One thing I am discovering is that there are two fundamentally differing ways to handle sign-offs, leading to different ways to handle work flow. AC wants you to put everything into the program, then the doc reviews it and signs off on each one. Leslie's system has the doc sign off by stamping each document with a signature stamp. This effectively makes the sign off in AC is less important, and a batch sign off is fine. Of course you need to be sure nothing gets into AC without that stamp. Your system, Bill, uses features of each. On the plus side, you save time by having the staff do the sorting, converting, and naming. You do then have to review everything again when it gets into AC (bad in terms of time; good for the reasons you stated).
The choice has big implications for handling the flow of paper in the office, as well as time management for the doc and staff. Clearly there are advantages and disadvantages of each. Like you say "to each his own". I am trying to figure out what works best for me. I am also looking into Updox which may change the whole equation... No one talks too much about these issues, even when buying an EMR; yet they have a major impact on day-to-day life in the office.
