MTSO's shake up market for outsourcing transcription - Very important read.

http://www.24-7pressrelease.com/press-release/new-entrants-improving-players-shake-up-the-market-for-outsourced-transcription-128192.php

This article explains some of the top MTSO companies and notice that the first 5 out of 15 companies handle onshore than offshoring.  Again, is onshore United States and offshore is places like India?  Anyway, should open up article and read it.  Very, very interesting!!!!  This is only some of the article below.

Despite the increase in offshore transcription work, however, onshore services continue to get higher marks for overall quality and turnaround time. In fact, the top-five MTSOs in the KLAS report are all doing their work predominantly onshore.

The 15 MTSOs rated in "Transcription Services: Steady Demand in a Volatile Market" are Acusis, CBay, DTS America, Encompass, Focus, Heartland, MedQuist, Precyse Solutions, Spheris, SPi, Sten-Tel, Superior Global, Transcend, TransTech and Webmedx.

"Transcription Services: Steady Demand in a Volatile Market" includes KLAS performance ratings for 15 medical transcription services organizations (MTSOs), and the field looks decidedly different than KLAS' June 2008 MTSO report. The top-rated vendor a year ago, Transcend, has now dropped to fifth place, despite keeping its performance score steady year over year. Newly rated Webmedx and Precyse Solutions take the top two spots in the 2009 report, followed by Encompass and TransTech, both of which saw significant improvement in their performance scores.