Raj,
Supposedly, Jon is going to come out with a fully integrated practice management program. This is not necessarily going to be part of version 4. To make a practice management program is a huge endeavor. I am sure that the code for Medisoft, Lytec or eMedware must be rather extensive.
I have always maintained that given the inaccuracy and redundancy of the ICD-9 and CPT codes in Amazing Charts, it will take quite a long time for me to trust AC with my billing.
So, yes, I guess we do double entry. I still do a paper superbill (I guess you could say it is our one point of not being paperless -- although we do scan them in). We tried printing out the superbills, but it just wasn't doable.
Ironically, on the W/E when I see patients by myself, I don't make up a Superbill, I just print out the Superbill/Invoice on AC at the end of the visit. But, I find it a bit cumbersome, because one would think you could click directly on the Print Encounters / Send Letters to bring up the Superbill window. But, instead, I am forced to click out of that window, bring up the patient (easy to do when I am seeing the patient myself since the name is right there in the patient list -- but not so easy when my nurse has pulled a chart and forwarded it to me) it is no longer readily available. So, then I have to find the name and right click and click on Superbill. It seems so obvious to put it on the window which pops up after the sign off.
I have found many workarounds, but it seems a bit dangerous to have to do workarounds for billing.
It is interesting that you bring up eMedware, because I would think that many on here would have a third party billing program. And, yet, all anyone talks about for backups is backing up AC. Backing up your .TPS files in eMedware is just as important.