25% off all training courses Offer ends May 8, 2026
View HIPAA Courses
25% off all training courses
View HIPAA Courses
Offer ends May 8, 2026

The HIPAA Journal is the leading provider of HIPAA training, news, regulatory updates, and independent compliance advice.

Small Healthcare Practices Likely to be Hit with Huge HIPAA Fines

A recent HIPAA compliance survey conducted on small healthcare organizations and billing companies has highlighted major flaws in data security, which in light of the upcoming random audits being conducted by the Office for Civil Rights could see small healthcare institutions hit particularly hard. Fines for HIPAA non-compliance are considerable and all HIPAA-covered entities can potentially be audited, even relatively small healthcare organizations.

The survey was conducted by Porter Research on behalf of The Daniel Brown Law Group and NueMD. 1,100 healthcare professionals were asked about the efforts that had been made to secure ePHI and whether they consider their organizations to be fully HIPAA-compliant. The results of the survey show that many small healthcare entities are breaching HIPAA regulations and are struggling to cope with the new rules on data security.

It is not just HIPAA that is an issue. Healthcare companies are faced with increased regulations from ICD-10 and Meaningful use and are struggling to keep their policies and procedures compliant with all current legislation. However it was the threat of the upcoming HIPAA audits which prompted NueMD to conduct the survey to determine the current state of HIPAA -compliance in the healthcare industry.
Many large healthcare organizations have now implemented the necessary controls and security measures to protect patient ePHI, yet smaller companies appear not to have been as diligent or proactive in shoring up their defenses.

The results of the survey are alarming: Two thirds of respondents were unaware of the upcoming audits and 65% of respondents said that their organization had not conducted a risk analysis. A failure to conduct a risk analysis is one of the clearest, and unfortunately most common, violations of HIPAA regulations.

Get The FREE
HIPAA Compliance Checklist

Immediate Delivery of Checklist Link To Your Email Address

Please Enter Correct Email Address

Your Privacy Respected

HIPAA Journal Privacy Policy

Of the 35% of respondents who claimed to have performed a risk analysis, 34% believed that all security issues had been identified and dealt with and were “very confident” that all devices containing ePHI had been secured and made HIPAA compliant.

More recent changes to legislation – namely the HIPAA Omnibus Rule – extended HIPAA’s reach to include business associates, yet only 24% of respondents had revised their policies and updated their Business Associate Agreements. The provision of ongoing HIPAA training was also a problem area with 56% of office staff and non-owner healthcare providers claiming not to have received HIPAA training over the course of the previous 12 months. A failure to provide ongoing training and not revising BA agreements could also be considered violations of HIPAA regulations.

According to the managing shareholder at The Daniel Brown Law Group, Daniel Brown, “If an audit were to occur at that particular practice, one of the biggest red flags is that the staff is unaware of the HIPAA compliance plan and what their role is in it.”

When the next round of audits commence, small healthcare companies are likely to be hit hard and face substantial financial penalties unless action is taken promptly to address all non-compliance issues.

 

Author: Steve Alder is the editor-in-chief of The HIPAA Journal. Steve is responsible for editorial policy regarding the topics covered in The HIPAA Journal. He is a specialist on healthcare industry legal and regulatory affairs, and has 10 years of experience writing about HIPAA and other related legal topics. Steve has developed a deep understanding of regulatory issues surrounding the use of information technology in the healthcare industry and has written hundreds of articles on HIPAA-related topics. Steve shapes the editorial policy of The HIPAA Journal, ensuring its comprehensive coverage of critical topics. Steve Alder is considered an authority in the healthcare industry on HIPAA. The HIPAA Journal has evolved into the leading independent authority on HIPAA under Steve’s editorial leadership. Steve manages a team of writers and is responsible for the factual and legal accuracy of all content published on The HIPAA Journal. Steve holds a Bachelor’s of Science degree from the University of Liverpool. You can connect with Steve via LinkedIn or email via stevealder(at)hipaajournal.com

x

Is Your Organization HIPAA Compliant?

Find Out With Our Free HIPAA Compliance Checklist

Get Free Checklist