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HIPAA Compliance Consulting for Medical Practices

We build HIPAA plans for medical practices. We learn how your team works first. Then we set up clear controls that fit your clinic — covering the administrative safeguards of 45 CFR §164.308, the physical safeguards of 45 CFR §164.310, and the technical safeguards of 45 CFR §164.312. Small office or large group — same goal: real compliance with no extra burden.

What We Focus On for Medical Practices

HIPAA compliance for a medical practice spans three regulatory pillars. The following areas represent the core of what we address with every client, aligned to the requirements in the Security Rule and the Privacy Rule at 45 CFR Part 164, Subpart E.

What We Do First

We start with a security risk analysis — the foundational requirement under 45 CFR §164.308(a)(1)(ii)(A). This is not optional: OCR has cited the absence of a documented risk analysis in the majority of its enforcement actions. From there, our gap analysis identifies exactly where your practice falls short across all three Security Rule safeguard categories, and we rank fixes by urgency. You get a clear plan to close them.

How We Work With You

We sit down with you and write policies that fit your practice — covering administrative safeguards (§164.308), physical safeguards (§164.310), and technical safeguards (§164.312), as well as the patient rights and use-and-disclosure restrictions required under the Privacy Rule at 45 CFR Part 164, Subpart E. Then your staff trains on those policies through our HIPAA training program. They also complete HIPAA basics and cyber safety training, both of which are federal rules under §164.308(a)(5).

Common Outcomes for Medical Practice HIPAA Clients

Practices that complete the full compliance cycle — risk analysis, gap remediation, policy implementation, and staff training — consistently report these results. For a detailed look at what this investment typically involves, see our HIPAA compliance cost breakdown.

HIPAA Regulatory Standards for Medical Practices

The following federal regulations define the specific obligations that apply to medical practices as HIPAA covered entities. Each standard maps directly to the implementation work we perform. Practices operating in states with additional privacy laws should also review California HIPAA compliance requirements as an example of how state-level regulations can layer on top of federal rules.

45 CFR §164.308 — Administrative Safeguards

Requires a security risk analysis, risk management plan, workforce training, access management procedures, and a contingency plan. This is the largest and most frequently cited safeguard category in OCR enforcement actions.

45 CFR §164.310 — Physical Safeguards

Governs facility access controls, workstation use and security, and device and media controls. Medical practices must document who can access areas where ePHI is stored or processed, including exam rooms, server closets, and front-desk workstations.

45 CFR §164.312 — Technical Safeguards

Requires access controls (unique user IDs, automatic logoff), audit controls, integrity controls, and transmission security (encryption). Applies to EHR systems, patient portals, connected devices, and any system that creates, receives, or transmits ePHI.

45 CFR Part 164, Subpart E — Privacy Rule

Establishes patients' rights over their protected health information, including the right to access, amend, and request restrictions on PHI use and disclosure. Medical practices must have written privacy policies and a Notice of Privacy Practices on file.

45 CFR §§164.400–164.414 — Breach Notification Rule

Requires covered entities to notify affected individuals, HHS, and in some cases the media following a breach of unsecured PHI. Medical practices must have a documented incident management procedure that triggers and tracks these notifications.

45 CFR §164.308(b) — Business Associate Contracts

Requires a written Business Associate Agreement (BAA) with any vendor that creates, receives, maintains, or transmits PHI on your behalf — including EHR vendors, billing companies, cloud storage providers, and medical device manufacturers.

Medical Practice HIPAA FAQ

How long does it take to go from ad hoc to audit-ready?
Most groups see real progress in 30 to 60 days using our method. The timeline depends on the depth of the gaps identified during the security risk analysis required by 45 CFR §164.308(a)(1). Practices that have documented policies in place but lack a completed risk analysis and staff training records typically move the fastest.

What EHR access controls does HIPAA require?
Under 45 CFR §164.312, you need unique user IDs (§164.312(a)(2)(i)), automatic logoff (§164.312(a)(2)(iii)), audit logs that track who accessed what and when (§164.312(b)), and encryption for ePHI in transit and at rest (§164.312(a)(2)(iv) and §164.312(e)(2)(ii)). Most EHR systems support these features, but the settings must be deliberately configured and reviewed on a regular basis to remain compliant.

How do we secure a patient portal for HIPAA?
Use encrypted data transfer and strong login security. Under 45 CFR §164.312(e)(1), covered entities must implement technical security measures that guard against unauthorized access to ePHI transmitted over electronic communications networks. Get a BAA with the portal vendor as required by §164.308(b)(1). Write down how staff help patients use the portal and how you handle portal requests or complaints — these procedures satisfy the documentation requirements of §164.316.

Do medical devices that store patient data fall under HIPAA?
Yes. Any device that stores or sends ePHI must follow the Security Rule under 45 CFR §164.312. Physical safeguards under 45 CFR §164.310(d) also apply — your device and media controls policy must address how devices are tracked, reused, or disposed of. This covers monitors, diagnostic tools, and wearables linked to your EHR. Device vendors usually need a BAA too.

What must we do when a staff member with PHI access leaves?
Terminate access promptly as required by the workforce clearance and termination procedures under 45 CFR §164.308(a)(3)(ii)(C). Revoke EHR logins, email, and all systems that hold PHI. Write down what you did and when — documentation is required by §164.316(b). Add this step to your offboarding process and include it in your incident management procedures so it is handled consistently every time.

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