Who has to be HIPAA compliant?
HIPAA defines three categories of covered entities:
- Healthcare providers — Hospitals, clinics, medical laboratories, pharmacies, nursing homes, doctors, psychologists, dentists, chiropractors, etc.
- Healthcare plans — Health insurance and health maintenance companies, government programs such as Medicare and Medicaid, military healthcare programs
- Healthcare clearinghouses — Organizations that create, receive, maintain, edit, or transmit any protected health information (PHI)
Business associates (and their subcontractors) that work with healthcare organizations are also subject to HIPAA compliance requirements. Although they aren’t listed as HIPAA covered entities, these associates process PHI and therefore share the same responsibilities.
Healthcare clearinghouses
Healthcare business associates
In other words, any organization that deals with PHI must meet HIPAA requirements. The act is vague on the frequency of audits, but it’s generally recommended to conduct HIPAA audits and self-assessments yearly or after substantial changes in your IT environment.
Passing a HIPAA compliance audit can be quite a challenge and generally requires the use of dedicated software for monitoring and controlling users’ access to sensitive data.