Hi
I too have a knee mill with a ballscrew quill.
The knee is manual and I just move the bed up and down to account for the size of the workpiece and roughly touch off to the cutter.
All the fine adjustment and cutter movement throughout the program is done via the Z axis ball screw and it is very accurate.
One method of retrofit I have seen (which is sometimes also used in purpose built machines built upon an existing manual one) is to mount the stepper and ballscrew on the side of the spindle head.
The quill is held in a heavy clamping plate, which is drawn up and down by the stepper actuated ballscrew.
Retrofitting using the existing gears acting on the rack gear cut into the back of the spindle tube was quite common for the RF40 RF30 type of manual mill, but was never very satisfactory because of the
inherant slop which was impossible to eliminate.
The biggest single difference I noticed when I moved from a RF40 manual mill to a CNC one with ballscrew Z axis, was an accuracy of depth of cut I could never previously achieve
regards