Skip to content
Now accepting Q2 projects — limited slots available. Get started →
45 CFR § 164.308NIST 800-66OCR Audit Protocol

Your HIPAA Audit Notice Just Arrived. You Have 10 Business Days.

If you're a healthcare CTO holding ePHI in a SaaS product, your risk analysis is either OCR-ready or it's a liability waiting to explode.

We build HIPAA-compliant web applications and run technical security risk assessments aligned with 45 CFR § 164.308, NIST 800-66, and OCR audit protocols.

100%
ePHI Safeguards
Administrative, physical, technical
75+
Control Points
NIST 800-66 mapped
0
OCR Findings
Across client audits
48hr
Gap Report Delivery
After initial assessment
What Is a HIPAA Security Risk Assessment?

A HIPAA security risk assessment is a formal evaluation required under 45 CFR § 164.308(a)(1)(ii)(A). It identifies threats and vulnerabilities to electronic protected health information (ePHI), then checks your web application's technical, administrative, and physical safeguards against NIST 800-66 controls and the OCR audit protocol. The result is a clear picture of residual risk -- plus a remediation plan that holds up to federal enforcement.

Your Current Site May Be a Liability

Common gaps we find in nearly every audit.

Your web application handles ePHI but has never gone through a formal SRA
Risk: OCR treats a missing risk analysis as a per-violation penalty -- up to $2.13M per category.
Developers built authentication but skipped access controls mapped to workforce roles
Risk: That violates § 164.312(a)(1) -- the access control standard OCR cites more than anything else.
Audit logs exist but don't capture the six required data points per NIST 800-66
Risk: Incomplete audit trails fail the OCR audit protocol's Activity Review requirement.
You signed a BAA with your cloud provider but never actually verified their controls
Risk: Covered entities are still on the hook for ePHI breaches caused by business associate negligence.
Your team treats HIPAA compliance as a one-time checkbox rather than ongoing risk management
Risk: § 164.308(a)(8) requires periodic technical and non-technical evaluations -- and OCR checks the timestamps.
Encryption gets applied inconsistently across data at rest and in transit
Risk: Unencrypted ePHI breaches don't qualify for safe harbor under the Breach Notification Rule. That's a problem.

What Your Website Could Look Like

Custom-designed for your industry. No templates. No stock photos.

HIPAA compliance audit and security risk assessment per NIST 800-66
A real HIPAA audit cockpit -- NIST 800-66 Rev 2 risk assessment workflow, OCR audit protocol mapping, evidence file vault, gap analysis with remediation owner per finding

How We Build This Right

Every safeguard, built in from Day 1.

Administrative Safeguard Mapping

We map every § 164.308 administrative safeguard directly to your application architecture -- security management processes, workforce security, and information access management controls included.

Technical Safeguard Validation

Access controls, audit controls, integrity controls, and transmission security are all verified against § 164.312 requirements. Each control gets tested against your production environment.

NIST 800-66 Control Alignment

Every identified risk gets mapped to the corresponding NIST 800-66 Rev1 activity. You'll receive a crosswalk document that OCR auditors recognize and accept.

OCR Audit Protocol Readiness

We evaluate your application against all 180 OCR audit protocol elements covering Privacy, Security, and Breach Notification Rules. Gap findings are ranked by enforcement risk.

Encryption & Key Management Review

AES-256 at rest, TLS 1.3 in transit, key rotation policies -- all assessed against NIST standards. We verify your implementation actually protects ePHI, not just that it looks good on paper.

Risk Register & Remediation Roadmap

The deliverable includes a scored risk register with likelihood, impact, and residual risk calculations. Each finding comes with a concrete remediation task your development team can act on immediately.

What We Build

Purpose-built features for your industry.

ePHI Flow Diagrams

A visual map of every ePHI touchpoint -- from ingestion through storage, processing, transmission, and disposal -- across your entire application stack.

Row-Level Security Audit

Verification that database access policies enforce minimum necessary access at the row and column level for every user role.

Penetration Testing

Targeted penetration tests against authentication, session management, and API endpoints that handle ePHI.

BAA Compliance Review

Analysis of all business associate agreements against actual subprocessor controls and data handling practices.

Incident Response Plan Validation

Testing your breach notification workflow against the 60-day reporting requirement and any applicable state notification laws.

Continuous Monitoring Architecture

Design and implementation of automated compliance monitoring that satisfies the periodic evaluation standard under § 164.308(a)(8).

Built on a Modern, Secure Stack

Next.jsSupabaseVercelRow-Level SecurityAES-256 EncryptionSOC 2 InfrastructureAudit Logging

Our Development Process

From discovery to launch. Quality at every step.

01

Scope & ePHI Inventory

Week 1

We identify every system, database, API, and third-party service that creates, receives, maintains, or transmits ePHI. That defines the assessment boundary.

02

Threat & Vulnerability Analysis

Week 2

Threats and vulnerabilities are identified systematically and mapped to each ePHI asset using NIST 800-30 methodology for consistent risk scoring.

03

Control Assessment & Gap Analysis

Week 3

Every existing safeguard gets tested against § 164.308, § 164.310, and § 164.312 requirements alongside NIST 800-66 activities. Gaps are documented with evidence.

04

Risk Scoring & Remediation Plan

Week 4

Residual risks are scored by likelihood and impact. You get a prioritized remediation roadmap with estimated effort, responsible parties, and target completion dates.

05

Remediation & Verification

Weeks 5-8

We implement technical fixes directly in your application -- access controls, encryption, audit logging, secure configurations -- and verify each remediation actually closes the identified gap.

Social Animal

Ready to discuss your your hipaa audit notice just arrived. you have 10 business days. project?

Get a free quote

HIPAA Security Risk Assessment from $8,000

Fixed-fee. Includes risk register, remediation roadmap, and 30-day post-delivery support. See all packages →

Get Your Quote
Related Resources

Frequently Asked Questions

Yes. 45 CFR § 164.308(a)(1)(ii)(A) requires every covered entity and business associate to conduct an accurate and thorough assessment of potential risks and vulnerabilities to ePHI. OCR has imposed penalties exceeding $1M specifically for skipping this step. Organization size doesn't matter. This isn't optional.
The regulation doesn't set a fixed schedule, but § 164.308(a)(8) requires periodic technical and non-technical evaluations. OCR guidance and enforcement history both point to annually as the expected minimum. You should also reassess after significant system changes, new integrations, or security incidents.
NIST 800-66 is a voluntary implementation guide that maps HIPAA Security Rule requirements to specific assessment activities and controls. The OCR audit protocol is the enforcement checklist HHS uses during compliance audits. We align to both — NIST 800-66 for technical rigor, the OCR protocol for audit readiness.
Yes. We specialize in Next.js, Supabase, and modern JavaScript stacks, but our HIPAA assessment methodology works regardless of framework. We're evaluating the security controls, not the language. We've assessed applications built on Rails, Django, Laravel, .NET, and legacy PHP platforms.
You'll receive a complete risk register with scored findings, an ePHI data flow diagram, a NIST 800-66 crosswalk document, a gap analysis report mapped to OCR audit protocol elements, and a prioritized remediation roadmap with implementation guidance. Everything's formatted for regulator review.
Yes. Unlike compliance consultancies that stop at reports, we're a development team. We implement technical remediations — access controls, encryption, audit logging, secure API design — directly in your codebase. Every fix gets verified against the original finding before it's closed.
More solutions

Explore related industries

Need enterprise scale?

200+ employee company? Complex multi-tenant, auction, or multi-location requirement? We have a dedicated enterprise capability track.

View Enterprise Hub

Get Your Free HIPAA Risk Assessment Scoping Call

We'll deliver a scoping document and quote within 48 hours.

Or book a 30-minute call
Get in touch

Let's build
something together.

Whether it's a migration, a new build, or an SEO challenge — the Social Animal team would love to hear from you.

Get in touch →