It seems that works well for you...with my current MyWay system the chart is divided into tabs and the final tab is called 'plan'...it has when I want to see pt back, any patient Instxns I can choose or type in free hand, additional notes as an addendum to chart (this is where I type in orders for my nurse such as referral recs/reports I'd like but don't have, what other things they need like EKG, pt education materials etc etc. there is also a sect for notes that are private and don't become part of the medical record. The rest does become part of the record so when I see pt back I can see what info I gave them or requested etc. For me, if this info is not critical to see before they leave and nurse is with another pt or on phone I can just go on to another room and know it will be done for me to review before I sign off on the note. From here there is a way to designate the note 'ready to review or not ready' for my biller. Any chart ready to review auto flags for her to review and bill. Then billing isn't held up if I want to tweak the note further before signing. By saving the note it auto changes status so receptionist can view and check out pt as well as printing them a summary of the visit. It seems you could see more patients or be more efficient if you didn't have to physically 'escort' or verbally hand off each stage of the process but that's just my outside opinion.