Privacy & Security Compliance HIPAA

Compliance Framework

HIPAA Compliance

The Health Insurance Portability and Accountability Act sets national standards for protecting sensitive patient health information. AIQA helps healthcare organizations and their business associates implement HIPAA controls, close gaps, and maintain compliance with confidence.

What It Is

Federal Law With Real Penalties

HIPAA is enforced by the U.S. Department of Health and Human Services Office for Civil Rights (OCR). It applies to covered entities — healthcare providers, health plans, and healthcare clearinghouses — and their business associates who handle protected health information (PHI) on their behalf.

Penalties range from $100 to $50,000 per violation, with annual caps up to $1.9 million per violation category. Criminal penalties can include imprisonment. State attorneys general may also bring civil actions on behalf of residents.

Who It Applies To

Any healthcare provider that transmits health information electronically, health plans, healthcare clearinghouses, and business associates — vendors, contractors, and service providers — who create, receive, maintain, or transmit PHI on behalf of a covered entity.

Quick Facts

  • Enforced by HHS Office for Civil Rights
  • Key rules Privacy Rule, Security Rule, Breach Notification Rule
  • Scope Protected Health Information (PHI) in any form
  • Max penalty $1.9M per violation category per year
  • Validation Risk assessments + OCR audits

The Framework

Three Core Rules

Privacy Rule

Establishes national standards for the protection of PHI. Defines permitted uses and disclosures, patient rights, and required safeguards for information access and sharing.

Security Rule

Establishes standards for protecting electronic PHI (ePHI). Requires administrative, physical, and technical safeguards. Includes required and addressable implementation specifications.

Breach Notification Rule

Requires covered entities and business associates to notify affected individuals, HHS, and in some cases the media following a breach of unsecured PHI.

How AIQA Helps

From Risk Assessment to Audit Readiness

Risk Assessment

We conduct a thorough HIPAA Security Rule risk analysis — identifying where ePHI lives, how it flows, and where controls are missing or insufficient.

Controls Implementation

We implement the administrative, physical, and technical safeguards required by the Security Rule, including access controls, audit logging, encryption, and workforce training.

Documentation & BAAs

We help you build and maintain the policies, procedures, Business Associate Agreements, and evidence packages required for HIPAA compliance and OCR audit readiness.

Common Challenges

Where Organizations Struggle

Business Associate Management

Many organizations lack consistent BAA coverage and vendor oversight. We build a manageable BA tracking and review process.

Risk Analysis Quality

OCR consistently cites inadequate risk analysis as the top HIPAA deficiency. We perform thorough, documented risk analyses that hold up to scrutiny.

Incident Response

Breach response timelines are strict. We build response playbooks that ensure timely notification and proper documentation.

Ongoing Compliance

HIPAA is not a one-time project. We build review cadences, policy update processes, and monitoring that keep you continuously compliant.

Other Compliance Frameworks

Free Offer

Start With a Complimentary Security Consultation

Get a complimentary 30–60 minute consultation. We will review your current HIPAA posture, identify gaps, and outline a clear path to compliance. No commitment required.

30–60 minutes. No cost. No commitment.