We're still using 2 systems that don't talk to each other. We schedule in AC and do all the financials in the evil empire program through Allscripts. WE print the encounter form out of AC on a pre-printed suberbill (documenting what they paid and how) and then switch to the evil empire Allscripts program to put in the copay, Account payments, etc and then and generate a receipt to give the patient if they want one. At the end of the day everyone balances what they put into the PM program with the cash/checks/credit cards they have in their own bank bag and run a report. This gets rechecked by the bookkeeper the following morning who then puts the charges into the PM program and applies the money paid to it.
I can't wait till we get the PM program here!!