EHRs were projected to reduce the need for transcription. However, with slower than anticipated adoption of EHRs by providers coupled with concerns about quality and fear of inaccurate documentation and over-billing due to inappropriate copy/paste and template use, there is still a demand for transcription technology and services. A skilled medical transcriptionist can be the economical choice when faced with passing time-consuming tasks on to the most expensive person in the documentation workflow – the physician – and can serve as the extra pair of eyes to validate structured and encoded data intended for consumption by the EHR.