HIPAA Compliance Services

CyberSecop Cyber Security & HIPAA Compliance Services assist organizations with HIPAA regulatory standards or becoming certified with HITRUST. These both HIPAA & HITRUST requires that patient data be stored securely, access to the data be controlled and monitored, and that healthcare organizations have the policies, procedures and systems needed to ensure compliance.

You can implement HIPAA compliance program using our HIPAA Compliance Services. In today’s world we are no longer just dealing with HIPAA compliance, cyber criminals are targeting healthcare, with ransomware attacks, and phishing campaigns on the rise,  cyber crime and hacker are directly affecting patient safety and their information. Securing healthcare information is critical, by doing so reduce the possibility of your health records being compromised,  if or when healthcare records  becomes compromised you'll have more than just a regulatory headache - cyber security has become life and death in some cases for healthcare organizations. 

Cyber Security & HIPAA Compliance Services  

Healthcare organizations make good targets for ransomware attacks because they don’t typically have sophisticated backup systems and other resiliency measures like large corporations. Ransomware attacks have become increasingly sophisticated and often begin with an email attachment opened by an unwitting employee. The malicious code crawls through the computer system, encrypting and locking data folders and the computer’s operating system.

HIPAA Compliance Security Consulting with CyberSecOp

Everything you need to maintain the security compliance with HIPAA security and compliance program, while safeguarding your organization against data breach, compliance failure, incentive recoupment, and fines. It is a key requirement of the HIPAA Security Management Process Standard and a major requirement for organizations seeking payment through the Medicare and Medicaid Meaningful Use Program.

HIPAA Security Compliance Services

Risk Categorization: Organizations must categorize their information and information systems in order of risk to ensure that sensitive information and the systems that use it are given the highest level of security. 

System Security Plan: HIPAA requires agencies to create a security plan which is regularly maintained and kept up to date. The plan should cover things like the security controls implemented within the organization, security policies, and a timetable for the introduction of further controls.

Security Controls: HIPAA outlines an extensive catalog of suggested security controls for HIPAA compliance. HIPAA does not require an agency to implement every single control; instead, they are instructed to implement the controls that are relevant to their organization and systems. Once the appropriate controls are selected and the security requirements have been satisfied, the organizations must document the selected controls in their system security plan.

Risk Assessments: Risk assessments are a key element of HIPAA information security requirements. HIPAA offers some guidance on how agencies should conduct risk assessments. According to the HIPAA guidelines, risk assessments should be three-tiered to identify security risks at the organizational level, the business process level, and the information system level.
Certification and Accreditation: HIPAA requires program officials and agency heads to conduct annual security reviews to ensure risks are kept to a minimum level. Agencies can achieve HIPAA Certification and Accreditation (C&A) through a four-phased process which includes initiation and planning, certification, accreditation, and continuous monitoring.

Administrative Safeguards

The administrative safeguards comprise of half of the HIPAA Security requirements. As with all the standards in this rule, compliance with the Administrative Safeguards will require an evaluation of the security controls already in place as well as an accurate and thorough risk analysis. CyberSecOp can assist you in providing a comprehensive Security Risk Assessment.

There are three parts to the HIPAA COMPLIANCE Security Rule:

1. Administrative Safeguards

2. Technical Safeguards

3. Physical Safeguards

HIPAA Administrative Safeguards

1. Assign a privacy officer

2. Complete a risk assessment annually

3. Implement employee training

4. Review policies and procedures

5. Execute Business Associate Agreements (BAAs) with all partners who handle protected health information (PHI)

HIPAA Technical Safeguards

1. Unique User Identification (required): Assign a unique name and/or number for identifying and tracking user identity.

2. Emergency Access Procedure (required): Establish (and implement as needed) procedures for obtaining necessary PHI during an emergency.

3. Automatic Logoff (addressable): Implement electronic procedures that terminate an electronic session after a predetermined time of inactivity.

4. Encryption and Decryption (addressable): Implement a mechanism to encrypt and decrypt PHI.

5. Audit Controls (required): Implement hardware, software, and/or procedural mechanisms that record and examine activity in information systems that contain or use ePHI.

6. Mechanism to Authenticate ePHI (addressable): Implement electronic mechanisms to corroborate that PHI has not been altered or destroyed in an unauthorized manner.

7. Authentication (required): Implement procedures to verify that a person or entity seeking access to PHI is the one claimed.

8. Integrity Controls (addressable): Implement security measures to ensure that electronically transmitted PHI is not improperly modified without detection until disposed of.

9. Encryption (addressable): Implement a mechanism to encrypt ePHI whenever deemed appropriate

HIPAA physical safeguards four standards 

1. Facility Access Controls – These policies and procedures should limit physical access to all ePHI to that which is only necessary and authorized. Some common controls include things like locked doors, signs labeling restricted areas, surveillance cameras, onsite security guards, and alarms. Personnel controls could include ID badges and visitor badges.

2. Workstation Use – Workstation use covers appropriate use of workstations, such as desktops or laptops. These policies and procedures should specify the proper functions that should be performed on workstations, how they should be performed, and physical workstation security.

3. Workstation Security – Workstation security is necessary to restrict access to unauthorized users.

4. Device and Media Controls – Device and media controls are policies and procedures that govern how hardware and electronic media that contains ePHI enters or exits the facility. These controls must include disposal, media reuse, accountability, and data backup and storage.

Start HIPAA compliance Risk Analysis

A risk analysis is an assessment of potential vulnerabilities, threats, and risks to your organization’s ePHI. There isn’t an exact risk analysis methodology, but certain elements must be included:

• Scope analysis

• Data collection

• Vulnerabilities/threat identification

• Assessment of current security measures

• Likelihood of threat occurrence

• Potential impact of threat

• Risk level

• Periodic review/update as needed

What is HIPAA Compliance

The HIPAA Security Rule applies to both covered entities and business associates because of the potential sharing of ePHI. The Security Rule outlines standards for the integrity and safety of ePHI, including physical, administrative, and technical safeguards that must be in place in any healthcare organization.

CyberSecOp HIPAA Security Services OverView

The HIPAA security rule standards are grouped into five categories: administrative safeguards; physical safeguards; technical safeguards; organizational standards; and policies, procedures, and documentation requirements. One of the most important steps in preparing to implement these standards is to review the HIPAA security compliance rule itself.

CyberSecOp can assess your company's infrastructure & implement a HIPAA Compliance Plan to save your practice from hidden HIPAA threats. As a healthcare provider, it’s important to protect your practice against HIPAA violations. If you’re not up to date with the latest HIPAA Compliance and technology, then you could be putting your practice and patients at risk. Breaches in your security could lead to fines, loss of business, and more. We ensure your practice has a HIPAA compliance plan and is using best practices to secure data and manage technology to minimize the risks.

HIPAA Compliance Services

HIPAA Security Services Alignment: Implement policies and procedures for authorizing access to EPHI. Implement a security awareness and training program for all members of its workforce including management. Implement policies and procedures to address security incidents.

HIPAA Compliance Program

• Implementing written policies, procedures, and standards of conduct.

• Designating a compliance officer and compliance committee.

• Conducting effective training and education.

• Developing effective lines of communication.

• Conducting internal monitoring and auditing. Enforcing standards through well-publicized disciplinary guidelines. Responding promptly to detected offences and undertaking +corrective action