how to do nursing home notes in ECW

Hi,
I asked this questions in 2006 and I’m hoping there is a better answer in 2020.  I go to NH and I want to do my notes in ECW.  What is the best way to type a progress note without the added steps of adding patients manually to the ECW schedule (especially since many patients get added to the schedule when you stop by to see them). I’m trying virtual visits and then faxing but I’m not the cleanest since it’s included the TE box as headers. It also is hard to bill from since any claims created via TE/WE current doesn’t get sent to claims.  I was told to use “out of office encounter” but it’s not actually for documenting an encounter, just “out of office claims”  How are people using ECW in during nursing home rounds