Bert,
How many staff do you have? We're also a solo general pediatric practice (12 yrs). Right now there's 3.5 staff, no nurses, do billing ourselves. But I think 4 fulltime would be more suitable. We see about 30 patients a day from 8:30 - 5:30. We hardly ever stay later than that, but the doctor is behind on finishing notes (she doesn't take the computer into the exam room, does all notes after the exam) and the billing is about 2 weeks behind. If patients call during business hours we never send them to the ED.
I got a lot of tips from the board to make all this work. I think she was seeing 20 patients before we started using AC. I had to research what steps are really necessary and cut out anything that used to be done before but is not really needed.
I think our doctor is tired but she really loves what she does and is willing to finish her work at home. Her kids are grown up, out of college now so she has more free time.
Serene