HIPAA Compliance Assessment

The Health Insurance Portability and Accountability Act (HIPAA) was passed by Congress in 1996 with the aim of requiring the protection and confidential handling of protected health information (PHI), both in paper and electronic forms (ePHI).

The subsequent passing of the Health Information Technology for Economic and Clinical Health (HITECH) Act, which was enacted as part of the American Recovery and Reinvestment Act of 2009, modified the U.S. Department of Health and Human Service (HHS) Secretary’s authority to impose civil money penalties for HIPAA violations. These HITECH Act revisions have significantly increased enforcement actions and the penalty amounts HHS may impose for violations of the HIPAA rules. These HIPAA rules are required for companies that store, process, or handle ePHI either as a covered entity or business associate.

Schneider Downs can assist your organization in meeting these rules by performing an independent HIPAA / HITECH gap analysis that will ensure that your organization has implemented the appropriate safeguards to protect the sensitive PHI and ePHI within your organization.

Detailed Approach of HIPAA Compliance

We begin our assessment by gaining and understanding of your business processes and taking an inventory of areas where PHI / ePHI are used or stored. We will work with and interview key individuals within the business and information technology services areas of your organization to understand information security policies, procedures, and practices. We will examine administrative, physical and technical safeguards that your organization has implemented to protect PHI / ePHI.

What makes the Schneider Downs process so effective is that our HIPAA compliance assessment is aligned with the HHS audit protocol. Using our deep understanding of the HHS’ HIPAA Audit Protocol we perform a detailed review of policies and procedures adopted and employed by covered entities or business associates to meet the standards and implementation specifications of the Privacy, Security, and Breach Notification Rules.

Our ultimate goal is to assess your organization’s compliance with the HIPAA rules, identify gaps and provide you with detailed recommendations to effectively close those gaps and ultimately protect ePHI / PHI. We will by provide your organization with a HIPAA compliance assessment report outlining all gaps along with a detailed roadmap to achieve ultimate compliance.

Our HIPAA compliance Assessment Process

1. Identify use and storage of PHI/ePHI
2. Understand policies, process and controls
3. Evaluate controls and determine if gaps exist
4. Produce detailed report with remediation steps