AC: please fix the reconcile option so we can reconcile while importing! This would save a lot of retroactive work! I do have my staff go back through, but it IS labor intensive and they get behind on this. It is a good activity for down days. I have not discussed with my malpractice company if I really need to be tracking down patients for not following orders. Some feeling 'hounded' by this. If I'm worried about a breast lump, I will also send a reminder to check and see if it gets done, not wanting to trust the order reconciliation process. If I found a lump, they didn't get the mammo and u/s, and I don't follow up - and then a year later another doctor dx with breast cancer, it looks bad for them but the doc could get dragged in as well - especially if she says I never actually told her to get it done, or lies and says I stated it was optional.