Complete HIPAA Compliance
for Healthcare Organizations

The SRA is the single most critical requirement in the entire HIPAA Security Rule. The OCR cites the failure to conduct a thorough and accurate risk assessment as the most common compliance failure. Our team performs a comprehensive assessment that identifies every threat and vulnerability to your ePHI, evaluates the likelihood and impact of each risk, documents your current safeguards, and produces a detailed remediation plan with prioritized recommendations. This is not a generic questionnaire. It is a live, consultative engagement led by HIPAA-certified experts who understand your clinical workflows.

HIPAA requires documented policies covering access control, incident response, data backup, workforce security, device management, and more. We provide 18+ customized policies and procedures mapped to the Privacy Rule, Security Rule, Breach Notification Rule, Enforcement Rule, and Omnibus Rule. These are not boilerplate templates. Our HIPAA-certified team customizes every document to reflect your practice's actual operations, technology stack, and organizational structure.

Your staff is your first line of defense and your greatest vulnerability. HIPAA mandates role-based security awareness training, and we deliver training programs that exceed these requirements. Our curriculum includes phishing simulations, social engineering awareness, tabletop exercises, proper PHI handling procedures, and compliance testing with scorecards. We provide ongoing training, new hire onboarding modules, and administrator reports that document compliance for auditors.

Annual penetration testing identifies the real-world vulnerabilities in your network, web applications, and clinical systems before attackers do. Our team conducts comprehensive internal and external pen tests, wireless assessments, and ongoing vulnerability scans that map directly to HIPAA Security Rule requirements. Every finding is documented with a severity rating and specific remediation guidance, giving you actionable intelligence to strengthen your defenses.

Enterprise-grade endpoint security across every device in your practice. We deploy next-generation anti-ransomware and anti-malware protection, 24/7 remote monitoring with automated alerts, and continuous patch management to keep your systems current. Optional add-ons include Extended Detection & Response (XDR) and Security Operations Center (SOC) services for organizations that need around-the-clock human-led threat monitoring.

When a breach occurs, the clock starts ticking. HIPAA requires notification within 60 days, and every misstep during the response process can compound your liability. We develop your Incident Response Plan, conduct tabletop exercises with your team, and when a real incident occurs, our digital forensics team leads the investigation, containment, evidence preservation, and regulatory notification process. Craig Petronella is a Licensed Digital Forensic Examiner qualified to lead investigations that hold up to regulatory scrutiny.

A HIPAA Security Risk Assessment (SRA) is a comprehensive evaluation of the potential risks and vulnerabilities to the confidentiality, integrity, and availability of your electronic Protected Health Information (ePHI). The HIPAA Security Rule (45 CFR 164.308(a)(1)) explicitly requires every covered entity and business associate to conduct a risk assessment. It is not optional. The OCR has cited the failure to perform a thorough SRA as the most common compliance violation in enforcement actions. Our SRA goes beyond a simple questionnaire. It is a consultative, hands-on evaluation led by HIPAA-certified professionals who assess your technology, processes, physical security, and workforce practices.

With our Secure Enclave deployment, we can get you to approximately 80% HIPAA compliance within 30 days. This includes deploying compliant infrastructure, providing editable policy templates, and initiating security awareness training. However, full HIPAA compliance is an ongoing process that requires continuous attention. Our typical comprehensive plan achieves full compliance over a 12-month engagement, addressing regulatory compliance, security controls, policies, training, risk assessments, and remediation in a structured, layer-by-layer approach. Be cautious of any vendor who promises instant, complete HIPAA compliance. If they do, they likely do not understand the depth of the requirements.

HIPAA violations are categorized into four tiers based on the level of negligence. Tier 1 (lack of knowledge) carries penalties from $141 to $71,162 per violation. Tier 2 (reasonable cause) ranges from $1,424 to $71,162. Tier 3 (willful neglect, corrected) ranges from $14,232 to $71,162. Tier 4 (willful neglect, not corrected) carries penalties from $71,162 to $2,134,831. The annual maximum per violation category is $2,134,831. Beyond financial penalties, the OCR may require corrective action plans, and criminal penalties including imprisonment are possible for knowing violations. The reputational damage and loss of patient trust often exceed the financial penalties themselves.

It is not recommended. Modern compliance frameworks require clear separation of duties between IT operations and cybersecurity oversight. Having your IT provider audit their own security work is a conflict of interest that auditors will flag. Your IT provider or MSP handles day-to-day operations: managing servers, supporting users, patching systems. HIPAA compliance requires an independent entity to assess risks, develop policies, conduct penetration testing, and provide evidence for each security control. We work alongside your existing IT provider, providing the cybersecurity and compliance layer they cannot provide themselves.

Our comprehensive packages include: Secure Enclave deployment (compliant infrastructure), editable compliance documentation (18+ policies and procedures), security awareness training with phishing simulations and tabletop exercises, HIPAA security score calculation and maturity assessment, annual Security Risk Assessment, annual penetration testing, endpoint security with remote monitoring, HIPAA gap analysis with Plan of Action and Milestones (POA&M), and ongoing compliance support. Higher-tier packages add dedicated HIPAA expert consulting, 24/7 priority security support, and custom security solutions. Third-party products such as security hardware, software, and license fees are priced separately based on users, devices, and locations.

Yes, if you share PHI with any third party, you are required by HIPAA to have a Business Associate Agreement in place before sharing that data. This includes IT providers, cloud hosting services, billing companies, EHR vendors, attorneys, accountants, shredding companies, and even some cleaning services that might access areas where PHI is stored. Failure to maintain proper BAAs is one of the most frequently cited violations in OCR enforcement actions. We provide sample BAA templates as part of our compliance packages and help you track and manage all of your business associate relationships.

Under HIPAA's Breach Notification Rule, you must notify affected individuals within 60 days of discovering a breach of unsecured PHI. If the breach affects 500 or more individuals, you must also notify HHS and prominent media outlets. Breaches affecting fewer than 500 individuals must be reported to HHS annually. The notification process has specific content requirements and documentation obligations. As a client, you have access to our digital forensics and incident response team, led by Craig Petronella, a Licensed Digital Forensic Examiner. We handle investigation, containment, evidence preservation, breach risk assessment, and regulatory notifications to minimize damage and liability.

Yes. The MACRA/MIPS Promoting Interoperability requirements include conducting a security risk assessment as a core measure. Our annual HIPAA Security Risk Assessment satisfies this requirement, and we provide the documentation you need to attest to this measure in your MIPS reporting. Our comprehensive HIPAA compliance program covers the security attestation requirements that many practices struggle with, ensuring you do not lose MIPS incentive payments due to incomplete security documentation.

Generic HIPAA compliance software gives you forms to fill out and templates to download. That is the equivalent of handing someone a stethoscope and calling them a doctor. True HIPAA compliance requires expert assessment of your specific environment, customization of policies to your actual workflows, hands-on security testing, and ongoing human guidance as your practice evolves. Our approach combines technology (the ComplianceArmor platform for documentation and tracking) with expert human oversight (HIPAA-certified professionals who understand clinical environments). The result is a compliance program that actually protects your patients, not just a binder that sits on a shelf until an auditor asks for it.

Our standard Secure Enclave is hosted on Amazon AWS GovCloud, which meets the strict security and compliance requirements of the U.S. government and is authorized under FedRAMP. AWS GovCloud provides the physical security, encryption, and access controls that form the infrastructure foundation of your HIPAA compliance program. For organizations with specific requirements, we also offer on-premises deployment options. The choice between cloud and on-premises depends on your practice's size, technical capabilities, and regulatory preferences. We will help you evaluate which option is best during the initial consultation.