We are using a Xerox documate 510. Generally has served us well over the past 3 years. The staff just puts the items in the scanner, opens the pt chart to imported items, and import directly into the chart (AC runs the scanner, must be TWAIN compatible?). Seems pretty simple with our setup. I just make sure I have signed, commented or otherwise marked the papers before they go in to the to be scanned pile so it is easier for me when it shows up in my electronic box for sign off. We did originally scan things to paperport and then import to the chart but it was too easy for things to wind up in the wrong chart, so importing directly to the pt chart has meant less errors and has been just as quick.