Excel Spreadsheet Vs Access Database. I think Richard makes some excellent points. With a database, you would simply upload the raw data from the billing system (assuming it comes out in database format) into a database.
Apart from Microsoft Access on the desktop (and clones like LibreOffice Base), most robust database tools reside on servers.
The main reason for this is that it is simply rather difficult to assure that the excel input form/spreadsheet stays in the form that it was in when your code was created.
Database vs spreadsheet, the choice is up to you, which one would you use? It can be quite frustrating to be unable to easily copy and paste blocks of data, or implement exceptions to the structure of an Access report. I have an Excel Spreadsheet that calculates a risk (of perioperative mortality after aneurysm repair) based on various test results.





