HIPAA COMPLIANCE SOFTWARE FOR COVERED ENTITIES & BUSINESS ASSOCIATES

Manage HIPAA across the Security Rule’s 54 safeguards, the Privacy Rule’s patient-rights workflows, the 60-day breach notification process, and the Business Associate Agreement lifecycle — without the binder.

What is HIPAA and who must comply? The Health Insurance Portability and Accountability Act (45 CFR Parts 160, 162, 164) is the US healthcare privacy and security law. The Security Rule (164.308–312) sets administrative, physical, and technical safeguards for electronic Protected Health Information; the Privacy Rule (164.502–530) governs use and disclosure of PHI; the Breach Notification Rule (164.400) requires notice within 60 days. Compliance is mandatory for covered entities (health plans, healthcare clearinghouses, most healthcare providers) and their business associates.

Security RulePrivacy RuleBreach RuleBAAOCR Phase 2
app.venvera.com/hipaaHIPAA ComplianceUS · HHS / OCR · 45 CFR Parts 160, 162, 164COMPLIANCE SCORE81%Target 80%Last assessment14 days agoNext internal auditQ3 · on scheduleOpen gaps12SAFEGUARDS54IMPLEMENTED44ADDRESSABLE22OPEN BREACHES0Domain readiness% controls implementedAdministrative (164.308)88%Physical (164.310)92%Technical (164.312)74%Organizational (164.314)80%Breach Notification (164.400)95%

EVERY ADMIN, PHYSICAL, AND TECHNICAL SAFEGUARD TRACKED

The HIPAA Security Rule (45 CFR §§ 164.308–312) requires 54 implementation specifications across Administrative, Physical, and Technical Safeguards. Venvera renders each as a control with status, owner, evidence link, and the Security Rule citation. The 22 "addressable" specifications carry an explicit decision record: implemented as-is, equivalent alternative, or documented reason for non-implementation — the reasoning OCR auditors actually want to see.

  • 32 required + 22 addressable specifications across §§ 164.308–312
  • Explicit decision record on every addressable spec
  • Risk Analysis (164.308(a)(1)(ii)(A)) tracked at the threat-source level
  • Workforce training register tied to 164.308(a)(5)
  • Cross-mapping to ISO 27001 Annex A and NIST CSF 2.0
app.venvera.com/hipaaHIPAA ComplianceUS · HHS / OCR · 45 CFR Parts 160, 162, 164Control LibrarySearch controls…All domains ▾+ Add controlREFCONTROLSTATUSOWNER164.308(a)(1)(ii)(A)Risk Analysis (required)IMPLEMENTEDJLJ. Lewis164.308(a)(1)(ii)(B)Risk Management (required)IMPLEMENTEDJLJ. Lewis164.308(a)(5)(ii)(A)Security Reminders (addressable)PARTIALJLJ. Lewis164.310(a)(1)Facility Access ControlsIMPLEMENTEDJLJ. Lewis164.312(a)(2)(iv)Encryption and Decryption (addressable)IMPLEMENTEDJLJ. Lewis164.312(b)Audit Controls (required)IMPLEMENTEDJLJ. Lewis164.312(e)(2)(ii)Encryption in Transit (addressable)IMPLEMENTEDJLJ. Lewis164.314(a)(2)Business Associate ContractsPARTIALJLJ. Lewis

PRIVACY RULE POLICIES, PATIENT RIGHTS, MINIMUM NECESSARY

The Privacy Rule (45 CFR §§ 164.502–530) governs how Protected Health Information may be used and disclosed. Venvera maintains your Notice of Privacy Practices, your minimum-necessary policies, and the patient-rights workflow: access requests, amendment requests, accounting of disclosures, restrictions, confidential communications. Each request is timed against the regulatory deadline (30 days for access, 60 for amendment) with overdue alerts.

  • Notice of Privacy Practices version-controlled and patient-facing
  • Patient access requests (164.524) — 30-day deadline tracking
  • Amendment requests (164.526) — 60-day deadline tracking
  • Accounting of disclosures (164.528) for the prior 6 years
  • Minimum-necessary policy with role-based PHI access matrix
app.venvera.com/hipaaHIPAA ComplianceUS · HHS / OCR · 45 CFR Parts 160, 162, 164COMPLIANCE SCORE84%Target 80%Last assessment14 days agoNext internal auditQ3 · on scheduleOpen gaps12OPEN ACCESS REQUESTS4ON-TIME RESPONSE %96AMENDMENTS YTD12DISCLOSURE LOG ENTRIES247Domain readiness% controls implementedNotice of Privacy Practices100%Patient access (164.524)96%Amendment (164.526)92%Accounting of disclosures88%Minimum-necessary controls80%

60-DAY NOTIFICATION WORKFLOW WITH THE CLOCK SHOWING

Subpart D of 45 CFR Part 164 sets the breach notification rules: individual notice within 60 days of discovery, HHS OCR notice (immediate for breaches affecting ≥500 individuals; annual for under 500), and media notice for any breach affecting ≥500 individuals in a single state. Venvera starts the clock at incident discovery, walks the four-factor risk-of-compromise analysis (164.402), and produces the notice templates ready for review.

  • 60-day countdown from incident discovery
  • Four-factor risk-of-compromise analysis structured per 164.402
  • Individual notice generator (postal + email)
  • HHS OCR breach report — immediate (≥500) and annual (<500)
  • Media notice template for breaches affecting ≥500 in a single state
app.venvera.com/hipaaHIPAA ComplianceUS · HHS / OCR · 45 CFR Parts 160, 162, 164LATEST BOARD REPORTHIPAA · Q2 2026Prepared for: Board of DirectorsGenerated: 2 minutes ago · 18 pages1. Executive summaryp. 22. Control effectivenessp. 53. Key risks & incidentsp. 84. Remediation progressp. 115. Annex — full control matrixp. 14Download DOCXExport to xBRL-CSVRecent exportsBreach response planPDF · 24 pages · v2.4FINALBreach risk assessment templateDOCX · 4-factorFINALIndividual notice — bilingualDOCX · EN/ESFINALHHS OCR breach report (draft)this year — 3 small breachesDRAFTMedia notice templateDOCX · ≥500 individualsFINALWorkforce sanction policyPDF · per 164.530(e)FINAL

BUSINESS ASSOCIATE AGREEMENT LIFECYCLE

Every business associate (and their subcontractors, since HITECH) needs a written agreement under 164.504(e). Venvera’s TPRM module registers each BA, attaches the executed BAA, tracks expiry, schedules annual due-diligence questionnaires, and on termination triggers the mandatory return-or-destruction attestation for any PHI in the BA’s possession.

  • BA register with executed BAA, expiry, and renewal scheduling
  • Annual due-diligence questionnaire per BA
  • Subcontractor (BA-of-BA) chain visibility post-HITECH
  • Return-or-destruction attestation on termination
  • PHI flow mapping per BA (incoming, outgoing, types of PHI)
app.venvera.com/hipaaHIPAA ComplianceUS · HHS / OCR · 45 CFR Parts 160, 162, 164TOTAL128FRESH96STALE24MISSING8Evidence vaultlinked to 114 controlsBA registerXLSX · 38 BAs trackedFRESHBAA template — covered entityDOCX · current lawFRESHBAA template — subcontractorDOCX · post-HITECHFRESHBA due-diligence questionnaireXLSX · 84 questionsFRESHPHI flow mapPDF · all BAsSTALETermination attestation logXLSX · 3 closures YTDFRESH

CONTINUOUS RISK ANALYSIS, NOT A YEARLY DOCUMENT

OCR’s most-cited finding in HIPAA settlements is "no enterprise-wide risk analysis". Venvera’s risk register treats 164.308(a)(1)(ii)(A) as a living process: every information system asset is identified, threats are enumerated against the OCR Guidance (NIST 800-30 methodology), likelihood and impact are scored, and risk-treatment decisions are tracked. The risk analysis updates whenever a system is added, retired, or significantly changed.

  • Asset register tied to PHI flows
  • Threat enumeration against OCR Risk Analysis Guidance
  • NIST 800-30 likelihood × impact scoring
  • Risk treatment: mitigate / accept / transfer / avoid
  • Continuous refresh — not an annual sprint
app.venvera.com/hipaaHIPAA ComplianceUS · HHS / OCR · 45 CFR Parts 160, 162, 164COMPLIANCE SCORE72%Target 80%Last assessment14 days agoNext internal auditQ3 · on scheduleOpen gaps12CONTROLS114EVIDENCE86GAPS12OVERDUE3Domain readiness% controls implementedGovernance88%Risk management74%Operations62%Third-party56%

OCR PHASE 2 AUDIT PROTOCOL — EVIDENCE READY

OCR Phase 2 audits work from a 180-inquiry protocol for covered entities (45 for business associates). Venvera maps every Security Rule and Privacy Rule control to the OCR audit inquiry it satisfies, and exports the response package with linked evidence. When the audit notice arrives, you’re responding the same week — not panicking for two months.

  • OCR Phase 2 Audit Protocol mapped to controls (180 / 45 inquiries)
  • Evidence package export per inquiry, with file references
  • Pre-built response narratives editable per inquiry
  • Auditor read-only portal with magic-link, time-bound access
  • Submission tracking with OCR-acceptable formats
app.venvera.com/hipaaHIPAA ComplianceUS · HHS / OCR · 45 CFR Parts 160, 162, 164LATEST BOARD REPORTHIPAA · Q2 2026Prepared for: Board of DirectorsGenerated: 2 minutes ago · 18 pages1. Executive summaryp. 22. Control effectivenessp. 53. Key risks & incidentsp. 84. Remediation progressp. 115. Annex — full control matrixp. 14Download DOCXExport to xBRL-CSVRecent exportsBoard pack — Q2 CyberGenerated 2 min agoFINALManagement review minutesDOCX · 38 pagesFINALRegulator submission — draftxBRL-CSV · 1.2MBDRAFTAuditor requests — responsePDF · 24 artefactsDRAFT

HIPAA COMPLIANCE: VENVERA VS MANUAL TRACKING

Capability
Manual Tracking
Venvera
Risk Analysis (164.308)
Annual Word document, often missing
Continuous register tied to PHI assets
Addressable specifications
Decision lost in policy text
Explicit decision record per spec
Breach workflow
Email threads, no countdown
60-day clock + OCR/individual/media templates
BAA tracking
Sharepoint folder, no expiry alerts
BA register with expiry + renewal scheduling
OCR audit response
6-week scramble after notice arrives
180-inquiry response package, ready
Workforce training
CSV from LMS, not control-linked
Training register tied to 164.308(a)(5)

54

Security Rule implementation specifications

22

Addressable specifications (decision required)

60

Days for individual breach notification

180

OCR Phase 2 audit inquiries (CE)

FREQUENTLY ASKED QUESTIONS ABOUT HIPAA

STOP UPDATING THE HIPAA BINDER. START RUNNING THE PROGRAMME.

14-day free trial. Import your current Risk Analysis and Notice of Privacy Practices; Venvera maps them to the Security and Privacy Rules and surfaces what’s missing for OCR. No credit card required.

AES-256 Encryption
EU Data Residency
SOC 2 Certified