The problem is the the II, which I don't use anyway. But, most people do. So, I just print to PDF and combine everything. That will give me the count.
As to the II, you can check properties of the folder, and it will give you the number of files and size. The problem is it could be one file. Which is one PDF, which is 500 pages.
In our state, you can charge by the first page, and then so much for the test up to a certain maximum. But, the law actually requires physicians to charge by the time if it is done digitally. They don't specify how to do that so I just charge a certain amount based on my salary. If a staff member does it, I charge less. 500 pages takes me 15 minutes and 5,000 pages takes me 15 minutes. The only difference is I charge more if it is a transfer especially if I charge so I can delete unneeded pages, make sure there isn't another patient in the record and put everything right side up.
I am the selected person for the human genome project for passive-aggressive. I charge most patients for transfer of records. Unless for moving or sending for consults, of course.
