I'll have to take a look at Practicout -- thanks for your information, Julie. I'm still using SylCount IV Gold, though I have not had the problems others have apparently reported with that version -- with the counts varying -- mine are always the same and have coincided with the MTSOs' counts.
Sylcount was the cause of my having to issue an abject apology to a client and issue a credit - the only time I have ever had to do that.
Then again, I tend to put a lot of programming in my templates but they have what is, IMO, a fatal flaw.
I frequently use second page headers that are automated; i.e., I use a bookmark and cross reference in the document to fill in the same information into the header, such as patient name, date of service, etc. That header only shows up if there is a page 2. You never see it if there is only a page 1.
Except if you're using Sylcount Gold IV.
I was doing a radiology account and being the lazy person I am, I programmed it to do that second page header. It was about 17 lines total. If you've done radiology, you know not a lot of reports go to page 2.
I did wonder why the line count was so high but hey - I was making good money, who was I to complain?!

However, the next time I ran the count to bill them I just couldn't accept it - I KNEW something was wrong. Took me awhile to track it down but there it was - showing those extra 17 lines on 1-page reports.
I had to recalculate the prior invoice and issue a credit to the client against the CURRENT invoice.
And the other thing I like about Practicount is it counts multiple file formats including Excel, PDF, html - it's used by a lot of different industries.