We have had the same thing happen and, after sitting down and talking about it with the staff, have come to the conclusion it is probably user error. Most of the time the scheduler is doing 2-3 things at the same time and either forgets to save the appointment or hands the patient an appointment card and then forgets to enter it in the schedule. I used to get pretty irritated at the staff until I did the first one myself. I answered the phone one evening while I was waiting on a particular call and made an appointment for a patient for the next day. I forgot to save it. When she showed up unannounced to the staff the next day, I got some pretty nasty scowls. I then told them, "Now I understand the problem"
