Annual report pursuant to Section 13 and 15(d)

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

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Acquisitions - Schedule of Business Acquisitions, by Acquisition (Details) - USD ($)
Dec. 31, 2016
Dec. 31, 2015
Aug. 31, 2015
Jul. 10, 2015
Dec. 31, 2014
Business Acquisition [Line Items]          
Goodwill $ 12,178,868 $ 8,971,994     $ 8,560,336
Gulf Coast Billing Inc [Member] | 2016 Acquisitions [Member]          
Business Acquisition [Line Items]          
Customer relationships 1,100,000        
Working capital        
Goodwill 344,000        
Non-compete agreement 20,000        
Tangible assets 16,000        
Software and trademarks        
Total 1,480,000        
Renaissance Medical Billing, LLC [Member] | 2016 Acquisitions [Member]          
Business Acquisition [Line Items]          
Customer relationships 190,000        
Working capital        
Goodwill 135,000        
Non-compete agreement        
Tangible assets        
Software and trademarks        
Total 325,000        
WFS Services, Inc. [Member] | 2016 Acquisitions [Member]          
Business Acquisition [Line Items]          
Customer relationships 265,000        
Working capital        
Goodwill 23,000        
Non-compete agreement 10,000        
Tangible assets        
Software and trademarks        
Total 298,000        
MediGain Acquisition [Member] | 2016 Acquisitions [Member]          
Business Acquisition [Line Items]          
Customer relationships 2,650,000        
Working capital 813,000        
Goodwill 2,707,000        
Non-compete agreement        
Tangible assets 229,000        
Software and trademarks 601,000        
Total $ 7,000,000        
SoftCare Solutions, Inc [Member]          
Business Acquisition [Line Items]          
Total       $ 705,000  
SoftCare Solutions, Inc [Member] | 2015 Acquisitions [Member]          
Business Acquisition [Line Items]          
Customer relationships   373,000      
Acquired technology   81,000      
Goodwill   243,000      
Tangible assets   8,000      
Total   705,000      
Med Tech Professional Billing [Member]          
Business Acquisition [Line Items]          
Total     $ 302,000    
Med Tech Professional Billing [Member] | 2015 Acquisitions [Member]          
Business Acquisition [Line Items]          
Customer relationships   134,000      
Acquired technology        
Goodwill   168,000      
Tangible assets        
Total   $ 302,000