HIPAA compliance is the process by which US healthcare organizations and their business associates protect electronic protected health information (ePHI) in line with the HIPAA Security, Privacy, and Breach Notification Rules. At its core sits a mandatory security risk analysis and the implementation of administrative, physical, and technical safeguards that are reasonable and appropriate for the entity. CyberXplore delivers senior-led, manual HIPAA advisory - a thorough risk analysis, gap assessment against the Security Rule, and a prioritized remediation roadmap - so you reach audit-readiness with credible evidence. We are an independent security consultancy, not a government auditor or certifying body; HIPAA has no formal certificate, so we focus on demonstrable compliance and a documented, defensible posture.
The HIPAA Security Rule requires a documented, accurate, and thorough risk analysis of ePHI - and HHS OCR investigations routinely cite a missing or inadequate one as the root failing behind enforcement actions.
Penalties scale with culpability: civil monetary penalties reach into the millions per year per violation category, and breaches affecting 500+ individuals trigger mandatory OCR, media, and individual notification.
Healthcare clients, hospital systems, and payers increasingly require business associates to evidence HIPAA safeguards and sign Business Associate Agreements before sharing PHI.
PHI is a high-value target - healthcare records sell for far more than payment-card data, making providers, health-tech vendors, and SaaS handling ePHI prime ransomware and extortion targets.
We identify how ePHI is created, received, maintained, and transmitted across systems, vendors, and workflows, and clarify your role as a covered entity or business associate and the BAAs in scope.
02
Security Risk Analysis
We conduct the Security Rule's required risk analysis - cataloguing threats and vulnerabilities to the confidentiality, integrity, and availability of ePHI and rating likelihood and impact to produce a defensible risk register.
03
Safeguards Gap Assessment
We assess your controls against each administrative, physical, and technical safeguard, distinguishing 'required' from 'addressable' specifications and documenting the rationale for any addressable item you implement differently.
04
Remediation Roadmap & Policies
We deliver a prioritized risk-management plan and help shape the policies, procedures, and workforce training that the Security and Privacy Rules require, mapped to realistic timelines and owners.
05
Evidence & Audit-Readiness Review
We help you assemble and organize the documentation OCR expects - risk analysis, risk management plan, policies, training records, and BAAs - and validate it for completeness before any audit or client review.
06
Ongoing Advisory & Reassessment
HIPAA expects risk analysis to be an ongoing process; we support periodic reassessment after material changes, incidents, or new systems so your posture stays current and defensible.
What we test
ePHI data flow mapping across applications, infrastructure, and vendors
Encryption of ePHI at rest and in transit (addressable specification review)
Access management, unique user IDs, and minimum-necessary controls
Business Associate Agreements (BAAs) and vendor/third-party risk
Breach Notification Rule readiness and incident response procedures
Policies, procedures, and documentation against Security & Privacy Rule requirements
What you get
Documented security risk analysis with a prioritized ePHI risk register
Safeguards gap assessment mapped to the HIPAA Security Rule (administrative, physical, technical)
Risk-management plan with prioritized, owner-assigned remediation actions
Policy and procedure gap review with recommended templates and structure
Audit-readiness evidence checklist aligned to HHS OCR expectations
Executive summary translating compliance posture and residual risk for leadership
Remediation guidance and advisory support to close identified gaps
Sample deliverable
What you'll see in your report
Every engagement ends with a clear, prioritized report: severity-rated findings with CVSS scores, affected assets, and remediation status - plus a free retest. The figures below are illustrative.
Findings by severity
15 total
Critical
0
High
3
Medium
7
Low
5
High · CVSS 7.3CX-1802
ePHI encryption at rest not enforced
45 CFR §164.312(a)(2)(iv)EHR databaseOpen
High · CVSS 7.0CX-1820
No formal security risk analysis performed
45 CFR §164.308(a)(1)Organization-wideOpen
Illustrative hipaa security rule assessment sample - anonymized to example.com.
Medium · CVSS 5.5CX-1808
Audit controls / log review not implemented
45 CFR §164.312(b)Clinical systemsOpen
Want the full anonymized sample report? We'll include it with your quote.
Cumulative figures across our team's combined engagement history
Shared under NDA · details anonymized
“Senior testers, fast turnaround, and a free retest that actually proved our fixes worked. They made our SOC 2 audit painless.”
SOC 2 passed first attempt
VE
VP of Engineering
Series B FinTech · Payments platform
FinTech
Certifications held by our testers
OSCP
CRTP
CREST
CEH
eWPTX
ISO 27001
ISO 9001
Frequently asked questions
No - HIPAA has no government-issued certificate or accredited certifying body, and we are an independent consultancy rather than a regulator. We help you perform the required risk analysis, close gaps, and assemble defensible evidence so you can attest to compliance and demonstrate it to clients and HHS OCR.
