HIPAA Compliance Assessment Services

HIPAA Risk Assessment Services in Raleigh-Durham | Comprehensive Healthcare Compliance Evaluation

Protect patient data, satisfy OCR requirements, and eliminate compliance gaps with PTG's thorough HIPAA risk assessment methodology. For over 22 years, Petronella Technology Group has helped healthcare organizations across Raleigh, Durham, RTP, and the greater Triangle, NC region safeguard protected health information and maintain full HIPAA compliance with zero breaches among clients following our security program on record.

The Problem

HIPAA Violations Are Costly, and Enforcement Is Increasing

Escalating Penalties and OCR Scrutiny

The Office for Civil Rights has dramatically increased its enforcement activity, conducting more audits and investigations than at any point in HIPAA's history. Penalties for violations range from $100 to $50,000 per individual violation, with annual maximums reaching $1.5 million per violation category. Criminal penalties can result in imprisonment of up to ten years. These are not theoretical risks. OCR has collected over $142 million in enforcement actions and settlement agreements, and the pace of enforcement continues to accelerate. Healthcare organizations across the Raleigh-Durham area that fail to conduct a thorough, documented risk analysis face the very real prospect of devastating financial penalties, reputational damage, and loss of patient trust that can take years to rebuild.

Widespread Non-Compliance

Studies consistently show that the majority of healthcare practices, clinics, and medical offices are not fully compliant with HIPAA requirements. Many organizations have never conducted the risk analysis that the HIPAA Security Rule explicitly mandates. Others performed an assessment years ago and have not updated it to reflect changes in their technology environment, workforce, or the evolving threat landscape. Patient data is at risk from ransomware attacks, phishing campaigns targeting healthcare workers, insider threats from improperly trained staff, and inadequate physical safeguards. Without a current, comprehensive risk assessment, healthcare organizations cannot identify their vulnerabilities, cannot prioritize their remediation efforts, and cannot demonstrate compliance if OCR comes calling.

Our Solution

PTG's HIPAA Risk Assessment Methodology

A comprehensive, OCR-aligned assessment framework that identifies every gap in your HIPAA compliance posture and delivers a clear remediation roadmap.

1

Comprehensive Risk Analysis

PTG's HIPAA risk assessment begins with a thorough analysis of your entire environment where protected health information is created, received, maintained, or transmitted. Our methodology is directly aligned with the guidance published by the Office for Civil Rights and follows the NIST SP 800-30 risk assessment framework that OCR has endorsed as an acceptable approach. We identify every system, application, and workflow that touches ePHI, evaluate the threats and vulnerabilities specific to each, and determine the likelihood and potential impact of a breach. This is not a checkbox exercise — it is a deep, methodical evaluation conducted by HIPAA-specialized analysts who understand both the regulatory requirements and the real-world threats facing healthcare organizations in Raleigh, Durham, and the Research Triangle Park region.

2

Gap Identification & Prioritization

Once the risk analysis is complete, PTG produces a detailed gap analysis that maps your current safeguards against the full spectrum of HIPAA Security Rule requirements. We evaluate your administrative safeguards including security management processes, workforce security, and information access management. We assess your physical safeguards covering facility access controls, workstation security, and device and media controls. We analyze your technical safeguards including access controls, audit controls, integrity controls, and transmission security. Every identified gap is assigned a risk severity rating based on the likelihood of exploitation and the potential impact on protected health information, giving your organization a clear, prioritized view of where immediate action is required and where longer-term remediation planning is appropriate.

3

Remediation Planning & Documentation

PTG delivers a comprehensive remediation plan that transforms assessment findings into specific, actionable steps your organization can implement to achieve full HIPAA compliance. Each recommendation includes implementation guidance, estimated timelines, resource requirements, and cost considerations so your leadership team can make informed decisions about budget allocation and project sequencing. Critically, we produce the thorough documentation that OCR expects to see during an audit or investigation. This includes a complete risk analysis report, risk management plan, policies and procedures updates, and supporting evidence that demonstrates your organization's good-faith commitment to protecting patient data. Our documentation has supported clients through OCR inquiries, and our clients maintain a 100% HIPAA audit pass rate. PTG also provides ongoing compliance support through our HIPAA training programs and continuous monitoring services to ensure your compliance posture remains current.

Assessment Scope

Six Pillars of Our HIPAA Risk Assessment

Every critical dimension of HIPAA compliance is evaluated, documented, and addressed in our comprehensive assessment process.

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Administrative Safeguard Review

Administrative safeguards form the foundation of HIPAA compliance and represent the policies, procedures, and organizational actions that govern how your workforce interacts with protected health information. PTG evaluates your security management process, including your risk analysis and risk management practices, to determine whether they meet OCR expectations. We review your workforce security measures to confirm that employees have appropriate access levels, that background checks are conducted where required, and that termination procedures ensure timely revocation of system access. Our assessment examines your information access management policies, security awareness and training programs, incident response procedures, and contingency planning processes. We verify that your organization has designated a HIPAA Security Officer, maintains current policies addressing every standard and implementation specification in the Security Rule, and documents all security-related decisions and activities. Administrative safeguards are the area where OCR most frequently identifies deficiencies, making this component of the assessment particularly critical.

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Physical Safeguard Assessment

Physical safeguards protect the tangible systems and facilities where electronic protected health information resides. PTG assesses your facility access controls to ensure that only authorized individuals can physically access areas where ePHI is stored or processed. We evaluate your workstation security practices, including screen lock policies, clean desk procedures, and the physical placement of monitors to prevent unauthorized viewing of patient data. Our assessment reviews your policies for portable devices, removable media, and equipment disposal to confirm that ePHI cannot be recovered from decommissioned hardware. For healthcare organizations with multiple locations across the Raleigh, Durham, and Triangle NC area, we conduct site-specific evaluations recognizing that physical security requirements may vary by facility type, patient volume, and operational characteristics. We document every finding and provide practical, cost-effective recommendations for addressing physical safeguard gaps.

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Technical Safeguard Analysis

Technical safeguards are the technology-based controls that protect ePHI and manage access to it. PTG conducts a thorough analysis of your access control mechanisms including unique user identification, emergency access procedures, automatic logoff configurations, and encryption standards for data at rest. We evaluate your audit controls to determine whether your systems generate and retain sufficient audit logs to track all access to ePHI, and whether those logs are reviewed regularly for suspicious activity. Our analysis examines your integrity controls to ensure that ePHI has not been improperly altered or destroyed, and your transmission security measures to verify that all ePHI sent over electronic networks is appropriately encrypted. We assess authentication mechanisms to confirm that individuals and entities accessing ePHI are who they claim to be. This technical deep-dive identifies vulnerabilities that administrative reviews alone cannot detect and provides the evidence-based findings OCR values most during compliance inquiries.

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Risk Analysis Documentation

The single most cited deficiency in OCR enforcement actions is the failure to conduct or adequately document a security risk analysis. PTG produces comprehensive risk analysis documentation that meets and exceeds OCR expectations. Our documentation includes a complete inventory of all systems that create, receive, maintain, or transmit ePHI, identification of all reasonably anticipated threats and vulnerabilities, assessment of current security measures, determination of the likelihood and impact of threat occurrence, and assignment of risk levels for each identified vulnerability. We provide a formal risk management plan that documents the security measures selected to reduce identified risks to reasonable and appropriate levels, along with the rationale for every decision. This documentation serves as your primary evidence of compliance during an OCR audit or investigation and demonstrates that your organization takes a systematic, ongoing approach to identifying and mitigating risks to patient data.

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Business Associate Agreement Review

HIPAA requires covered entities to execute Business Associate Agreements with every third party that creates, receives, maintains, or transmits protected health information on their behalf. Failure to maintain proper BAAs is one of the most common compliance violations and has resulted in significant enforcement penalties. PTG conducts a comprehensive review of all your business associate relationships to identify vendors, service providers, and partners who qualify as business associates under HIPAA. We evaluate your existing BAAs to verify they contain all required provisions, including obligations regarding the use and disclosure of PHI, safeguard requirements, breach notification obligations, and termination provisions. Our review identifies relationships where BAAs are missing entirely, where agreements are outdated and do not reflect current HIPAA requirements, or where the scope of the agreement does not accurately reflect the business associate's actual access to PHI. We provide template agreements and assist with the negotiation and execution of compliant BAAs for every identified relationship.

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Breach Notification Readiness

The HIPAA Breach Notification Rule requires covered entities and business associates to notify affected individuals, the Department of Health and Human Services, and in some cases the media, following a breach of unsecured protected health information. The notification requirements are strict, with specific timelines and content requirements that must be met to avoid additional penalties. PTG evaluates your organization's breach notification readiness by assessing whether you have documented breach identification and response procedures, whether your workforce is trained to recognize and report potential breaches, and whether your notification templates and communication channels are prepared for rapid deployment. We review your breach risk assessment methodology to ensure you can accurately determine whether an incident constitutes a reportable breach under the four-factor test established by HHS. Our assessment also evaluates your documentation practices for maintaining the breach log required by the Breach Notification Rule, covering all breaches affecting fewer than 500 individuals that must be reported to HHS annually.

Proven Results

Trusted by Healthcare Organizations Across the Triangle

22+
Years of HIPAA Expertise
2,500+
Companies Protected
0
Security Breaches
100%
HIPAA Audit Pass Rate

Ready to see what PTG can do for your business? Schedule a free consultation and join the businesses across the Triangle that trust us with their technology.

919-348-4912
Industry Applications

HIPAA Risk Assessment for Every Healthcare Setting

Our HIPAA assessment methodology adapts to the unique operational characteristics, patient populations, and risk profiles of each healthcare sector across the Raleigh, Durham, RTP, and Triangle NC region.

Medical Practices & Physician Groups

Small and mid-sized medical practices face the same HIPAA requirements as large hospital systems but often lack dedicated compliance staff. PTG provides tailored HIPAA risk assessments that account for the specific workflows, electronic health record systems, and patient communication practices used in physician offices. We evaluate your patient intake processes, prescription management systems, lab result handling, and referral coordination to ensure ePHI is protected at every touchpoint. Our assessments help practices across Raleigh, Durham, and Chapel Hill meet their HIPAA obligations without diverting clinical resources from patient care.

Hospitals & Health Systems

Hospitals operate complex, interconnected technology environments with thousands of users, hundreds of applications, and massive volumes of protected health information flowing across departments, facilities, and affiliated providers. PTG's HIPAA risk assessments for hospitals and health systems address the unique scale and complexity of these environments, evaluating everything from clinical information systems and medical device security to visitor management and biomedical equipment networks. We have experience assessing multi-facility health systems where consistent policy application and centralized compliance governance are essential to maintaining a unified security posture.

Dental Offices & Mental Health Practices

Dental offices and mental health practices handle highly sensitive patient information, including behavioral health records that carry additional confidentiality protections under state and federal law. PTG understands the unique compliance challenges these specialties face, from digital imaging systems and practice management software in dental offices to telehealth platforms and psychotherapy notes in mental health settings. Our assessments evaluate the specific technologies, workflows, and privacy requirements relevant to each specialty, ensuring that your practice meets not only HIPAA requirements but also the heightened confidentiality standards applicable to behavioral health information.

Business Associates & Healthcare Vendors

If your organization provides services to covered entities and accesses protected health information in the process, you are a business associate under HIPAA and are directly subject to the HIPAA Security Rule. PTG provides HIPAA risk assessments specifically designed for business associates, including IT service providers, billing companies, cloud hosting providers, medical transcription services, and health information exchanges. We evaluate your obligations under both HIPAA and your Business Associate Agreements, assess your safeguards for the PHI you handle, and ensure your breach notification procedures meet the requirements that flow down from your covered entity relationships.

Why PTG

Why Choose Petronella Technology Group for HIPAA Risk Assessment

  • HIPAA-Specialized Assessment Team

    PTG's HIPAA assessment team consists of security professionals who specialize exclusively in healthcare compliance. Our analysts hold certifications including HCISPP (HealthCare Information Security and Privacy Practitioner) and CompTIA Security+, and they maintain deep knowledge of the HIPAA Security Rule, Privacy Rule, and Breach Notification Rule. Unlike general IT firms that treat HIPAA as one of many compliance frameworks they dabble in, our team works with healthcare organizations daily and understands the nuances, edge cases, and practical challenges that medical practices, hospitals, and business associates face when implementing HIPAA-compliant security programs across the Raleigh, Durham, and Triangle region.

  • OCR-Aligned Assessment Methodology

    Our HIPAA risk assessment methodology is directly aligned with the guidance and expectations published by the Office for Civil Rights. We follow the NIST SP 800-30 risk assessment framework that OCR has specifically endorsed, and our assessment scope covers every standard and implementation specification in the HIPAA Security Rule. When OCR reviews your risk analysis documentation during an audit or investigation, the format, depth, and thoroughness of PTG's deliverables align precisely with what their reviewers expect to see. This alignment is not coincidental — it is the result of more than two decades of experience helping healthcare organizations navigate OCR inquiries and compliance reviews successfully.

  • Audit-Ready Documentation Expertise

    Documentation is where most healthcare organizations fail during an OCR audit, not because they lack security controls, but because they cannot produce evidence that those controls exist and are functioning as intended. PTG's HIPAA risk assessment produces a complete documentation package that stands up to regulatory scrutiny. This includes the formal risk analysis report, risk management plan, policies and procedures inventory, workforce training records, business associate agreement registry, and supporting evidence for every compliance decision. Our documentation has been tested in real-world OCR interactions, and our clients maintain a 100% audit pass rate because the evidence we produce leaves no room for ambiguity about their compliance commitment.

  • Ongoing Compliance Support

    HIPAA compliance is not a one-time achievement — it is an ongoing obligation that requires continuous attention as your organization evolves, your technology environment changes, and new threats emerge. PTG provides ongoing compliance support that extends well beyond the initial risk assessment. We offer annual risk assessment updates, continuous security monitoring, workforce HIPAA training programs, policy management services, and incident response planning. When questions arise about new technologies, workflow changes, or business associate relationships, our team is available to provide guidance that keeps your organization on the right side of compliance. This long-term partnership approach is why healthcare organizations across the Triangle trust PTG as their dedicated HIPAA compliance partner.

FAQ

Frequently Asked Questions About HIPAA Risk Assessments

What is a HIPAA risk assessment and why is it required?
A HIPAA risk assessment, also called a security risk analysis, is a systematic evaluation of all the potential risks and vulnerabilities to the confidentiality, integrity, and availability of electronic protected health information held by your organization. It is explicitly required by the HIPAA Security Rule at 45 CFR 164.308(a)(1)(ii)(A). The Office for Civil Rights considers the risk analysis the foundational element of HIPAA compliance, and the absence of a current, thorough risk analysis is the single most frequently cited deficiency in OCR enforcement actions. Every covered entity and business associate is required to conduct one, regardless of size.
How often should a HIPAA risk assessment be performed?
While the HIPAA Security Rule does not prescribe a specific frequency, OCR guidance makes clear that the risk analysis is not a one-time activity. OCR expects organizations to review and update their risk analysis regularly, particularly when there are changes to the environment such as new technology implementations, workflow modifications, organizational changes, or emerging security threats. Industry best practice and OCR enforcement trends strongly indicate that a comprehensive risk assessment should be conducted at least annually, with interim updates performed whenever significant changes occur. PTG recommends annual full assessments supplemented by quarterly reviews of critical controls and emerging risks.
What are the specific HIPAA Security Rule requirements covered in the assessment?
PTG's HIPAA risk assessment covers every standard and implementation specification in the HIPAA Security Rule, organized into three categories. Administrative safeguards include security management processes, assigned security responsibility, workforce security, information access management, security awareness and training, security incident procedures, contingency planning, and evaluation. Physical safeguards include facility access controls, workstation use and security, and device and media controls. Technical safeguards include access controls, audit controls, integrity controls, person or entity authentication, and transmission security. We also evaluate compliance with the organizational requirements and documentation standards specified in the Security Rule.
How much does a HIPAA risk assessment cost?
The cost of a HIPAA risk assessment depends on several factors including the size of your organization, the number of locations and systems that handle ePHI, the complexity of your technology environment, and the scope of business associate relationships that need to be evaluated. PTG provides transparent, customized pricing after an initial scoping conversation. We offer assessments appropriate for solo practitioners through large multi-facility health systems. Contact us at 919-348-4912 or schedule a free consultation to discuss your specific needs. The cost of a professional risk assessment is a fraction of the penalties for non-compliance, which can reach $1.5 million per violation category per year.
What documentation does the assessment produce?
PTG's HIPAA risk assessment delivers a comprehensive documentation package that includes a formal risk analysis report identifying all threats, vulnerabilities, and risk levels; a risk management plan documenting the security measures selected to address each identified risk; an inventory of all systems that create, receive, maintain, or transmit ePHI; a gap analysis mapping your current controls against every HIPAA Security Rule requirement; a prioritized remediation plan with specific recommendations, timelines, and cost estimates; updated or new policies and procedures where deficiencies are identified; and a business associate relationship inventory with BAA compliance status. This documentation is designed to serve as your primary evidence of compliance during an OCR audit or investigation.
What is a Business Associate Agreement and do I need them?
A Business Associate Agreement is a written contract required by HIPAA between a covered entity and any person or organization that performs functions or activities involving the use or disclosure of protected health information on the covered entity's behalf. If you use third-party services for billing, cloud hosting, IT support, shredding, transcription, legal services, or any other function that involves access to PHI, you need a BAA with each of those vendors. Failure to execute and maintain proper BAAs is a common HIPAA violation that has resulted in significant enforcement penalties. PTG's assessment includes a thorough review of all your business associate relationships to identify missing, incomplete, or outdated agreements.
What are the HIPAA breach notification requirements?
The HIPAA Breach Notification Rule requires covered entities to notify affected individuals within 60 days of discovering a breach of unsecured PHI. If the breach affects 500 or more individuals, the covered entity must also notify the HHS Secretary and prominent media outlets serving the state or jurisdiction within 60 days. Breaches affecting fewer than 500 individuals must be reported to HHS annually. Business associates must notify the covered entity of a breach within 60 days of discovery. PTG's assessment evaluates your breach notification readiness, including your ability to identify breaches, conduct the required four-factor risk assessment to determine reportability, execute timely notifications, and maintain the required breach log documentation.
Does HIPAA require employee security awareness training?
Yes. The HIPAA Security Rule requires covered entities and business associates to implement a security awareness and training program for all workforce members, including management. The training must address security reminders, procedures for guarding against malicious software, log-in monitoring, and password management. The Privacy Rule separately requires training on policies and procedures related to the use and disclosure of PHI. PTG's assessment evaluates your current training program and identifies gaps. We also provide comprehensive HIPAA training services that satisfy both the Security Rule and Privacy Rule training requirements with documented completion tracking and competency validation.
What are the penalties for HIPAA non-compliance?
HIPAA penalties are organized into four tiers based on the level of culpability. Tier 1, for violations where the entity was unaware, carries penalties of $100 to $50,000 per violation. Tier 2, for violations due to reasonable cause, ranges from $1,000 to $50,000 per violation. Tier 3, for willful neglect that is corrected, ranges from $10,000 to $50,000 per violation. Tier 4, for willful neglect that is not corrected, carries a flat $50,000 per violation. Annual maximums are $1.5 million per violation category. Criminal penalties enforced by the Department of Justice can include fines up to $250,000 and imprisonment up to ten years. Beyond federal penalties, state attorneys general can bring additional actions, and the reputational damage from a publicized HIPAA violation can be devastating to a healthcare practice.
How long does a HIPAA risk assessment take to complete?
The timeline for a HIPAA risk assessment depends on the size and complexity of your organization. For a small to mid-sized medical practice with a single location, PTG typically completes the assessment within two to three weeks, including the on-site evaluation, analysis, and delivery of the final documentation package. Larger organizations with multiple locations, complex technology environments, or extensive business associate relationships may require four to six weeks. PTG works with your schedule to minimize disruption to clinical operations, and much of the assessment can be conducted with minimal impact on your day-to-day workflow. We provide a detailed project timeline during the initial scoping phase so you know exactly what to expect at every stage of the engagement.
Protect Your Practice

Schedule Your HIPAA Risk Assessment Today

Don't wait for an OCR audit to discover your compliance gaps. PTG's HIPAA-specialized team will evaluate your safeguards, document your risk analysis, and deliver a clear remediation roadmap — backed by 22+ years and zero breaches among clients following our security program. Serving healthcare organizations across Raleigh, Durham, RTP, and the Triangle, NC region.

Ready to get started? Call us at 919-348-4912 or contact us online for a free consultation.