Part One here.
I was looking at my EHR with Radiology Department A two days ago, as one does, and I noticed that, despite my best efforts, an actual doctor there--let's call him Doctor X--took the time to reread my film a couple of days ago, and repeated his recommendation for followup testing. Sadly, this waste of his time took place a full week after I sent an agonizingly detailed letter documenting the results of the actual followup testing (including the radiologist's report from Radiology Department B).
I faxed Radiology Department A another copy of the agonizingly detailed letter, with a cover sheet to the attention of Doctor X, apologizing to him for the waste of time, thanking him for his conscientiousness in followup, and reassuring him that I had not only followed his recommendation but provided Radiology Department A with a copy of the report a week before he reread my film.
I called Radiology Department A and reviewed my fax with an office manager, whose name and direct line I now have. She said she would kill any ticklers in the EHR to end any further followup.
I suppose I shouldn't have done this, but I went back to my EHR for Radiology Department A last night, just to double-check.
And there I found a Visit Summary for the followup appointment that I cancelled twice on the phone, and once in writing. This may be the fault of Epic. It really makes me want to pin somebody's ears back.
I now await a bill/stern letter from Radiology Department A for my "missed" appointment. If this happens, I will start naming names.