What do you think about the internet marketing?

site name is medicaltranscriptionsservice, the main page title is medical transcriptions service - both are good.
add a headline "medical transcriptions service" on the front page and use the phrase in your test.
Change the "home" link on the home page and make it a link to your site map. 2 reasons. first - you don't need a link to where you are and second - having a link to you site map increases the chance that the search engines will spider your entire site.

outside your question, I like the Free Olympus DS4000 Digital Voice Recorder offer. SMART business move.