VBC means no payment for spaces, formating, paragraphs, nothing. These HIM department people just sit at the desks all day coming up with more ways to cut our pay even more the whole while they collecting salaries increases yearly, and AHID (formally AAMT) will probably endorse this as a way to brown nose other healthcare-related industries to get them to become members, thereby increasing AHID (AAMT memberships with dues/revenue pretty much the same way they did with overseas transcription companies, which as everybody knows has resulted in lower pay for US transcription.