A month later we are doing reasonbly well with AC to Office ally. Not an ideal solution; but workable till we get AC5 w/practice management. I don't do double data entry, but perhaps 1.3x data entry. The AC export has a few flaws when imported into OA; the "signature on file" lines don't autopopulate, -25 modifiers don't carry correctly, the sex of the guarantor clia numebers do not autopopulate. There are also occasional glitches attaching the correct icd9 to the cpt. So, our solution is to leave the the practice tax id off the exported claims by not having it in the practice demographics (main administrator screen). This will cause OA to automatically bounce the claims. The day after upload we go in and quickly review the HCFA claim fix screens and correct the errors and add the tax id. A little cumbersome? yes. But, better than paper or double data entry. Hope this helps.
Art