This isn't a speech recognition problem per se. The attending physician is legally accountable regardless of who does the transcription. Human transcriptionists also make mistakes. That's why physicians are required to sign the report before it becomes a final part of the patient chart.

In a lot of provider organizations, certain doctors are chronically late about reviewing and signing their reports. This slows down the revenue cycle because bills can't be sent out without final documentation so the administrative staff have to nag the doctors to clear their backlogs.