Medical transcription outsourcing is very common today as the demand is increasing. It is mostly a home based business. A few concerns about the outsourcing are the quality of finished goods and the concerns about the privacy of the patient. Due to outsourcing, many companies fear if the information will be kept confidential and secret the way they want it to be. The Health Insurance Portability and Accountability Act govern outsourcing of MT work. In spite of the above odds, the future of outsourcing seems to be really bright due to the advancement in technology and more and more venturing into it.