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Preparing for Your Next HIPAA Audit: A Guide for First-Timers and Returning Businesses

By
Rob Van Buskirk
February 19, 2025
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Ensuring HIPAA compliance is more than just meeting regulatory requirements—it’s about protecting patient data, maintaining trust, and avoiding costly penalties. Whether you’re preparing for your first HIPAA audit or undergoing an annual renewal, having the right documentation and understanding what to expect can make all the difference.

Businesses may choose to undergo a HIPAA audit to confirm compliance with Administrative, Technical, and Physical Safeguards. This guide outlines essential steps for both first-time participants and returning businesses to help ensure a smooth audit process.

For Businesses Preparing for Their First HIPAA Audit

If this is your first time undergoing a HIPAA audit, preparation is key. You must demonstrate compliance with all required safeguards while ensuring policies and procedures are properly documented.

Key Steps to Prepare:

Review HIPAA’s Three Safeguards: Ensure your organization has policies and procedures in place that meet the following security requirements:

  • Administrative Safeguards – Do you have documented policies and employee training in place for handling PHI?
  • Technical Safeguards – Have you implemented encryption, access controls, and audit logging for ePHI?
  • Physical Safeguards – Is access to PHI restricted through security measures such as locked file cabinets, access badges, or security cameras?
  • Conduct a Risk Assessment: A thorough HIPAA risk assessment helps identify potential vulnerabilities. Document security gaps, remediation efforts, and policy updates to address weaknesses before the audit.
  • Ensure Workforce Training: All employees handling Protected Health Information (PHI) must undergo HIPAA training. Auditors will check for training records and proof that staff understand compliance obligations.
  • Document Everything: HIPAA audits require clear documentation of compliance measures, including:
    • Policies and procedures
    • Security incident response plans
    • Employee training logs
    • Access control logs

Organize all documentation in a centralized HIPAA Compliance Binder or digital repository for easy access.

For Businesses Preparing for a Renewal HIPAA Audit

If you’ve already completed a HIPAA audit, your focus should be on maintaining compliance and demonstrating continuous improvement.

Key Steps to Prepare:

  • Review and Update Policies & Procedures: HIPAA regulations evolve, and your compliance documentation should reflect any updates or operational changes.
  • Verify Compliance with Security Safeguards: Ensure continued adherence to Administrative, Technical, and Physical security requirements.
  • Conduct a Mock Audit: Simulating an internal HIPAA audit helps identify and resolve compliance gaps before the actual review.
  • Review Last Year’s Findings: If previous audits identified compliance weaknesses, document corrective actions taken. Auditors will look for evidence of improvement.
  • Track Audit Logs & Incident Reports: Maintain logs of access attempts, security incidents, and remediation efforts. Detailed records demonstrate a strong compliance culture and proactive risk management.

How VanRein Compliance Can Help

At VanRein Compliance, we don’t just help businesses prepare for their HIPAA audit—we conduct the audit itself. Our expert-led process ensures organizations meet all HIPAA requirements and maintain compliance year after year.

  • Comprehensive HIPAA Audits – Full-scale assessments covering Administrative, Technical, and Physical Safeguards.
  • Cadence Meetings – Regular check-ins to support and guide businesses in preparing for audits and maintaining ongoing compliance.
  • Client Workspace – A secure, all-in-one platform for uploading, managing, and organizing HIPAA compliance documents.
  • Dedicated Account Manager – Personalized assistance from a compliance expert who understands your business and compliance needs.
  • Custom Policies & Procedures – Tailored documentation aligned with your organization’s specific regulatory requirements.

By partnering with VanRein Compliance, businesses can confidently navigate the HIPAA audit process and maintain a strong compliance posture. Contact us today to get started on your next HIPAA audit preparation!