Cybersecurity Blog

How to Apply for HIPAA Compliance: A Step-by-Step Guide for Business

Written by BEMO | Jun 13, 2025

Protecting patient data is a legal obligation and a critical trust factor for your business. However, applying for HIPAA compliance isn’t as simple as filling out a form. There’s no official application process or certification body. 

Instead, your organization must build and maintain the right safeguards, policies, and procedures to secure protected health information (PHI).

If your business handles PHI in any way, you must meet HIPAA’s strict requirements. 

This guide explains how to apply HIPAA compliance principles in a practical, step-by-step manner, from assessing risks to implementing controls.

Read on to find out how to apply for HIPAA compliance.

Key Takeaways

  • HIPAA compliance is an ongoing process requiring the implementation of administrative, physical, and technical safeguards
  • Organizations must conduct a thorough risk assessment to identify security gaps before implementing required controls
  • Documentation is critical – policies and procedures must be created, implemented, and regularly updated
  • Staff training is mandatory and must be documented to demonstrate compliance
  • BEMO's compliance automation platform simplifies HIPAA implementation by providing a structured framework, continuous monitoring, and expert guidance

Table of Contents

  1. What Is HIPAA Compliance?

  2. How to Apply for HIPAA Compliance: A Step-by-Step Process

  3. Common Challenges When Applying for HIPAA Compliance

  4. How BEMO Simplifies HIPAA Compliance

  5. Taking the Next Steps

  6. Conclusion

  7. Frequently Asked Questions

 

What Is HIPAA Compliance?

The Health Insurance Portability and Accountability Act (HIPAA) sets standards for protecting sensitive patient health information. HIPAA compliance means adhering to the regulations outlined in the HIPAA Privacy Rule, Security Rule, Breach Notification Rule, and Omnibus Rule.

Who Needs to Apply for HIPAA Compliance?

Your business must apply for HIPAA compliance if it falls into one of two categories:

  • Covered Entities: These include healthcare providers (such as doctors, clinics, and hospitals), health plans (like insurance companies or HMOs), and healthcare clearinghouses that transmit health information electronically.
  • Business Associates: This refers to any individual or company that handles, processes, stores, or transmits protected health information (PHI) on behalf of a covered entity. This can include IT service providers, billing companies, cloud storage vendors, legal firms, and consultants.

HIPAA compliance is mandatory if your business creates, receives, maintains, or transmits PHI in any capacity. Failing to meet these requirements can lead to costly fines, reputational damage, and legal consequences.

Ensure you’ve correctly identified your role, and consult a compliance expert to clarify your obligations if there's any ambiguity.

Let’s find out how to get HIPAA compliant. 

 

How to Apply for HIPAA Compliance: A Step-by-Step Process

Unlike frameworks such as SOC 2 or ISO 27001, HIPAA does not have a formal application or certification process. Instead, organizations must implement and document their compliance with its requirements.

Here’s how to become HIPAA compliant: 

1. Conduct a Risk Assessment

Begin by identifying how your organization creates, receives, stores, or transmits protected health information. This includes on-site servers, cloud platforms, mobile devices, email systems, and even physical files.

Assess each system’s current protections and document any gaps or weaknesses in security. The Department of Health and Human Services (HHS) provides a helpful Security Risk Assessment Tool designed for small to mid-sized organizations.

Be sure to review:

  • Who has access to PHI internally and externally
  • How PHI is stored and transmitted
  • Existing physical, administrative, and technical safeguards
  • Potential threats, vulnerabilities, and their likelihood of occurrence

Your risk assessment should result in a detailed report that becomes the foundation of your compliance strategy.

2. Develop a Remediation Plan

Use your assessment findings to create a formal remediation plan. This plan should clearly outline the issues you’ve uncovered, the risk level they pose, and how you’ll resolve them, along with timelines and responsible parties.

Your plan must address all three required HIPAA safeguard categories:

  • Administrative Safeguards: Security management processes, role-based access policies, staff training, and procedures for handling security incidents
  • Physical Safeguards: Building access controls, secure workstation setups, device and media disposal policies
  • Technical Safeguards: Access controls, data encryption, audit logs, secure transmissions, and authentication protocols

Make this a living document and review it regularly as your systems and processes evolve.

3. Implement HIPAA Policies and Procedures

Develop internal policies that translate HIPAA requirements into actionable rules for your team. These policies should reflect your actual business operations and must be consistently followed.

At a minimum, create:

  • Privacy Policy: Outlines how your organization uses, stores, and shares PHI
  • Security Policy: Describes protections for electronic PHI (ePHI) across all systems
  • Breach Notification Policy: Establishes procedures for identifying, reporting, and responding to data breaches
  • Access Control Policy: Defines who can access PHI and under what conditions
  • Contingency Plan: Covers data backup, disaster recovery, and continuity of operations in the event of system failure

All policies should be documented, reviewed at least annually, and updated whenever there are significant operational changes.

4. Appoint a HIPAA Privacy and Security Officer

You’re required to formally appoint two key roles:

  • A Privacy Officer responsible for overseeing how your organization uses and discloses PHI
  • A Security Officer tasked with protecting the confidentiality, integrity, and availability of ePHI

In smaller organizations, one person can serve in both roles, but you must document the appointment and ensure they have the authority and resources to fulfill their responsibilities.

5. Train Your Staff

Every employee, contractor, or partner who comes into contact with PHI must be trained on HIPAA regulations and your internal policies. 

Training should occur:

  • At the time of hire or onboarding
  • Annually as a refresher
  • Any time your policies are updated or a new risk emerges

Training topics should include proper PHI handling, secure communication practices, how to recognize a breach, and how to report suspicious activity.

Document every training session, including the date, content covered, and attendees. Retain those records for compliance audits.

6. Implement Technical Controls

HIPAA compliance requires active, ongoing attention to how your systems operate and evolve. You’ll need to implement and maintain technical controls that protect electronic PHI (ePHI) across your infrastructure.

Key technical safeguards include:

  • Access Controls: Limit system access to authorized users only
  • Audit Controls: Enable detailed logging and tracking of PHI access and activity
  • Integrity Controls: Ensure that ePHI is not altered or destroyed improperly
  • Authentication Measures: Verify the identity of users accessing ePHI
  • Transmission Security: Use encryption and secure protocols for data in transit

Beyond implementation, your business should routinely:

  • Monitor system activity for anomalies or unauthorized access
  • Review and analyze audit logs
  • Perform system updates and patching
  • Test data backup and disaster recovery procedures

You must also maintain clear documentation of your technical safeguards, security reviews, and any adjustments made. This evidence will be essential in the event of a compliance audit.

7. Execute Business Associate Agreements

If your organization works with any third parties that handle PHI, such as billing services, IT providers, or cloud storage vendors, you must have a signed Business Associate Agreement (BAA) in place.

Each BAA should:

  • Clearly define the responsibilities of both parties in protecting PHI
  • Require the business associate to comply with HIPAA standards
  • Include breach notification requirements and timelines
  • Establish how PHI will be handled if the relationship ends

Maintain a current and signed BAA for each relevant vendor, and review them periodically to ensure ongoing compliance.

8. Develop a Breach Response Plan

Despite strong safeguards, breaches can still occur. You must have a written breach response plan that outlines exactly how your business will respond if PHI is compromised.

Your plan should include:

  • Steps for identifying and containing a suspected breach
  • A process for conducting a risk assessment to determine the scope and impact
  • Defined roles and responsibilities for the response team
  • Pre-approved notification templates for affected individuals, regulatory agencies, and the media if needed
  • A log for documenting breach-related actions and decisions

Under the HIPAA Breach Notification Rule, you are required to notify affected parties and the U.S. Department of Health and Human Services (HHS) within 60 days of discovering a breach involving unsecured PHI.

9. Document Everything

Strong documentation is one of the most critical parts of HIPAA compliance. If your organization is audited or investigated after a breach, thorough records will serve as proof of due diligence and program effectiveness.

You should maintain clear, organized records of:

  • Completed risk assessments and follow-up remediation
  • All HIPAA-related policies and updates
  • Employee training dates, content, and attendee lists
  • Executed Business Associate Agreements
  • Security incidents and breach response actions

Store this documentation securely and ensure it’s accessible to compliance officers and auditors when needed.

10. Conduct Regular Evaluations

To remain compliant, your business must routinely assess and update its policies, procedures, and controls.

Your ongoing evaluation strategy should include:

  • Annual risk assessments to identify and respond to new threats
  • Internal audits to check that policies are being followed
  • Periodic updates to policies and training programs based on changes in operations or regulations
  • Testing of backup systems and breach response plans
  • Staying current with updates from HHS or OCR regarding regulatory changes

By committing to regular evaluations, you can keep your HIPAA program effective and up to date and avoid surprises during audits or enforcement actions.

 

Common Challenges When Applying for HIPAA Compliance

Applying HIPAA compliance requirements across your business can present several challenges, especially if you're working with limited resources or complex systems. Here are some of the most common obstacles organizations face, along with ways to address them:

Resource Constraints 

Many businesses don’t have dedicated compliance teams or in-house technical expertise. If that sounds familiar, consider outsourcing critical compliance tasks, such as risk assessments or policy development or adopting HIPAA compliance software to automate and streamline repetitive processes. This helps you stay compliant without overwhelming your existing staff.

Complex and Ambiguous Requirements 

HIPAA regulations are broad, and interpreting how they apply to your specific environment can be difficult. Partnering with experienced compliance consultants or legal experts can help you translate legal language into clear, practical steps your team can follow.

Technology Integration Issues 

Implementing technical safeguards, like access controls or encryption, can be challenging if your existing systems aren’t security-ready. Take a phased approach by prioritizing the systems that store or transmit the most sensitive PHI. Collaborate with IT to ensure integrations don’t disrupt business operations.

Heavy Documentation Burden

HIPAA requires extensive documentation of policies, training, risk management, and breach responses. To stay organized, use a centralized document management system and set review schedules to ensure records stay current and audit-ready.

Workforce Engagement and Accountability

Even the best policies are ineffective if your staff isn’t on board. Build a culture of compliance through frequent training, visible leadership support, and easy access to policies. Reinforce good habits through recognition and reminders, and make HIPAA compliance part of daily operations, not just an annual checklist.

 

How BEMO Simplifies HIPAA Compliance

BEMO makes HIPAA compliance manageable through our comprehensive platform that provides the following services and benefits:

  • Automated Compliance Management: Our platform automates key aspects of compliance with pre-built policy templates, continuous monitoring, automated evidence collection, and regular status reporting.
  • Expert Guidance: BEMO provides access to specialists who understand both HIPAA requirements and healthcare operations, offering assistance with risk assessments, remediation planning, and audit preparation.
  • Integrated Security Controls: Our solution includes essential security measures designed to protect PHI, including encryption, access control management, audit logging, and secure backup solutions.
  • Streamlined Training: We simplify workforce training with ready-to-use materials, role-based modules, documentation features, and automated reminders for refresher training.
  • Continuous Compliance Monitoring: Our platform maintains ongoing compliance through real-time monitoring, automated alerts for compliance gaps, regular assessments, and updates when regulations change.

Taking the Next Steps

Here’s how to get started with HIPAA compliance: 

  1. Assess your current state and understand where PHI exists in your organization
  2. Develop a compliance roadmap with realistic timelines
  3. Allocate necessary resources for implementation
  4. Consider whether external expertise would benefit your efforts
  5. Start with policy development to guide all other activities

Remember that HIPAA compliance is an ongoing commitment rather than a one-time project.

Conclusion

Applying for HIPAA compliance requires implementing comprehensive safeguards to protect PHI, rather than completing a certification application. By following this step-by-step process, organizations in the healthcare industry and business associates can build effective HIPAA compliance programs.

While the process may seem daunting, compliance automation platforms like BEMO's can significantly reduce complexity and resource requirements. 

Our solution provides the structure, tools, and expertise needed to achieve and maintain HIPAA compliance efficiently.

Secure your sensitive patient data and meet regulatory requirements with confidence. Book a demo with BEMO today to see how we can simplify your HIPAA compliance journey.

 

Frequently Asked Questions

What Happens If My Business Fails a HIPAA Audit?

You may face civil penalties, required remediation, or formal corrective action plans depending on the severity and nature of the violation.

How Often Should HIPAA Risk Assessments Be Conducted?

At least annually, or whenever major changes occur in your systems, services, or handling of PHI.

Are Small Businesses Still Required To Comply With HIPAA?

Yes. HIPAA applies regardless of business size if you handle, transmit, or store PHI.

Can I Use Google Drive or Dropbox for PHI Storage?

Only if you have a signed Business Associate Agreement with the provider and configure the platform with HIPAA-compliant security settings.

Do Remote Employees Need HIPAA Training?

Absolutely. Any employee accessing PHI must receive proper HIPAA training, even if they work remotely.