What is medical-legal transcription in the US?
Medical-legal transcription turns a physician's dictation from an independent or qualified medical evaluation into the written report a workers' compensation or liability case is decided on. Unlike clinical transcription, the report has to follow the format and terminology of the state system it is filed in — and the wording is read by attorneys, judges and claims examiners, not only by other clinicians.
Who we are
IME & QME Transcription is a medical-legal transcription practice and the sister company of Pilottech Transcription, with more than 18 years of transcription work behind it. We do one thing: IME, QME, AME, peer-review, psychiatric, orthopedic, neurological and overnight medical-legal reports. Transcriptionists are assigned by the state system a file comes from rather than rotated across every kind of medical dictation, and every report passes a separate QA review before it reaches you.
Read more about the practice, how we handle files and confidentiality, and the step-by-step workflow.
Why state-specific matters more than volume
The same dictated sentence belongs in a different section, under a different heading, with different terminology depending on where the report is filed. A California apportionment discussion, an Ohio allowed-conditions list, a Florida Major Contributing Cause opinion and a New York Schedule Loss of Use percentage all have their own conventions, and getting them wrong is what sends a report back for correction.
That is why our coverage is published state by state instead of as a single national promise.
States we cover in depth
California medical-legal transcription covers QME, PQME, AME and SIBTF evaluations written for the state's workers' compensation system. Reports use PR-4 and permanent and stationary formats, whole person impairment under the AMA Guides 5th Edition, DRE or ROM method selection, and apportionment under Labor Code sections 4663 and 4664.
California report types and terminology →
Ohio medical-legal transcription covers IME and DME reports written for the Bureau of Workers' Compensation system. There is no QME or AME equivalent: evaluations are typically triggered by the BWC's 90-day or 200-week exam cycle, and impairment is expressed as a percentage against BWC's own tables.
Ohio report types and terminology →
Florida medical-legal transcription covers IME reports under Fla. Stat. §440.13, Expert Medical Advisor (EMA) reports and permanent impairment rating reports. Causation runs through the Major Contributing Cause standard rather than apportionment, and impairment uses the state's Uniform Permanent Impairment Rating Schedule.
Florida report types and terminology →
New York medical-legal transcription covers IME reports produced by entities authorized by the Workers' Compensation Board. There is no QME, AME or panel system. Impairment runs through New York's Schedule Loss of Use framework and the NY Impairment Guidelines, with findings filed on IME-4 and IME-5 forms.
New York report types and terminology →
How the work moves
- You send the dictation with the template your office files, using the sample upload or a link set up for you.
- A transcriptionist trained on that state's report type transcribes it, working from the state glossary.
- A separate reviewer checks terminology, impairment percentages, laterality and dates against the audio.
- Anything genuinely unclear in the audio comes back flagged for the physician rather than guessed at.
- The report is delivered in your format — 24 hours standard, 18 hours STAT, or next morning for overnight files.