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Good Dictation Practice (GDP) to Enhance
Your Patient Care and Reimbursements
MedicalTranscriptionsService
Top Radiology Dictation Errors and Remedies
Do You Frequently Bump Into This Hiccup?






Radiology practices and radiologists are the crucial
entity of the healthcare delivery system especially in the
diagnostic segment.
Mistakes in the dictation pattern not only culminate in
erroneous claims and denied reimbursements, but it also
questions the disease management in the patients.
So, take this chance to design a clear exit-route. Just
read this!
Funny Dictation Bites





Through Twitter and other social media, I have collected
some of the hilarious dictation errors in radiology,
shared by my healthcare colleagues:::;:
37 years old occasional (Caucasian) male had x-ray of
his hip bowel (bone)…
CT scan of the patient’s heart (head) revealed cerebrovascular clot …
Abnormal diaphragm was observed in the breast (chest)
x-ray of …




Uterus is normal in the… The patient is a male… (What
a miracle?)
Ultra-sonography displayed pulmonary enema
(edema)…
Borderline respectable (resectable) cancer was found in
the liver…
Dictation Standards


Some radiologists have very tough accent and even the
experienced transcriptionists may fail to transcribe the
dictation flawlessly, leaving almost half of the patient
history blank or performing an erroneous transcription.
The American College of Radiology (ACR)
recommendations for a Good Radiology Dictation

Practice:


Efficient communication without any interferences:
 No dictations while you are on the move.
 No eating or drinking while you dictate.
 No instrumental sounds (radiology devices, a/c
blow, vacuum cleaner, recording device positioning,
etc.).
 Speak slowly and audibly.
Dictate with words that are on a standard radiology
glossary and radiology lexicon.
 Avoid non-standard radiology acronyms and
abbreviations.
 Comprehensive patient demographics (Name, DOB,
age, gender, location, referring physician, date/time of
examination)
 Examination parts, procedure & limitations, observation,
interpretation/impression.

Data of further diagnosis (if any).
 Relevant clinical information (eg: ICD-9 codes).
 Any noteworthy patient reactions.
 Standard and easy-to-understand report template.

Thank You…!!!

For more details
call
877-272-1572
or
visit us
http://medicaltranscriptionsservice.com/

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Good dictation practice (gdp) to enhance your patient care and reimbursements

  • 1. Good Dictation Practice (GDP) to Enhance Your Patient Care and Reimbursements MedicalTranscriptionsService
  • 2. Top Radiology Dictation Errors and Remedies
  • 3. Do You Frequently Bump Into This Hiccup?    Radiology practices and radiologists are the crucial entity of the healthcare delivery system especially in the diagnostic segment. Mistakes in the dictation pattern not only culminate in erroneous claims and denied reimbursements, but it also questions the disease management in the patients. So, take this chance to design a clear exit-route. Just read this!
  • 4. Funny Dictation Bites    Through Twitter and other social media, I have collected some of the hilarious dictation errors in radiology, shared by my healthcare colleagues:::;: 37 years old occasional (Caucasian) male had x-ray of his hip bowel (bone)… CT scan of the patient’s heart (head) revealed cerebrovascular clot … Abnormal diaphragm was observed in the breast (chest) x-ray of …
  • 5.    Uterus is normal in the… The patient is a male… (What a miracle?) Ultra-sonography displayed pulmonary enema (edema)… Borderline respectable (resectable) cancer was found in the liver…
  • 6. Dictation Standards  Some radiologists have very tough accent and even the experienced transcriptionists may fail to transcribe the dictation flawlessly, leaving almost half of the patient history blank or performing an erroneous transcription.
  • 7. The American College of Radiology (ACR) recommendations for a Good Radiology Dictation Practice:  Efficient communication without any interferences:  No dictations while you are on the move.  No eating or drinking while you dictate.  No instrumental sounds (radiology devices, a/c blow, vacuum cleaner, recording device positioning, etc.).  Speak slowly and audibly.
  • 8. Dictate with words that are on a standard radiology glossary and radiology lexicon.  Avoid non-standard radiology acronyms and abbreviations.  Comprehensive patient demographics (Name, DOB, age, gender, location, referring physician, date/time of examination)  Examination parts, procedure & limitations, observation, interpretation/impression. 
  • 9. Data of further diagnosis (if any).  Relevant clinical information (eg: ICD-9 codes).  Any noteworthy patient reactions.  Standard and easy-to-understand report template. 
  • 10. Thank You…!!! For more details call 877-272-1572 or visit us http://medicaltranscriptionsservice.com/