A community of 30,000 US Transcriptionist serving Medical Transcription Industry
There may be one staff member in Louisville, but it's Indian owned. Dig a little deeper. That's your first red flag.
Your second red flag is the knowledge that last summer, once the US labor passed QA for Mediscribes, they immediately switched to their own Indian labor immediately afterwards, admitting freely that US labor on the account had done nothing wrong, QA wise or productivity wise.
None of the 22 US laborers were given new accounts as none were available at the time and were left scrambling for employment with a two-day notice.