Our office has used MSA and their software products for many years. With all the changes occurring in healthcare it's more important than ever to have a reliable software vendor, and we have always found that in MSA. Their staff is knowledgeable, professional, and always readily available to help our office with our software needs.The staff at MSA is well informed of the forever changing rules and regulations in healthcare which has been a tremendous help in keeping our office prepared and ready for these changes, including ICD-10.If you want the most efficient software to help your practice run with ease, and a support team to back it....trust in MSA. — Nicole M.