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HIPAA Basics You Can’t Skip (Even If You’ve ‘Always Done It This Way’)

January 15, 2026

As your practice shakes off the post-holiday haze, it’s time to go back to basics. Before picking up the pace, it’s worth slowing down to look at the foundations. While your practice might have routine procedures, it’s time to double-check if they’re even compliant.

 

The Training Refresh

Staff must complete HIPAA training when joining your practice, but that’s not all. HIPAA requires annual training and updates after policy changes or breaches, and whenever staff review is needed.

Long story short, your practice needs a lot of training. When in doubt, provide staff training to ensure they are comfortable and confident in handling Protected Health Information (PHI).

 

Titles Matter

Even in a small practice, it’s required to assign a HIPAA Compliance Officer (HCO).

We know that ‘wearing many hats’ is the reality of a small team, but designating a clear leader for compliance provides a vital anchor. It ensures your staff knows exactly who to turn to for guidance. If the OCR ever comes knocking, they require a single point of contact to streamline the investigation.

Social Media Savviness

We hate to break it to you, but your Gen Z receptionist could make your practice viral for all the wrong reasons. Social media can be beneficial for sharing your practice to a larger audience, but your staff needs to handle it very carefully.

While it might be fun to partake in the latest TikTok trend, make sure that any PHI cannot be seen in the clips, and do not include a patient in any content unless there is explicit consent to do so. Having a media consent form is key in these situations.

Keep it General

Alongside social media, Google reviews can be a great way to show you’re listening, but HIPAA changes what you can say.

Even if the review is favorable, you cannot identify whether the patient has been in your practice or not. Even if the review details a specific experience at your practice, it’s their choice to disclose this information, and your job, under HIPAA, is not to confirm it. For instance, a good public review would be: Thanks for the kind words! If you have additional feedback, please call us at xxx-xxx-xxxx.

If you get a negative review, keep your response brief and offline. First, check for spam or rule violations and report if necessary. Otherwise, don’t clarify details or if they’re a patient. A good response: Thank you for your feedback. We’d like to learn more. Please contact us at xxx-xxx-xxxx.

Practices can, and have been, fined for improper Google review responses, so your team must remain calm and neutral online.

Lock it Down

While it might feel easier for your practice to use a single, shared email to log in and access everything, it’s much safer (and wiser) for every team member to have their own login with role-based permissions. Individual accounts create accountability, keep information organized, and enable the implementation of role-based access.

Not everyone in your practice needs access to the same information, and they shouldn’t have it. For example, your receptionist likely doesn’t need access to X-rays or clinical notes, but they do need access to scheduling software. When permissions align with the job, you reduce the risk of accidental exposure and keep sensitive data limited to those who genuinely need it.

Individual logins make off-boarding easy. When someone leaves, remove their access immediately without disrupting the team or requiring a shared password change. This small shift greatly boosts compliance and protects patient information.

Change Habits Today

It’s easy to let compliance fall to the bottom of the to-do list when you’ve “always done it this way”.

Thankfully, intelligent software can streamline these requirements for you. With the right platform, you can ensure training is handled correctly, that dynamic policies and procedures are properly formatted for your team, and that you have access to a team of compliance experts when navigating difficult compliance questions.

Take the next step: schedule a compliance consultation with our team. We’ll show you exactly how to meet HIPAA requirements, simplify your processes, and protect your practice with confidence. Contact us today to get started.

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What Every Dental Practice Can Learn From the $140K Shen Smiles Settlement

October 9, 2026 Penelope Schweitzer No comments yet

October 9, 2026 The latest HIPAA settlement doesn’t involve a hospital system or a massive ransomware attack. It involves a practice that probably looks a lot like yours. Shen Smiles is a solo dental practice in Drums, Pennsylvania. It started with a former patient’s complaint about getting their health records. It led to a broader OCR investigation and a $140,000 settlement. The lesson? Every HIPAA-regulated organization, big or small, can face enforcement.   What happened? Under federal law, patients must be given access to their records within 30 days, with one possible 30-day extension if the patient is notified in writing within the first 30 days. In April 2020, a former patient’s attorney filed a complaint with the Office for Civil Rights (OCR). The complaint alleged that the patient had requested their records multiple times without receiving access. The public documents don’t say when the first request was made. OCR’s investigation went beyond the original complaint. According to the resolution agreement, OCR found that patient records weren’t properly maintained and that staff hadn’t received formal HIPAA Privacy Rule training. OCR also said the practice couldn’t produce evidence that it had HIPAA policies and procedures in place, including for patient access requests, or that it had reasonably safeguarded patient information. During the investigation, the practice stated that it couldn’t provide the records because a workforce member had stolen them. The public documents don’t address whether a breach assessment was done. As a general rule, though, HIPAA presumes that an impermissible acquisition, access, use, or disclosure of unsecured patient information is a breach. A breach can require notifying HHS and affected patients, including steps patients can take to protect themselves. These are baseline requirements every covered entity is expected to have in place. Policies and training give a team a HIPAA playbook. Without one, staff at any practice may not know what to do when a patient asks for records or records go missing. OCR proposed a $140,000 civil money penalty in July 2024. Shen Smiles requested a hearing before an administrative law judge, but the two sides reached a resolution agreement in August 2026, before the hearing took place. Under the agreement, the practice agreed to pay $140,000. The agreement is not an admission of liability.   The Takeaway for Practices Patient access has been an OCR priority for years through its HIPAA Right of Access Initiative, and this case marks its 56th Right of Access enforcement action. It also took more than six years from complaint to resolution. As this case shows, a single complaint can lead to a broader look at your compliance program. Now is the time to ask: Do we have written HIPAA policies our team can find? Do we have a process to answer every record request within 30 days? Can we prove every team member has completed HIPAA training? If any of those gave you pause, now’s the time to fix it, before OCR comes asking. Looking for the first step? Meet with one of our compliance experts to see where you currently stand. 

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September 21, 2026 Penelope Schweitzer No comments yet

September 21, 2026   The HHS Office for Civil Rights (OCR) has announced its biggest HIPAA settlement of the year, reaching nearly a million dollars.  Ambry, a genetic testing and clinical genomics provider based in Aliso Viejo, California is at the center of this enforcement. A settlement was reached over a 2020 phishing attack that exposed the Protected Health Information (PHI) of more than 225,000 individuals. This settlement is a clear reminder that even large organizations trip up on HIPAA requirements.    What happened In January 2020, an employee email account at Ambry was compromised through a phishing attack.  The breach potentially exposed a wide range of PHI, including names, addresses, dates of birth, Social Security Numbers, financial details, and more. Ambry reported the breach to OCR in March 2020, which kicked off the investigation.    Where OCR found gaps OCR’s investigation identified several HIPAA Security Rule gaps, including: No accurate, thorough risk analysis of risks and vulnerabilities to ePHI No process for cutting off access to ePHI when an employee left or no longer needed access No unique user IDs for tracking who was accessing ePHI systems These are baseline HIPAA requirements that every Covered Entity and Business Associate is expected to have in place.   The settlement terms Ambry paid $700,000 and agreed to a two-year corrective action plan, under which it must: Complete a thorough risk analysis of ePHI confidentiality, integrity, and availability Build and execute a risk management plan addressing what that analysis turns up Review and update Security Rule policies and procedures as needed Implement unique user identification across all ePHI systems Train the whole workforce on those updated policies The takeaway for practices When 90% of healthcare hacks start with a successful phishing attempt, it’s key your team is aware of the role they play to keep data safe. Every practice should ask; Do we know exactly where our ePHI lives and how it moves through our systems? Do we have a current, documented risk analysis? Would we catch it fast if a former employee’s access wasn’t revoked? Looking for the first step of addressing these gaps? Meet with one of our compliance experts to see where you currently stand. 

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September 1, 2026 Penelope Schweitzer No comments yet

September 1, 2026   The Office for Civil Rights (OCR) announced its 55th settlement under the HIPAA Right of Access Initiative, and this one is a good reminder that “we’ll get to it” is an easy shortcut to a massive financial penalty.   What happened Azul Vision, Inc., a California optometry enterprise healthcare provider, took nearly two years to provide a patient her healthcare records failed to give a patient timely access to her health records. She requested her records in January 2023. She didn’t actually receive them until January 2025, or two years later, and only after OCR opened an investigation following her complaint in April 2023.   The importance of Right of Access The HIPAA Privacy Rule’s Right of Access is straightforward: patients are entitled to their healthcare records within 30 days of a request, with one possible 30-day extension if needed.    The cost Azul Vision agreed to a two-year, OCR-monitored corrective action plan and paid $50,000. The corrective action plan requires the practice to: Review and revise its written policies and procedures for Privacy Rule compliance.  Regularly report to HHS a log of every PHI access request it receives, including when it came in and when it was resolved, Train all workforce members on right of access requirements and the practice’s own procedures.   Practical takeaways Have a documented, assigned process for access requests: not an informal “someone will handle it” arrangement. Track every request against the 30-day (or extended 60-day) clock: If nothing is timestamping requests, nothing is catching the ones that slip. Train staff specifically on right of access: this is a distinct Privacy Rule obligation from general HIPAA awareness, and it’s clearly one OCR is actively enforcing.   The bottom line A single records request that went unanswered turned into a $50,000 penalty, two years of federal monitoring, and a detrimental hit to the organization’s reputation. That’s a steep price for what really comes down to a missing process. If your team can’t answer “what happens the moment a patient asks for their records?” right now, that’s the gap to close before your practice ends up as OCR’s next enforcement case. Want a streamlined way to close your compliance gaps? Meet with an Abyde expert today!

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