Thanks for the replies. Our transcriptuion service is outsourced and for billing needs to generate a line count, which is impossible by direct text entry into AC. We also keep the printed transciption, at least for the moment, in our paper files as backup.
We are a subspecialty practice for which templates are not terribly useful except as cues for the RN patient intake process.
I've worked with Dragon for years (since version 3). There is no question that its capalities have evolved remarkably in the 12 or 13 years since I first worked with it. However, it still generates text that contains 2-3% significant, occasionally nonsensical, insertions that have to be found and corrected. In my hands, this takes as long (and, in some ways, is harder) than finding and correcting typos.
So, for all those reasons, we depend on human transciptionists. As there may be others who would find the facility helpful, I'm going to take the initiative of talking with the IMH folks to see if their import interface might be adaptable for transciption for a little monthly cost.
Bob Burr