Ron,
I handle my faxes in this fashion. First thing in the mornings and then 4-5 times a day I open the Paperport window and review all the faxes while they are still on the "Desktop". I take care of the refills with my signature stamp and fax them right back. The consults, labs and other stuff I review, stamp the document with my signature stamp, make comments on the document such as "Please schedule additional views of the left breast" and then drag the fax into a folder I have called "READY TO IMPORT". The staff then checks that folder often and imports the info into the patient's chart. If action is needed on a particular document, I email the staff person to handle this. Then one can sign off, en mass, all that imported material (by going to the Administrator section and turning on the Sign-Off Batch imports features). This has worked well for me. The staff does not delete anything from the fax desktop. That way I am assured I at least see everything that comes in.
I also have my Received Faxes folder on my exam room computers which has really been great. Now if I need labs or records or something while I am in with the patient, the staff can call for them and "VOILA" there they are in a few minutes right in the room for me to review.
My one wish now would be that I would be able to attach a document from the Paperport desktop to the AC email (and also from the Imported Items section of AC) so that, when the staff or I am sent a message about, say an abnormal mammogram, one could attach that document and easily pull it up to be referred to while calling the patient.
Leslie