I,too, have adapted Leslie's system in my office. The Brother MFC printers only receive faxes in two formats: .tiff and .max so they need to be converted to PDFs, unfortunately. It is only an extra step or two but that IS one more thing to do.
My system differs slightly from Leslie's in that my staff goes into received faxes, converts the files to .PDF and names them something like "M.Mouse Hip xray". Then they drag it into the file "physician to sign off" I then open that file several times a day, look at the report and initial it with the Paperport text writer. This allows me to also make comments on it for myself and medical-legal reasons like I used to do with a pen e.g. "Discussed xray c pt 2/14/10, f/u if hip pain continues, WL". Once this is imported it cannot be changed. I suppose it could be forged by a staff member but I can't realistically see that happening. I then drag it to the file "Ready to Import" and the staff imports it. I do then need to sign off on it again in AC but that is very quick and gives me one more chance to look at it and be sure it is the correct patient and going into a logical file. Something I could not do with a paper file.
The advantage of this for me is that, unlike Leslie, my staff does the converting and naming. The disadvantage is that they could delete something without my seeing it. To each his own.
Leslie, I have not been able to figure out how to effectively stamp my signature onto incoming documents (homehealth forms, etc.) because it is not transparent so it covers up a significant portion of the area where one is supposed to sign and it doesn't seem to want to sign exactly where I put my cursor, often ending up below it. Did you ever grapple with this? Thanks.
