkward, and requires learning of its quirks. If you want some feature outside the normal bounds, supposedly they have it, but not in my experience.
When talking to them, I would be very careful to ask HOW the software handles functionality x, y, or z. rather than accept a "Of course it does that!".
They are supposed to support our front desk staff with scheduling, billing, and reporting. Scheduling is decent but has a lot of easy mistakes to make. Billing functions well enough, glitch aside. Generating reports is nice for the doctors, and it does well for printing, but it doesn't export data in excel tables, requiring a lot of cleanup.