Eric, I forgot to ask you something. You mentioned that your physician signs-off and then a superbill is created. Does this mean the physician has finished his/her note? Can I superbill be created without physician finishing their note.
Yes, the physician finishes the note and then we do the superbill. If note isn't signed off, we don't do the superbill until note is finished. Not always ideal and if you let notes pile up you will certainly have a problem.
You mention that all notes must be signed for the day before you submit. Based on this, I think you are submitting the bills based on "Encounter Date". You wait until all are done for that "encounter date" and then submit. If this is correct, there is a better way. Pull the data by "Saved Date" rather than "Encounter Date". Very important distinction on these dates and if you pull by saved date you never inadvertently miss and encounter that had a delayed sign off.
Hope this helps!