These are issues that I have raised over the past several years. There needs to be a better way of correcting ICD and CPT codes and make it adaptable for the individual practice. For example, 90% of the CPT and 90% of the ICD-9 codes will never be used by me. The database is apparently Access based but there is no access for the user. The medication database is a mess. I am working on cleaning that up but with over 42,000 entries (many of them are non-human dosages or gross errors of immense proportion ...mg instead of microgram)that it is a long arduous process. It would be helpful if a few of us can work together to clean up the database and proof them so there is less likelihood of medication errors arising from use of AC. The pharmacy occasionally calls me with some of the dosage/spelling errors that is present in the medication database.
I also see your point about the E/M and CPT coding without signing. That would be a helpful feature for someone anal compulsive like me that don't want to finish a note prematurely... thus if I was to bill from AC, I'll have to wait until the note is completely finished (which may take weeks).

Well, it's nice to see that I'm not the only one that feels this way.

Roy