I have a pretty good idea if a patient has not been in for a while and will not refill their meds for more than a month. I can check this easily enough in AC when the fax comes in if I am in doubt. Also, once a month I do a database search for all patients not seen in over one year. We then recall them if it is appropriate. We try always to book their next appointment when they leave from their current. I have also learned over the last 22 years that calling patients 24-48 hours prior to their appointment to confirm it has almost eliminated No Shows. Those that are confirmed but then fail to show are charged a No Show fee.