Jim,
Here is what works best for me.
We use a paper superbilll of our own creation. It contains our CPT codes and about 80 of our most common diagnoses with ICD 9 codes.
I am given one of these for each patient appointment. When I finish with the patient, I quickly circle/write in needed information and it goes back to my secretary. She then enters billing info into Lytec, schedules tests, follow up etc.
Very efficient. I do not have to be finished my AC note for my secretary to do the billing. I only enter CPT codes for visits in AC so that AC could track the data for MU. We will manually revise our superbill for ICD 10 codes. Yes, for some things, paper just works better.

[Linked Image from amazingcharts.com]


Donna