1. We put procedures under ADDENDUM - as this asks for its own Coding for creation of superbills and cross reference procedure in the PLAN section of the main note on the same date and use modifier as appropriate. We use AC superbills and send these electronically to our outsourced billing company.
2. We find it very USEFUL to have AC put the CPT and ICD-9 codes for us in the superbill so information transfered to billing company reflects the one we are putting in the chart.
3. We use Dragon Medically Speaking - a great progam - just place your cursor into the desired field and dictate. Accuracy is great after you have trained it.