45-Physician Medical Group:
HIPAA Remediation in 6 Weeks
A multi-location San Antonio medical group received an OCR complaint. IDENETY MSP completed a full HIPAA risk assessment, remediated all 23 gaps, and prepared the practice for audit — passing with zero findings within six weeks.
The Challenge
A 45-physician multi-location medical group in San Antonio received an OCR complaint following a workforce member's improper disclosure of PHI. The practice had no formal HIPAA Security Rule compliance program — no risk assessment had ever been conducted, encryption was not deployed on workstations, audit logging was not configured, and no Business Associate Agreements were in place with IT vendors. The practice needed to demonstrate full HIPAA compliance to OCR within six weeks.
Six-Week Remediation Timeline
HIPAA Risk Assessment
Conducted a full HIPAA risk assessment across all locations. Identified 23 gaps across Technical, Physical, and Administrative Safeguards. Documented findings in a Risk Analysis report.
Technical Safeguards Remediation
Deployed BitLocker encryption on all 45 workstations. Enabled MFA on all systems including EHR portal, M365, and remote access. Configured automatic logoff policies.
Access Controls & BAA
Implemented role-based access controls. Removed 12 orphaned user accounts. Executed Business Associate Agreement. Deployed audit logging across all systems.
Network Segmentation
Segmented clinical network from administrative network. Deployed next-generation firewall with IDS/IPS. Configured encrypted VPN for remote access.
Documentation & Policies
Drafted HIPAA Security Policies and Procedures. Created Incident Response Plan. Documented all technical controls for OCR evidence package.
OCR Audit Preparation
Compiled audit-ready evidence package. Conducted staff security awareness training. Practice passed OCR audit with zero findings.
HIPAA Controls Implemented
The Result
The 45-physician medical group passed the OCR audit with zero findings. The practice now has a fully documented HIPAA compliance program, encrypted endpoints, audit logging, and a Business Associate Agreement in place. IDENETY MSP continues to provide managed IT and HIPAA-aligned security monitoring for the practice.
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