Quarterly report pursuant to Section 13 or 15(d)

Acquisitions - Schedule of Business Acquisitions, by Acquisition (Details)

v3.5.0.2
Acquisitions - Schedule of Business Acquisitions, by Acquisition (Details) - USD ($)
Sep. 30, 2016
Dec. 31, 2015
Dec. 31, 2014
Business Acquisition [Line Items]      
Goodwill $ 9,473,765 $ 8,971,994 $ 8,560,336
Gulf Coast Billing Inc [Member]      
Business Acquisition [Line Items]      
Customer relationships 1,100,000    
Goodwill 344,000    
Non-compete agreement 20,000    
Tangible assets 16,000    
Total 1,480,000    
Renaissance Medical Billing, LLC [Member]      
Business Acquisition [Line Items]      
Customer relationships [1] 190,000    
Goodwill [1] 135,000    
Non-compete agreement [1]    
Tangible assets [1]    
Total [1] 325,000    
WFS Services, Inc. [Member]      
Business Acquisition [Line Items]      
Customer relationships [1] 265,000    
Goodwill [1] 23,000    
Non-compete agreement [1] 10,000    
Tangible assets [1]    
Total [1] $ 298,000    
[1] represents the preliminary purchase price allocation