Many people worry about the security of their documents if they send them off to India for document imaging. And there is reason to be concerned. In an undercover operation, British officials have purchased hundreds of medical records from two Indian men. The records were sent to India for processing.

When you pick a document scanning service make sure they follow HIPAA guidelines and maintain a chain of custody for every record. If the records are going oversees then it makes it impossible to visit their operation and verify the security they claim.