HIPAA Compliance Gap Analysis for CPA Firm
The Incident
A CPA firm handling medical practice accounts needed HIPAA compliance validation but had no formal security program. They faced a regulatory audit within 30 days and needed to identify and fix gaps across the HIPAA Security Rule.
What We Did
- Mapped infrastructure against HIPAA 164.312 — found missing transmission encryption, lack of access controls, and no audit logging
- Deployed TLS 1.3 across all services — encrypted data in transit
- Implemented RBAC and audit logging — enforced least-privilege access and comprehensive activity trails
Before vs After
| Security Score | 40 | 100 |
| Transmission Encryption | ✗ | ✓ TLS 1.3 |
| Access Controls | ✗ | ✓ RBAC |
| Audit Logging | ✗ | ✓ |
Key Takeaways
Compliance is a snapshot of architecture. Passing an audit means the controls are real, not paper. Encryption, access control, and logging are non-negotiable for ePHI.
FAQ
What is HIPAA 164.312?
The HIPAA Security Rule technical safeguards — access control, audit controls, integrity, person or entity authentication, and transmission security.
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