HIPAA

HIPAA Compliance Services

CyberCrest provides comprehensive HIPAA services that help organizations achieve, maintain, and demonstrate compliance with the HIPAA Security Rule. Our team of experts provides a range of services, including HIPAA gap assessments, HIPAA risk assessments, remediation services, compliance implementation, and attestations.

Starting your HIPAA Journey? Download our Top 5 Tips for Achieving HIPAA Compliance!

End-to-end HIPAA Compliance Service

HIPAA Compliance Methodology

Gap Assessment

CyberCrest will conduct a HIPAA gap assessment and develop a path towards compliance

Remediation Support

CyberCrest will develop documentation and support control implementation

HIPAA Assessment

CyberCrest will conduct a formal assessment to evaluate HIPAA compliance status

HIPAA Attestation Issuance

CyberCrest will issue a detailed HIPAA compliance attestation report

CyberCrest Resources

HIPAA Compliance Resources

Related Services

Additional CyberCrest HIPAA Services

Risk Assessment

CyberCrest can assist your organization with all of its HIPAA risk assessment needs.

Penetration Testing

Our Penetration Testing services will help your organization meet its HIPAA safeguard requirements.

HIPAA Services

A HIPAA certification is commonly sought in parallel with a HITRUST compliance attestation.

Frequently Asked Questions

HIPAA (Health Insurance Portability and Accountability Act) is a federal law that provides guidelines and regulations aimed at protecting the privacy and security of individually identifiable health information. This law applies to covered entities such as healthcare providers, healthcare clearinghouses, and health plans and their business associates.

HIPAA regulations are divided into two primary categories: the Privacy Rule and the Security Rule. The Privacy Rule sets standards for how protected health information (PHI) can be used and disclosed. The Security Rule, on the other hand, requires covered entities and their business associates to implement administrative, physical, and technical safeguards to ensure the confidentiality, integrity, and availability of electronic PHI (ePHI).

HIPAA compliance in the technology world typically refers to requirements for business associates to implement the Security Rule. This includes implementing access controls, conducting risk analyses, and regularly reviewing and updating security policies and procedures.

The purpose of HIPAA compliance is to protect sensitive patient information, maintain the privacy and security of PHI, and to avoid costly fines and penalties for non-compliance. Demonstrating HIPAA compliance is important for organizations in the healthcare industry as it shows their commitment to protecting patient data and reinforces their trust with customers, partners, and stakeholders.

At CyberCrest, we understand the complexities of HIPAA compliance. We are here to help you achieve and maintain compliance with ease. Our team of experts will work with you to assess your organization’s compliance status, implement best practices, and ensure that your patient information is secure in accordance with the HIPAA Security Rule. With our comprehensive range of services and expertise, you can rest assured that your organization is fully protected and compliant with HIPAA.

There are two HIPAA compliance requirements that are most commonly required: the Privacy Rule and the Security Rule. HIPAA requires covered entities, such as healthcare providers and health plans, to comply with the Privacy Rule and the Security Rule. Business associates, including cloud service providers, SaaS vendors, third-party service providers, and contractors, who handle PHI on behalf of covered entities must also comply with the Security Rule.

The Security Rule requires covered entities and their business associates to implement administrative, physical, and technical safeguards to ensure the confidentiality, integrity, and availability of electronic protected health information (ePHI). This includes implementing access controls, conducting regular risk analyses, and regularly reviewing and updating security policies and procedures. Some of the key security safeguards include secure access controls, regular security awareness training, secure data storage, data encryption, and secure transmission of ePHI. For a more specific breakdown of the HIPAA compliance requirements, see our HIPAA Compliance Checklist.

The Privacy Rule sets standards for how protected health information (PHI) can be used and disclosed. It applies to covered entities and gives individuals certain rights over their PHI, such as the right to access and receive a copy of their PHI, and the right to request that their PHI be amended.

It is important to note that HIPAA is not a certification, but rather a set of regulations and guidelines. Implementing reasonable and appropriate measures to protect ePHI, as outlined in the Security Rule, can help protect entities from HIPAA-related violations. HIPAA attestation services, like the ones offered by CyberCrest, can also help demonstrate a commitment to HIPAA compliance and reinforce trust with customers, partners, and stakeholders.

A HIPAA Risk Assessment is a critical component of HIPAA compliance, as it helps organizations identify and mitigate potential risks and vulnerabilities that could result in a data breach. According to the HIPAA Security Rule, covered entities and their business associates are required to perform periodic risk analyses and implement risk management plans.

The risk analysis process involves assessing the likelihood and impact of potential threats to the confidentiality, integrity, and availability of electronic protected health information (ePHI). This includes evaluating technical safeguards, physical security measures, and administrative controls to ensure the protection of ePHI.

CyberCrest is well equipped to assist organizations with their HIPAA Risk Assessments. Our team has combined expertise in healthcare, cybersecurity, and cloud computing to provide a comprehensive risk analysis that is compliant with official guidance from NIST SP 800-30. Our HIPAA Risk Assessment services help organizations prepare for a potential OCR audit by making compliance documentation, evidence, and artifacts readily available and reviewed for compliance by HIPAA experts.

CyberCrest’s risk assessment services cover all aspects of HIPAA compliance and help organizations understand their current security posture, identify areas for improvement, and implement best practices to reduce the risk of a breach. With our HIPAA Risk Assessment, organizations can feel confident that they are in compliance with the HIPAA security rule and are well prepared for an OCR audit. Click here to learn more about our HIPAA risk assessment services.

The process of achieving HIPAA compliance can take several months to complete and the timeline can vary based on several factors such as the size and complexity of the organization, existing security and compliance maturity, and the nature and scope of PHI processed.

A HIPAA gap assessment, the first step towards HIPAA compliance, typically takes around 1-3 months. This is followed by the remediation phase, where an organization implements the recommended changes, which can vary greatly in terms of time and effort. Finally, a HIPAA attestation audit, which verifies compliance with the security rule, typically takes around 1-2 months.

To achieve HIPAA compliance, staff from various departments such as security, HR, and executive leadership, will need to participate in the process. Key activities include gap assessments, documenting policies and procedures, implementing training, and making necessary changes to technology and processes.

Costs associated with HIPAA compliance can vary greatly, but some common expenses include anti-virus software, mobile device management solutions, and audit logging and monitoring tools. CyberCrest provides affordable gap assessments, remediation support, risk assessments, and attestations, and our security experts will assist with selecting cost-effective and time-efficient solutions that meet both security and compliance needs. Reach out to a CyberCrest expert today to discuss your HIPAA compliance objectives and receive a quote for the cost to become compliant.
According to the HIPAA Security Rule, encryption is considered an “addressable” safeguard for protecting PHI. This means that covered entities must evaluate whether encryption is reasonable and appropriate for their specific needs, taking into account their risk assessment and analysis results. If encryption is determined to be reasonable and appropriate, then it must be implemented. In most cases, encrypting ePHI at-rest and in-transit is a good idea.

Encryption is one of the technical safeguards under the HIPAA Security Rule that aims to protect PHI at rest and in transit. Encryption of PHI at rest refers to protection of electronic PHI stored on devices and media, while encryption in transit refers to protection of electronic PHI as it is transmitted over electronic networks.

If encryption is not determined to be reasonable and appropriate, covered entities and business associates must implement alternative equivalent measures to protect the confidentiality, integrity and availability of PHI, such as unique access codes or firewalls.

In summary, HIPAA does not require encryption for PHI but it is considered an addressable safeguard, meaning that it must be evaluated for implementation based on the results of the risk assessment and analysis. If encryption is deemed necessary, it must be implemented to protect the confidentiality, integrity, and availability of PHI. CyberCrest can conduct a HIPAA risk analysis and compliance gap assessment to determine whether encryption is appropriate for your organization and support your organization with encrypting PHI as needed. Click here to learn more about CyberCrest’s specialized HIPAA risk assessment, risk analysis, and risk management services.
Penetration testing is a type of security assessment that involves simulating real-world attacks on a system, network or application to identify security vulnerabilities that can be exploited by cyber criminals. The short answer to the question of whether HIPAA requires penetration testing is that it depends on the results of the risk assessment.

One of the HIPAA administrative safeguards is the “Evaluation” safeguard, which requires entities to perform periodic technical and non-technical evaluations to determine the extent to which they are compliant with HIPAA. HIPAA also requires a periodic risk analysis and risk management process that should be used to determine the risks to the confidentiality, integrity, and availability of Protected Health Information (PHI) and implement compensating controls to reduce the risk.

If the results of your risk assessment reveal that there are significant threats to PHI due to external attackers, then conducting regular penetration testing as part of a periodic technical analysis is likely required. For example, if a hospital is looking to purchase a Software as a Service (SaaS) product from a vendor that stores PHI in the cloud and hosts web applications used to interact with PHI, then a penetration test would be required. On the other hand, if a vendor provides on-site IT support without any web applications or cloud-hosted services, then a penetration test would most likely not be required.

In summary, HIPAA does not explicitly require penetration testing, but if your risk assessment reveals significant risks to PHI, then conducting regular penetration testing may be necessary to meet the requirements of the HIPAA administrative safeguards. CyberCrest provides specialized penetration testing services designed to rigorously evaluate the security of your PHI. We have a team of experts with extensive experience in HIPAA compliance who understand the specific requirements and regulations. Our penetration testing services leverage this expertise to help organizations ensure the confidentiality, integrity, and availability of their PHI and meet the requirements of HIPAA. Click here to learn more about our penetration testing services.
In the context of HIPAA (Health Insurance Portability and Accountability Act), there are two key types of entities that are regulated: Covered Entities (CEs) and Business Associates (BAs). Understanding the differences between these two is crucial to ensuring proper compliance with HIPAA regulations.

Covered Entities (CEs) are entities that provide health care services and directly interact with individuals to collect, maintain, store, and use protected health information (PHI). Examples of Covered Entities include health care providers such as hospitals, physicians, clinics, and nursing homes, health plans such as health insurance companies and HMOs, and health care clearinghouses such as billing services. As primary providers of health care services, CEs are directly responsible for ensuring that any PHI they collect, use, or disclose is protected according to HIPAA standards.

On the other hand, Business Associates (BAs) are entities that provide support services to CEs and may also receive, maintain, or use PHI in the course of their work for the CEs. Examples of Business Associates include billing services, collection agencies, claims processors, and software vendors. Unlike CEs, BAs are not directly responsible for providing health care services, but they are still responsible for ensuring that any PHI they receive or maintain is protected according to HIPAA standards.

While CEs and BAs both have to ensure the protection of PHI, they are subject to different compliance requirements under HIPAA. For example, CEs must conduct periodic risk analyses, implement privacy and security controls, and ensure that they are in compliance with HIPAA regulations at all times. On the other hand, BAs must comply with the terms of the Business Associate Agreement (BAA) they have with the CEs, and implement the HIPAA controls specified in the agreement.

In summary, CEs are entities that directly provide health care services and have direct responsibility for ensuring that any PHI they collect, use, or disclose is protected according to HIPAA standards. BAs, on the other hand, are entities that provide support services to CEs and are subject to the terms of the Business Associate Agreement (BAA) they have with the CEs.