As someone who performs procedures daily and who types some of the notes himself, I was hopeful that AC would make it easy to do so within the patient's chart. My conclusion is that the program can't do this well enough (especially with its limited formatting ability). The solution I use is simply to create reports in Word and import them.
If I did create the reports in AC, I would likely use Steven's method.
I agree with Bruce that the program's counting for MU has created an additional reason NOT to create a progress note to document a procedure. One approach would be his idea: a button which would keep the note out of the MU counts. Another would be to automate the process: only visits coded for visit E and M codes (those which are included in MU) should count towards the totals. Any other note (including procedure notes and those created for other purposes; e.g. to enter information at times other than a visit) should not be counted.
This is a potentially important issue; I think AC needs to fix this automatic counting. The program should be sophisticated enough to know if a note should be counted towards MU.
