Don't Guess Compliance. Know Where You Stand.
Identify risks, avoid OCR penalties, and build a roadmap to compliance with a professional HIPAA Gap Analysis.
HIPAA compliance is not a one-time checklist; it is a complex legal and technical obligation. With the Office for Civil Rights (OCR) aggressively enforcing fines for “willful neglect,” you cannot afford to assume your security controls are sufficient. Our HIPAA Gap Analysis provides a rigorous, line-by-line evaluation of your organization against federal regulations, giving you the clarity and documentation needed to pass audits and protect ePHI.
Schedule a HIPAA Gap!
What is a HIPAA Gap Analysis?
Identify compliance blind spots and turn them into a prioritized Corrective Action Plan (CAP) so you can remediate risks before an auditor ever sees them.
A HIPAA Gap Analysis is a diagnostic assessment of your organization’s current security and privacy posture compared to the specific requirements of the Health Insurance Portability and Accountability Act (HIPAA).
The output is not just a list of problems—it is a prioritized Corrective Action Plan (CAP) to fix them before an auditor arrives.
Think of it as a mock audit. We review your policies, physical site, and technical controls to answer three critical questions:
- Current State:Â How are you protecting patient data today?
- Required State:Â What does the law (HIPAA/HITECH) require you to do?
- The Gap:Â What is missing? (e.g., lack of Business Associate Agreements, unencrypted laptops, missing training logs).
What Requires a HIPAA Gap Analysis?
Ignoring a gap analysis can lead to massive fines. Organizations typically engage us for this service due to:
Audit Preparation
You have received a notification from the OCR or a third-party auditor and need to verify your compliance status immediately.
Business Contracts
You are a SaaS provider or IT vendor, and your healthcare clients require proof of a HIPAA assessment before signing a contract.
MIPS / MACRA Attestation
You are a provider who needs to attest to conducting a security risk analysis to receive federal incentive payments in a timely manner.
Post-Breach Remediation
You have suffered a data incident and need to demonstrate “Due Diligence” to regulators to minimize penalties.
New Systems
You have migrated to a new EMR/EHR or cloud environment and need to ensure no security gaps were created during the transition.
Types of HIPAA Gap Analyses We Perform
HIPAA is comprised of multiple rules. We tailor the assessment to cover the specific areas relevant to your operations.
| Assessment Type | Description |
| Security Rule Gap Analysis | Focuses on the protection of ePHI (Electronic Protected Health Information). |
| Privacy Rule Gap Analysis | Focuses on patient rights and the usage of data. |
| Breach Notification Rule Analysis | Reviewing your Incident Response Plan to ensure you can notify patients and the HHS within the mandatory 60-day window. |
| Business Associate Gap Analysis | We assess your liability under the Omnibus Rule and your management of downstream subcontractors. |
What Our HIPAA Gap Analysis Includes
Our assessment is holistic, covering the two main components of the standard.
Deliverables for Your HIPAA Compliance Roadmap
We provide the documentation you need to demonstrate good faith effort to the government.
Executive Gap Report
A high-level scorecard showing your compliance percentage across the Security, Privacy, and Breach Notification rules.
Detailed Findings Matrix
A granular breakdown of every missing control, mapped to the specific HIPAA citation (e.g., §164.312(a)(1)), making it easy to know your gaps.
Corrective Action Plan (CAP)
A prioritized roadmap telling you exactly what to fix first (High Risk) vs. what can wait (Low Risk), allowing you to focus on what matters.
Letter of Attestation
A formal document confirming that an independent third-party assessment was conducted—perfect for sharing with partners and insurers.
Why Choose Us for Your HIPAA Assessment?
We understand that a cloud provider isn’t a hospital. We tailor our assessment to your specific business model so you get relevant technical guidance
We Speak SaaS and Clinical
We understand software is different than a hospital. We tailor the audit so we aren’t asking a Cloud SaaS provider about patient waiting rooms.
Actionable Guidance
We don’t just quote the law. We translate regulations into IT tasks. We tell you “Turn on BitLocker” instead of just saying “Implement encryption.”
Speed
We can complete a comprehensive Gap Analysis in as little as 2-3 weeks, depending on the size and complexity of the organization.
Our Certifications
Our team holds industry-recognized certifications that reflect hands-on expertise across offensive security, cloud, incident response, and compliance.
Offensive Security Certified Professional (OSCP)
Certified Information Systems Security Professional (CISSP)
GIAC Penetration Tester (GPEN)
GIAC Cloud Penetration Tester (GCPN)
GIAC Cloud Penetration Tester (GCPN)
CompTIA Security+, Network+, A+, Pentest+
GIAC Certified Incident Handler (GCIH)
AWS Certified Cloud Practitioner (CCP)
Microsoft AZ-900, SC-900
Certified Cloud Security Professional (CCSP)
Certified Ethical Hacker (CEH)
Burp Suite Certified Practitioner (Apprentice)
eLearnSecurity Junior (eJPT)
Web App Penetration Tester (eWPT)
Systems Security Certified Practitioner (SSCP)
Palo Alto PSE Certifications
HIPAA Gap Analysis: FAQs
Learn more information about the most frequently asked questions
HIPAA Gap Analysis vs. Security Risk Assessment (SRA)?
A Gap Analysis compares your controls against the regulation (e.g., “Do we have a policy?”). An SRA identifies threats to your data (e.g., “What happens if our server fails?”). While they are distinct, we often perform them together to provide a complete compliance picture.
Is a Gap Analysis mandatory?
HIPAA requires a periodic evaluation of your security safeguards. While the specific term Gap Analysis isn’t in the law, it is the industry standard method for satisfying the evaluation requirement.
We are a Business Associate. Do we really need this?
Yes. Since the Omnibus Rule was passed, Business Associates are directly liable for HIPAA compliance and can be fined directly by the OCR. Furthermore, your clients likely require this assessment as part of their vendor due diligence.
Do you help us fix the gaps you find?
Yes. We don’t just hand you a report and leave. We offer Remediation Services to help you write the missing policies, configure your security tools, and train your staff to close the gaps.
How often should this be performed?
Best practice is to perform a Gap Analysis annually or whenever a significant change occurs in your organization (e.g., new office, new EMR system, merger/acquisition).
Does this include a Penetration Test?
A Gap Analysis focuses on controls and policies. However, the HIPAA Security Rule effectively requires technical validation of your safeguards. Most clients choose to bundle our HIPAA Gap Analysis with a HIPAA Penetration Test for full coverage.