Thank You for the input folks. Just looking a ray of hope. I've made over 9,000 cold call contacts in the last 2 years with office managers and doctors, and all I have to show for it is 3 part time Chiropractor clients, with a total monthly income of $122.50 + 2 former clients whose office managers were were very happy with my services, but were later overruled by the doctors that insisted on doing the billing in house at greater expense, so they could "keep an eye on things" ...(oh yes, and a large army of medical professionals I've contacted that are "thinking about it"). I'm going door to door for the next 2-3 months to see if that will work any better. Since starting my business two years ago, the 2 most important things I've learned is: 1. Medical billing is not overly complicated, and 2. Signing up and keeping clients is only slightly less difficult than pushing a large boulder up to the top of Mt. Everest.