I apologize if this issue has been addressed previously. I just updated AC to 9.2.0. In the past I have always paid the annual user fee for 2 high level providers (me and my optometrist). However, ever since I started using AC, I always had a third mid level provider (Nursing) that my staff could use solely to scan miscellaneous, non-medical related items into the chart without me having to sign off every little item. With the update, I received a warning that I have 3 providers, but am only paying for 2. So, in an attempt to be consciencious, I switched my Nursing log-in to medium level, and now everything that is scanned in under Nursing has to be signed off. My in box is bombarded with sign-off items. I understand the importance of chart items being reviewed by the MD, especially labs, consults and imaging studies. My staff is very well trained and anything not related to the day-to-day business operation of the practice is sent to me for review. I am sure you all deal with this. Is there any work around? I think it is reasonable to have an administrative option that could be selected in the import items window that would allow staff to import items and select if it needs to be reviewed and signed off or not. Just venting...


Ed Davison, MD
Ophthalmology
Saratoga Springs, NY