A community of 30,000 US Transcriptionist serving Medical Transcription Industry
http://www.va.gov/vhapublications/viewpublication.asp?pub_id=1731
VHA Directive 2008-042 - August 7, 2008.
THIS VHA DIRECTIVE EXPIRES ON AUGUST 31, 2013
PROVISIONS REQUIRED IN ALL MEDICAL TRANSCRIPTION CONTRACTS
c.
All transcription and verification must be performed in the United States of America. There are no Exceptions. (1)
Visible Black Character. A Visible Black Character is defined strike-able and visible characters and includes any printed letter, number, symbol, and/or punctuation mark excluding any or all formatting (e.g., bold, underline, italics, table structure, formatting codes). All visible black characters can be seen with the naked eye as a mark, regardless of whether viewed electronically or on a printed page.
(2)
Visual Black Character (VBC) Line or ASCII no Spaces Line. A VBC Line is defined as the total number of characters you can see with the naked eye, divided by 65. It includes any character contained within a header or footer. Spaces, carriage returns, and hidden format instructions, such as bold, underline, text boxes, printer configurations, spell check, etc., which are not counted in the total character count. A VBC Line is calculated by counting all visual characters and simply dividing the total number of characters by 65 to arrive at the number of defined lines.