office operations, as well as integrates patient flow, workflow, and cash flow applications. The Pulse Patient Relationship Management solution also includes practice management, scheduling, billing and collection, contract administration, electronic health records, e-prescribing, electronic orders and results, document imaging and management, electronic charting, automated E/M coding, and voice recognition, as well as smart phone solutions for physicians and nurses; and physician Web portal and ambulatory surgical center solutions. In addition, the company offers consulting services, including customized programming, technical training and assistance, functional training and assistance, accounts receivable analysis, system analysis, data quality review, operational review and assessment, and educational training services; and third party interfaces and data conversions. It serves small to large physician groups, single-site and multi-site practices, multi-specialty organizations, ambulatory surgical centers, management services organizations, and integrated delivery networks. The company is headquartered in Wichita, Kansas with regional offices in Boston, Massachusetts; Dallas, Texas; and Kansas City, Missouri. As of July 27, 2010, Pulse Systems, Inc. operates as a subsidiary of Cegedim SA.