In the short time I have been using AC, I have recognized the same issue trying to keep track of unfinished notes. I have no MA, and I am reluctant to rely on my front desk to put an entry in the chart (they might forget, and I don't want to give them more work). I have found that Bert's suggestion works well for me. If you do nothing else when you see a patient, open their chart. I usually do this before the patient is even in the room (often with the plan to do the whole note). But even if you put NOTHING in the chart, if you hit Ctrl-S, you have a reminder in your messages to finish the note (the reminder of course is the blank note staring you in the face).