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HIPAA Compliance & Security

Your Patient Data is Safe With Prime Medex

HIPAA compliance is not an afterthought at Prime Medex — it is the foundation of every process, workflow, and technology decision we make. We protect your patient data and your practice with enterprise-grade security and rigorous regulatory adherence.

HIPAA Certified
256-bit Encryption
BAA Provided
Annual Audits

100% HIPAA

Compliant in every workflow, every system, every interaction

Data Encryption
Access Controls
BAA Executed
Audit Ready
Our Compliance Framework

Built on Four Compliance Pillars

Every aspect of Prime Medex's operations is governed by a comprehensive compliance framework designed to protect patients, providers, and our company.

HIPAA Privacy Rule

We strictly adhere to all HIPAA Privacy Rule requirements governing the use and disclosure of Protected Health Information (PHI).

  • Minimum necessary PHI access
  • Patient rights protection
  • Notice of Privacy Practices
  • No unauthorized disclosures
  • Annual privacy training
HIPAA Security Rule

Our technical, physical, and administrative safeguards exceed HIPAA Security Rule requirements to protect electronic PHI at every level.

  • 256-bit AES encryption (at rest)
  • TLS 1.3 encryption (in transit)
  • Role-based access controls
  • Multi-factor authentication
  • Automatic session timeouts
HIPAA Breach Notification

Our comprehensive incident response plan ensures timely breach detection, assessment, and notification in full compliance with HIPAA requirements.

  • 24/7 security monitoring
  • 60-day notification compliance
  • Incident response team on standby
  • Breach risk assessment protocols
  • HHS reporting procedures
Business Associate Agreements

We execute a comprehensive BAA with every client before accessing any PHI — establishing clear legal accountability for data protection.

  • BAA provided at onboarding
  • Subcontractor BAAs in place
  • Breach liability coverage
  • Data return/destruction terms
  • Annual BAA review
Patient Data Protection

How We Protect Protected Health Information

Every piece of patient information that passes through Prime Medex is treated with the highest level of security and discretion — from the moment it enters our system to the moment it is permanently deleted.

Encrypted Data Storage

All PHI is stored using AES-256 encryption in HIPAA-compliant cloud infrastructure with geo-redundant backups and strict access logging.

Secure Data Transmission

All data in transit is protected by TLS 1.3 encryption. We never transmit PHI via unsecured channels including standard email.

Strict Access Controls

Role-based permissions ensure staff only access the minimum PHI necessary for their specific billing function — enforced by MFA and audit logs.

Continuous Monitoring

24/7 automated security monitoring with real-time alerts for unauthorized access attempts, unusual activity, and potential data anomalies.

Cybersecurity Measures

Enterprise-Grade Cybersecurity

Our cybersecurity infrastructure is built to meet and exceed NIST Cybersecurity Framework standards — protecting against modern threats including ransomware, phishing, and insider risks.

Next-Gen Firewall & IDS

Enterprise-grade firewall with intrusion detection and prevention systems (IDS/IPS) monitoring all network traffic in real time.

Anti-Phishing & Email Security

Advanced email filtering, phishing simulation training, and DMARC/DKIM/SPF protocols protect staff and client communications.

Disaster Recovery & Backup

Automated daily encrypted backups with 4-hour RTO and 1-hour RPO. Full disaster recovery plan tested and documented annually.

Endpoint Security

All devices accessing client data are enrolled in MDM with mandatory encryption, remote wipe capability, and EDR software.

Secure Workflows

Compliance Built Into Every Billing Step

Compliance is not a checkbox — it's embedded into our billing workflow from patient intake through final payment posting.

Patient Identity Verification

Every patient record is verified before billing to ensure accurate identity, correct insurance assignment, and proper consent documentation — preventing false claim submissions.

Coding Compliance Reviews

Our certified coders perform internal audits of coding accuracy, ensuring ICD-10, CPT, and HCPCS assignments comply with CMS guidelines and payer-specific requirements.

Anti-Fraud Screening

All claims pass through fraud, waste, and abuse screening protocols before submission — detecting upcoding, unbundling, and other compliance risks before they reach payers.

Documentation Adequacy Checks

We verify that clinical documentation supports the services billed before claim submission — preventing medical necessity denials and reducing audit exposure.

Access Audit Trails

Every access to PHI within our systems is logged with timestamp, user ID, and action taken — providing a complete audit trail for HIPAA compliance documentation.

Secure Data Destruction

When client relationships end, all PHI is returned or securely destroyed per HIPAA requirements and BAA terms — with written certification provided to the client.

Regulatory Standards

Compliance With All Healthcare Regulations

Prime Medex stays current with all applicable healthcare regulations — from federal HIPAA requirements to state-specific privacy laws — ensuring your billing is always compliant.

HIPAA / HITECH Act

Full compliance with all HIPAA Privacy, Security, and Breach Notification Rules, plus HITECH Act requirements for electronic health records and data breach penalties.

CMS Billing Regulations

Strict adherence to CMS billing guidelines, Medicare and Medicaid participation requirements, and the False Claims Act — protecting you from OIG scrutiny.

Anti-Kickback Statute & Stark Law

All billing arrangements are reviewed for compliance with the Anti-Kickback Statute and Physician Self-Referral (Stark) Law to protect providers from liability.

State Privacy Laws

We monitor and comply with state-specific healthcare privacy laws (including California CMIA, Texas THIPA, and others) that may exceed HIPAA requirements.

PCI-DSS Payment Security

All patient payment processing complies with PCI-DSS standards — ensuring credit card and payment data is handled securely and never stored unnecessarily.

Risk Management

Proactive Risk Management

We don't just react to compliance issues — we prevent them through systematic risk assessment, staff training, and proactive policy management.

Annual Risk Assessments

Comprehensive HIPAA security risk assessments performed annually by independent third-party auditors.

Staff HIPAA Training

All employees complete mandatory HIPAA training at hire and annually — with compliance testing and certification tracking.

Policies & Procedures

Documented HIPAA policies and procedures reviewed and updated annually or whenever regulations change.

Audit Readiness

We maintain audit-ready documentation at all times — supporting OIG, CMS, and payer audits with organized, accessible records.

Insider Threat Controls

Background checks, separation of duties, and activity monitoring protect against internal data misuse or unauthorized PHI access.

Incident Response Plan

Documented and tested incident response plan ensures rapid, organized response to any security event or data breach.

Business Associate Agreement

We Execute a BAA With Every Client

A Business Associate Agreement (BAA) is required by HIPAA for any third party that handles PHI on behalf of a covered entity. Prime Medex provides a comprehensive, attorney-reviewed BAA to every client at the start of our engagement — establishing clear legal accountability for the protection of your patient data.

  • Provided before any PHI access begins
  • Covers all subcontractors and vendors
  • Includes breach notification terms
  • Reviewed and updated annually
Request BAA Information

BAA Executed

For 100% of active clients

HIPAA Compliant Attorney Reviewed Updated Annually
Certifications & Standards

Our Compliance Credentials

HIPAA Fully Compliant
CPC Certified AAPC Credentialed
256-bit SSL AES Encryption
PCI-DSS Payment Security
BAA Ready All Clients Covered
Audit Ready OIG & CMS Prepared

Have Questions About Our Compliance?

Our Chief Compliance Officer is available to answer any questions about our HIPAA practices, security measures, or BAA terms. Schedule a compliance consultation — no obligation.