Transcriptionists who work from home are paid on the basis of speed and accuracy. The pay ranges from 60 paisa to Rs.1.25 per line depending on the accuracy.Radha says she now earns about Rs. 20,000 a month; more than what she used to earn earlier. "When I worked from office, I used to get a monthly salary. Now I am paid per line."Once you have honed your listening skills to hit 99-100 per cent accuracy level, you can reach the editor stage, with higher pays and less tedious work. Companies like Spryance already employ home-based editors.According to Nasscom, medical transcription is projected as the India's fourth largest foreign exchange earners in about five years. If the figures are to be believed, medical transcription will employ more than 50,000 people by 2008. Very good news for people looking out for flexible home-based careers.