Like any other industry, the field of medical transcription has undergone massive changes owing to three critical factors such as advances in voice recognition software, increase in transcription function overseas and new guidelines laid by the US Department of Health and Human Services (HHS) regarding electronic health records (EHR). The rapid advancement in the speech recognition software has generated the need for skilled transcriptionist for deciphering the multifaceted records. Like all others, medical transcription has taken the outsourcing detour. Outsourcing of the medical transcription work to India has considerably increased with soaring need for accurately edited records. Furthermore, in 2010, the Health and Human Service Department in the US introduced a set of standards defining the quality use of electronic health records. It has serious implications of the traditional process of transcribing from audio dictation, thereby giving the EHR system a definite format that would rationally segregate information like medications, allergies, and consultations.