Q: What about the patient's signature for HIPAA? How do you keep that?
A: That should be on your patient info sheet (that would get scanned). Then you click the HIPAA acknowledgement on demographics indicating that you've done this step (and provided a copy of privacy notice). This meets HIPAA requirements.
Q: Will your software be able to send to insurance companies a claim/encounter form in the HIPAA standard X12 837 content and data format?
A: Although it's technically possible to add X12.837 capability, we've found it's simpler to use a clearinghouse to convert files (which most do for free; see www.OfficeAlly.com as an example).