HIPAA case study
HIPAA compliance for an Indian company selling to US healthcare
The company was entering the US market, and its first US healthcare customers wanted a signed business associate agreement and evidence that protected health information (PHI) would be safe.
The challenge
The company was entering the US market, and its first US healthcare customers wanted a signed business associate agreement and evidence that protected health information (PHI) would be safe. HIPAA was new to the team: they had sound engineering practices but nothing mapped to US healthcare requirements.
What we did
- Mapped where PHI enters, is stored and leaves the company's systems, including offshore support and cloud services.
- Ran a gap assessment against 55 requirements: 48 from the HIPAA Security Rule and 7 from the Breach Notification Rule.
- Guided the team through the risk analysis, access controls, encryption, audit logging, workforce training, contingency planning and business associate agreements with their own vendors.
- Shared policy and procedure templates the team adapted, and added two controls the first draft had missed: vulnerability and patch management, and anti-malware.
- Closed three documentation gaps before the assessment.
- An independent assessor, who took no part in the readiness work, then tested the evidence and issued a third-party HIPAA assessment report the company can share with US customers.
Timeline
- PHI mapping and gap assessment
- Risk analysis and remediation with our guidance
- Independent assessment and report, two months after kickoff
Results
- All 55 Security and Breach Notification Rule requirements assessed, with gaps closed before the independent assessment.
- A third-party HIPAA assessment report ready for US customers' vendor reviews.
- The company won the US healthcare contract.
What made it work
Treating HIPAA as a US customer requirement, not just a legal checklist: the work focused on what US healthcare buyers check in vendor reviews, so the report answered their questions directly. There is no official HIPAA certification; an independent assessment report is how vendors show compliance.
Facing a similar deadline?
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Book a free 30-minute callClient details are anonymised. Certificates and SOC reports in our case studies were issued by independent accredited certification bodies and licensed CPA firms; the HITRUST validated assessment was performed by an Authorized External Assessor.

