We use Medisoft as a separate billing program since I have one person in my office who does all the billing (my wife) - although she has to reenter the billing information since we already owned the program it seemed ridiculous to re-buy other software. It also does not take a tremendous amount of time to enter the insurance information on the other software and since my patients often have more than one type of insurance depending on the visit (MVA, L&I, DOT Physical to employer, private insurance) - it would seem awfully easy to bill the wrong insurance information if it just loaded the information from the chart (one of the 2 on the demographics page).
In regards to using the chart for complicated cases - I use it exclusively in my office except for IME type cases where I dictate very lengthy charts - it works very well even if you have multiple diagnoses and lots of medication changes, orders, etc. I guess the only way it would be different for some is if you do not use standard SOAP - some like to put a diagnosis with the information to address that diagnosis and then move to the next diagnosis. If you do a standard chart note where you just put the Plan and address everything in one place you will do fine - I type very fast so I can do this very quickly in the room with the patient. When patients come back for followup and you just have to review the cc, hpi, update the ROS, update the PE and then make changes to the treatment or scrips it can be done in just a few minutes and then end up with a complete very detailed note. I feel like 99214 and even 99215 can be documented very easily. The one thing I think you need to be careful with is that you update things and scan through each area every visit - I have seen people who just use a template and end up with very long notes, but who also spend only 3-4 minutes with the patient.
The best way is to download the software to one computer and then at the end of the day do a chart on it for one patient (compared to however you currently do it - dictate, etc) and see how long it takes and how it looks. Watching the demo is not really great - you have to try it. Use the complete ROS that comes with it and make the changes you need to - put whatever your standard exam is as a template and then try it a few times.
