I made a separate user account for them on the server and allow access through Remote Desktop in case they need information regarding what procedures were done, or to find out if the visit was coded correctly.
Lowell, our spreadsheet consists of a couple of columns which hold the amount info and what type of payment was made (cash/cc/check) and it automatically tallies at the bottom and separates the different payments so that it is easier to make the bank deposit and check the amounts. If you trust your staff to code on paper, why not let them code in AC? Then you can generate the HCFA/CMS1500 and print it to PDFRedirect. We print ours to a PDF file daily and send via email. Much less paper wasted and we don't have to worry as much about something getting lost in the shuffle. You could also set up FTP, file transfer over an IM client, or use a USB drive to give them the files everyday(in case their inbox cannot accept large documents.