Glossary
Transcription line rate
A transcription line is a unit of 65 characters, and the line count is the number of such units in a document. The transcription line rate is the price paid for each line, so the unit controls how transcribed work is measured.
Updated October 17, 20262 cited facts, each traced to its source
Also called line count, 65-character line.
A transcription line is a unit of 65 characters, and a line count is how many of those units a document contains. The transcription line rate is the price paid for each line. Because the line is a fixed unit, it gives both the transcriptionist and the client one way to measure the same text.
The 65-character line is the traditional standard
A 2007 joint task force from AHIMA and MTIA, the two medical transcription associations, called the 65-character line the previously advanced standard unit of measure for medical record transcription 1. The word "previously" matters: the report is organized around the visible black character as a unit of text measurement, so the 65-character line was the older method it was meant to improve on.
Different formats produce different line counts
A line is not the same length everywhere. The federal transcript format sets type at 10 letters to the inch, which gives about 63 characters on each line 2. Two documents with the same words can therefore produce different line counts under different standards. A line count is only comparable within one standard, so check which one a client or a court format uses before you compare totals.
How a line count works
To count lines under the 65-character standard, take the total number of characters in the document and divide by 65, rounding up for any partial line. A one-page letter and a long medical report both reduce to the same arithmetic. What changes is the number of characters, which depends on the words, the spacing and the formatting the standard counts.
Why the unit matters for dictation
Dictated text becomes billable or comparable text only after it is measured. When you dictate a long document, the speed of speaking and the number of lines are different measures. Speaking quickly does not reduce the line count, and a fast dictation session can still produce a long document. If you want the job of transcription, see our overview of transcription jobs and the guide to medical transcription, which covers the pay side of the field.
Related terms are the transcriptionist, who types the dictation, and the scopist, who edits transcripts in court work. The registered healthcare documentation specialist credential covers the medical side. For legal formats, see our guide to legal transcription.
Evidence
Every number on this page, with where it comes from. Open a fact to see the exact words in its source.
- 1.A 2007 AHIMA and MTIA task force describes the 65-character line as the previously advanced standard unit of measure for medical record transcription.
AHIMA/MTIA Joint Task Force on Standards Development, American Health Information Management Association (AHIMA) and Medical Transcription Industry Association (MTIA), 2007 · Original
- 2.
Related terms
- Dictation for Work: Doctors, Lawyers, Writers, StudentsThe topic this term belongs to
- Back-end speech recognitionBack-end speech recognition is a workflow in which the dictated audio is recognized and then edited by someone else, usually a transcriptionist, before it is signed. Its main trade-off is the cost and time of the second pass against the writer's own editing effort.
- CopytakerA copytaker was a typist in a newspaper office who took down stories that reporters dictated over the telephone. The Collins English Dictionary defines the role this way, and it predates the computer-based filing that replaced it.
- Dictation templateA dictation template is a block of text saved under a short spoken phrase, so one phrase inserts the whole block. Dragon calls these auto-texts, and Microsoft's Dragon Medical One guide documents the command that creates one from selected text.
- Electronic health record (EHR)An electronic health record (EHR) is a digital record of a patient's health information, built up over time from visits across care settings. The federal eCQI glossary also calls it an electronic medical record (EMR), and it is where dictated and typed notes end up.
- Front-end speech recognitionFront-end speech recognition is a workflow in which the person who dictates also reviews, corrects and signs the text, instead of passing the audio to someone else. The term is most common in radiology, where it is set against back-end transcription.
- Medical scribeA medical scribe is a person, or more recently an AI tool, that records what happens in a clinical visit and writes it into the chart so the clinician can focus on the patient. The clinician remains responsible for the note and must check and sign it.
- Pajama timePajama time is the record-keeping that clinicians finish after their clinic day ends, often at home in the evening. A 2017 study of primary care clinicians measured 86 minutes of EHR work per weekday after clinic hours.
- Registered Healthcare Documentation Specialist (RHDS)The Registered Healthcare Documentation Specialist (RHDS) is a voluntary credential from AHDI for people who create healthcare documentation. It is awarded after an exam of 120 questions, and it is a prerequisite for the CHDS.
- ScopistA scopist edits the transcripts of official proceedings that court reporters create. Scopists are typically paid by the page, starting from $1.00 to $1.50 per page, and the role is also called transcript editor.
- SOAP noteA SOAP note is a structured clinical note with four parts: Subjective, Objective, Assessment and Plan. The format was developed by Larry Weed, and a StatPearls reference article describes it as a widely used documentation method for clinicians.
Pages that use this term
- Dictation for Work: Doctors, Lawyers, Writers, StudentsTopic
- Medical Transcription: The Job, the Pay and AIGuide
- Legal Transcription: The Job, Formats and PayGuide
- Transcription Jobs: Pay, Skills and Getting StartedGuide
- How are medical transcriptionists paid per line?Question
- How can you tell if a transcription job is legit?Question
- How much do medical transcriptionists make?Question
- How much do transcriptionists make?Question
- How much does legal transcription pay?Question
- Is legal transcription a good career?Question
- Registered Healthcare Documentation Specialist (RHDS)Glossary
- ScopistGlossary