Boondoc,
I run that report every quarter. I then go through and those that I know should have come back I send messages to the staff to call and remind them they are past due. If, after several attempts, they fail to make an appointment or, if we cannot find them anymore, I inactivate them. That does not mean I have abandoned them, just eliminating them from my stats and future reports. This is all documented in the Messages, e.g left message to call, patient will call back to schedule appointment, patient refuses to make appointment at this time. I will not refill meds on any patient not seen in the last year and many who failed to return for requested follow ups (diabetics, HTN, depression, etc).