Industry

HIPAA compliance for medical billing & rcm

You hold ePHI for dozens of covered entities, and every one of them will eventually audit you.

Administrative safeguards Physical safeguards Technical safeguards Privacy rule Breach notification

You hold ePHI for dozens of covered entities, and every one of them will eventually audit you.

What usually goes wrong

  • Client-by-client BAA obligations that differ in detail
  • Offshore and contractor workforce access
  • Clearinghouse and payer transmission security
  • Segregating one client’s data from another’s

What SuperHIPAA does about it

  • Per-client obligation tracking against each BAA’s specific terms
  • Contractor access review and training records
  • Transmission security validation
  • Client-ready assessment report you can send instead of filling questionnaires

Your obligations in one paragraph

As a business associate, you must conduct an accurate and thorough risk analysis, implement the required Security Rule specifications (and either implement or document a rationale for each addressable one), maintain policies and procedures, train your workforce, execute business associate agreements with everyone who touches ePHI on your behalf, and be able to detect, assess, and report breaches. All of it must be evidenced. None of it is a one-time project.

Where most medical billing & rcm actually stand

The pattern we see in this vertical: policies exist, training happens sporadically, BAAs are partially in place, and the risk analysis is either missing or several years stale. That last one is the finding that turns an incident into a penalty, because it is the first document OCR requests.

Getting started

  1. Free readiness assessment — scored report, no call required
  2. Gap assessment — if the score shows real exposure
  3. Implementation — we fix it with you, or hand your team the plan
  4. Platform — keeps it true after we leave

Start where you are

Take the free readiness assessment — 24 questions, about eight minutes, no call required. You get a scored report identifying which required specifications you are missing and what to fix first. If it turns out you are further along than you thought, we will tell you that too.

Questions

Are medical billing & rcm covered entities or business associates?

Typically **Business Associate**. It matters because it changes which obligations are yours directly and which flow through a BAA. The readiness assessment determines your scope in the first three questions.

How long does it take to get compliant?

For an organisation starting from near zero, 8–12 weeks to a defensible position: risk analysis complete, required safeguards implemented, policies live, workforce trained. Anyone promising two weeks is selling you a certificate.

What does it cost?

Platform starts at a published monthly price — see pricing. Services are fixed-fee. There is no 'contact us for a quote' wall on this site.

Do you replace our IT provider?

No. We tell your IT provider exactly what to configure and then verify they did it.

Our provider clients want to see our compliance program before signing. What do we show them?

That is normal business-associate diligence. A current risk analysis summary, your policy set, training records, and evidence of technical safeguards answer it — and all of it exports straight from the platform.

Do we need BAAs with our own subcontractors?

Yes. Any subcontractor that touches PHI — offshore data entry, a clearinghouse, an IT provider — needs a downstream BAA under §164.314, and you carry obligations for their failures.

Are 837/835 claim files and clearinghouse connections in scope?

Fully. EDI files are ePHI, so encryption in transit, access controls on SFTP drops, and documented retention all belong in your risk analysis, not just the practice management system.

Can we use offshore staff for billing work?

HIPAA does not prohibit offshore processing, but some client BAAs do — check before you sign. Wherever the work happens, the same training, access controls, and safeguards apply and must be documented.

See your compliance program in one place

A 20-minute walkthrough with a practitioner. No slides, no pressure.

Book a demo