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Standard Compliance

HIPAA Compliance

  • Overview
  • Methodology
  • Our Approach
  • Entities
  • Benefits
  • Clients
  • FAQs

Overview : HIPAA Compliance

Protecting sensitive patient information is critical for every healthcare organization. The Health Insurance Portability and Accountability Act (HIPAA) provides a comprehensive framework of rules that govern the lawful use and disclosure of Protected Health Information (PHI). Enforced by the Office of Civil Rights (OCR) under the Department of Health and Human Services, these standards ensure data privacy, enable health insurance portability, prevent job lock due to pre-existing conditions, and reduce healthcare fraud and abuse. Adhering to HIPAA guidelines, organizations can secure personal health information while maintaining trust and compliance in healthcare operations.

Methodology

Methodology

We at Kratikal have an in-house team of professionals who complete the documentation of Policies and Procedures for our clients after learning about the organization's current policies and procedures. Our paperwork is formatted in accordance with HIPAA guidelines.

a. Information Security Policy

b. Cyber Crisis Resiliency Program

c. Data Protection Policy

d. Privacy Statement

e. Incident Management Procedure

Our Approach

Every HIPAA journey begins with understanding how your business operates. Our team engages key stakeholders to:

a. Determine whether your organization is a covered entity or business associate under HIPAA.

b. Map the flow of Protected Health Information (PHI) across systems, processes, and vendors

c. Identify the technologies, applications, and workflows involved in PHI Processing

d. Define the scope of compliance, ensuring clarity on what data, systems, and processes fall under HIPAA.

This phase sets the groundwork for a well-defined compliance roadmap tailored to your operations.

Every HIPAA journey begins with understanding how your business operates. Our team engages key stakeholders to:
a. Determine whether your organization is a covered entity or business associate under HIPAA.
b. Map the flow of Protected Health Information (PHI) across systems, processes, and vendors
c. Identify the technologies, applications, and workflows involved in PHI Processing
d. Define the scope of compliance, ensuring clarity on what data, systems, and processes fall under HIPAA.
This phase sets the groundwork for a well-defined compliance roadmap tailored to your operations.

Once we understand your environment, we help you translate HIPAA requirements into actionable security and privacy practices.
Our experts work with your team to:
a. Conduct a detailed Risk Assessment to identify risks and prioritize remediation.
b. Develop and document key HIPAA policies and procedures, including:
• Information Security Policy
• Cyber Crisis Resiliency Program
• Data Protection Policy
• Privacy Statement
• Incident Management Procedure
c. Assist in implementing administrative, technical, and physical safeguards such as access control, encryption, and breach response mechanisms.
d. Conduct awareness training to educate employees on secure PHI handling and their responsibilities under HIPAA.

True compliance goes beyond documentation. We help your organization build a centralized compliance framework that integrates HIPAA processes into daily operations.
This Includes:
• Designing a structured process for Data Subject Request Management (access, correction, deletion, etc.).
• Implementing mechanisms for consent collection and tracking.
• Establishing incident reporting and breach notification procedures aligned with HIPAA timelines.
• Maintaining a comprehensive audit trail and record repository to demonstrate compliance readiness.
The goal is to embed compliance as a continuous function, not a one-time project.

After controls and frameworks are in place, we move to the assessment phase to validate compliance effectiveness.
Our team performs:
a. A comprehensive HIPAA compliance audit to evaluate whether all implemented safeguards, procedures, and documentation meet HIPAA Privacy, Security, and Breach Notification Rules.
b. A reporting exercise that summarizes compliance status, identifies residual risks, and recommends corrective actions.
c. Guidance for creating your Annual HIPAA Audit Plan, ensuring that compliance is monitored and improved year after year.
d. This continuous review cycle strengthens organizational resilience and regulatory confidence.

Types of Organizations under HIPAA Compliance

Covered Entities

Covered Entities

Organizations/entities that gather, create, or transfer personal health information (PHI) electronically. The majority of this is covered by health-care organizations, such as health-care insurance carriers and providers of health-care services.

Business Associates

Business Associates

The organization that encounters PHI in any capacity while working on behalf of a covered entity on a contract basis. Billing businesses, third-party consultants, IT providers, cloud storage providers, and others fall into this category.

HIPAA revolves around the three major regulations

HIPAA Privacy Rule

Establishes guidelines for patients’ rights to protected health information (PHI) and applies to covered entities.

HIPAA Security Rule

Defines security, maintenance, and handling requirements for electronic PHI applicable to covered entities and business associates.

HIPAA Breach Notification Rule

Requires covered entities and business associates to follow specific notification procedures in the event of a data breach.

Entities Covered HIPAA

health plan
Company Health
Plans
goverment programs
Government
Programs
health care provider
Health Care
Provider
helath insurance
Health
Insurance
hmos
HMOs

Security Rules for HIPAA

hipaa rules

Security Rules for HIPAA

HIPAA outline few security rules that must be followed by covered entities as well as the Business Associates.

  • Ensure the confidentiality, integrity, and availability of all electronic protected health information (e-PHI) that they create, receive, retain, or transmit.

  • Identify and protect against threats to the information's security or integrity that are reasonably foreseeable.

  • Protect against improper uses or disclosures that could be reasonably anticipated.

  • Ensure that their employees are following the rules

Clients

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Kratikal Insights

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Compliance Projects Completed

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SME & Enterprises Served

FAQs

What are the basic requirements for HIPAA compliance
  • • Privacy – Patients right to PHI
  • • Breach Notification – If breach occurs, Steps would be required
  • • Security – Physical, technical, and administrative security measures.
  • • Hacking
  • • Improper disposal of records
  • • Lack of Employee Training
  • • unauthorized release of Information
  • • Lack of Theft of Devices.

Any covered entity (CE) or business associate (BA) that stores, processes, transmits, maintains, or encounters protected health information (PHI) must be compliant.

The healthcare organization as well as individual employees who have access to PHI are both liable. The organization is responsible for ensuring HIPAA compliance by implementing all essential protections.

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