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Dictation→ Chart Note
50States
Medical Transcription Services
Medical transcription turns clinician dictation into a usable chart note — history and physicals, operative reports, consults, discharge summaries, and progress notes. Vector Medical Billing scopes that as a separate engagement from Jamaica, NY, for practices in all 50 states. It is not coded or billed until the note is ready for the chart.
Separate engagement
What medical transcription is
Dictation in — edited clinical text out — ready for the clinician to review and sign in the chart.
Billing and coding need documentation. Transcription is the step that converts spoken encounter detail into that documentation when templates and front-end typing are not enough. On Vector’s services list it is quoted separately from coding and claim submission so the monthly billing percentage is not silently stretched.
Delivery can be file return for upload, or a scoped return path into the EHR. Full interface build-out, when needed, is its own EHR integration conversation.
Document types commonly in scope
The quote names which note types and specialties the engagement covers.
H&P and progress notes
Admission history and physicals and ongoing progress notes when narrative detail matters more than a checkbox template.
Operative and procedure notes
Operative reports and procedure documentation that surgeons and proceduralists dictate after the case.
Consults and discharge
Consultation letters and discharge summaries that other clinicians and facilities rely on for continuity.
Transcription vs front-end speech recognition
Both use voice. The editing responsibility is different.
Back-end transcription
Clinician dictates; a transcription workflow (often with speech recognition plus human edit) returns a draft for signature. The clinician reviews the note — they are not the primary editor of raw speech output while the patient is still in the room.
Front-end speech in the EHR
Voice appears on screen immediately; the clinician edits in real time. Useful for some workflows, but it shifts editing load onto the provider. Industry studies show speech-only drafts can carry more errors than drafts reviewed by professional transcriptionists — labeled research context, not a Vector accuracy claim.
A JAMA Network Open analysis (2018) of speech-recognition-assisted documents found substantially fewer errors after professional transcriptionist review than in unedited speech output — industry study, not a Vector client result.
How Vector Medical Billing works transcription
Capture · transcribe / edit · return · clinician signs. Coding starts after the note is usable.
1
Capture dictation
Approved dictation method — phone, app, or recorder — with patient identifiers the workflow requires.
2
Transcribe & edit
Draft produced and edited for medical language, demographics, and document type formatting.
3
Return for signature
Note returned by the agreed path for clinician review and signature in the chart.
What the engagement defines up front
Turnaround, document types, and return path — written before volume starts.
Turnaround by note type
STAT op notes and routine progress notes are not the same clock. The quote sets TAT targets per document class — we do not invent a single universal hours guarantee on this page.
PHI handling
Transcription involves ePHI. A Business Associate Agreement covers Vector’s billing relationship; transcription scope follows the same PHI limits and access controls for assigned staff.
Clinician remains the author
The signed note is the clinician’s legal documentation. Transcription delivers a draft for review — it does not replace physician attestation.
What medical transcription is not
Related services stay separate so the quote matches the work.
Not medical coding
Assigning CPT / ICD-10 from the chart is medical coding. Transcription produces the note those codes come from.
Not claim submission
Getting the 837 out is claims submission. Incomplete notes delay coding and claims — transcription closes that documentation gap.
Not full EHR build-out
HL7 or API return paths that require new interfaces are scoped under EHR integration when the practice needs more than secure file return.
How this engagement is scoped
Separate from the monthly billing percentage. Quote matches volume, note types, and TAT.
How it is priced
Quote depends on monthly line or minute volume, specialty vocabulary, document mix, turnaround tiers, and how notes return to the chart. We do not invent a Vector accuracy percentage or a one-size TAT on this page.
Send sample note types and monthly volume for a written proposal.
What we need to start
Specialty list, document types, preferred dictation method, EHR name, current volume estimate, and required turnaround by note class.
Ready for a medical transcription proposal?
Send: (1) specialties and note types, (2) rough monthly volume, (3) required turnaround for STAT vs routine. We reply with scope, return method, and a written fee — without promising an accuracy % we have not measured on your dictation.
Dictation
→ Chart Note
Separate
Engagement
TAT
By Note Type
50
US States
Medical transcription questions
Straight answers tied to the sections above.
Is medical transcription included in monthly billing?
No by default. It is a separate engagement unless your written contract explicitly includes it.
Do you code from the transcribed note?
Coding is a different service. Once the note is signed, medical coding can assign CPT and ICD-10 if that work is in scope for the practice.
How fast are notes returned?
Turnaround is set in the quote by document type (STAT vs routine). We do not publish a single hours promise that fits every specialty on this page.
Is this the same as EHR speech recognition?
No. Front-end speech puts editing on the clinician in real time. Transcription returns an edited draft for signature after the dictation is processed.
Who signs the note?
The treating clinician. Transcription delivers text for review; authorship and attestation stay with the provider.
Can notes go straight into our EHR?
Often yes via secure return or a scoped interface. Large interface projects are quoted under EHR integration when they exceed file-return workflows.