Skip to content
  • About Us
    • Who We Serve
  • Solutions
    • HIPAA for Covered Entities
    • OSHA for Healthcare
    • HIPAA for Business Associates
    • SRA for Covered Entities
    • Abyde Incident Response Program
    • Abyde Reseller Program
  • Resources
  • News
  • Events
  • Partners
  • Contact Us
  • Login
    • HIPAA for Covered Entities
    • OSHA for Healthcare
    • HIPAA for Business Associates
    • SRA for Covered Entities
SIGN UP
BOOK A DEMO

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.

RECENT POSTS

  • OSF Healthcare HIPAA Settlement
    What OSF Healthcare's Ransomware Fine Teaches Every Practice About SRAs
  • Spencer Gifts HIPAA Fine
    Spencer Gifts HIPAA Settlement: Ransomware, Risk Analysis, and What Comes Next
  • OCR Ransomware Settlements
    OCR Ransomware Settlements: 4 Massive HIPAA Fines from April 2026 & How to Avoid Them
PrevPreviousEnd of Year HIPAA Checklist: 5 Things to Wrap Up Before 2026
NextPatient Records: What to Keep, How Long to Keep It, and When to Destroy ItNext

Related posts

OSF Healthcare HIPAA Settlement
Abyde News, Fines, HIPAA

What OSF Healthcare’s Ransomware Fine Teaches Every Practice About SRAs

August 5, 2026 Penelope Schweitzer No comments yet

August 5, 2026 The latest HIPAA fine is another clear reminder that ransomware attacks are, unfortunately, here to stay in the healthcare industry. A settlement involving the OSF Healthcare System was recently announced by the Office for Civil Rights (OCR). As an enterprise healthcare provider in the midwest, the organization serves 174 locations, including 16 hospitals – a prime target for a ransomware attack.    So, what happened?  In April 2021, OSF discovered that they joined the unlucky club of ransomware victims when a malicious actor deployed Nephilim, a ransomware strain made to target larger organizations. Once the ransomware infected OSF systems, the hacker demanded payment or patient Protected Health Information (PHI) would be leaked online. In this attack, sensitive information like financial account information, driver’s license numbers, medical record numbers, and more, were all exposed. Over 53,000 patient records were exposed in this attack.  When ransomware attacks in healthcare have soared 278% in recent years, it’s more of a when then an if your organization doesn’t have the right safeguards in place.  While the breach was discovered in April, OSF healthcare reported the breach to the OCR in October. The OCR took it from there, digging into what precautions (or lack thereof) let this happen.  What did the OCR discover? If you’ve read any of our other fine breakdowns, you already know where this is going: another missing Security Risk Analysis (SRA).  The SRA is a required document every HIPAA-regulated entity (ie: every practice and their Business Associates that handle patient information) needs to complete. The SRA is a thorough review of the physical, technical, and administrative safeguards in place to prevent PHI ending up in the wrong hands. While the OCR didn’t specify exactly how the ransomware got into OSF’s system, a technical safeguard vulnerability was very likely the entry point. A proactive SRA could have flagged that gap before it turned into a major breach. In addition to missing this required documentation, OSF also took too long to report the breach to the OCR and notify affected patients. This is a direct violation of the Breach Notification Rule, which requires organizations to notify patients within 60 days of a discovered breach. Moreover, since the breach impacted more than 500 patients, OSF was also required to report this breach to the OCR within 2 months as well. Time is of the essence in every component of a breach, from securing systems to ensuring affected parties are aware to protect themselves and an over five month delay was unacceptable in the eyes of the OCR.    What was the result?  OSF’s settlement tops the list as the largest fine of the year, coming in at $552,250, plus government monitoring for the next two years.  It’s very important to note that this breach occurred in 2021, meaning that over five years were spent from the initial breach, to investigations, to the public press releases. Also, the average cost of a healthcare breach is over 7 million dollars –  from implementing secure systems, notifying patients, legal fees, and more. The Takeaway While the settlement payment and Corrective Action Plan (CAP) are just the cherries on top, this experience was a tremendous cost of time, money, and resources, highlighting the importance of making sure everything is secure before a situation occurs.  So, when was the last time you looked at your SRA? It’s time to seriously analyze your current compliance posture. Ransomware groups don’t check whether you’re a small dental office or a 16-hospital health system before they attack, they check whether the door was left open. Time and again, OCR’s findings come back to the same root cause: organizations can’t secure what they haven’t even identified as a problem. Looking to review your current compliance standings? Meet with our team of experts for a complimentary educational consultation. 

Spencer Gifts HIPAA Fine
Abyde News, Fines, HIPAA

Spencer Gifts HIPAA Settlement: Ransomware, Risk Analysis, and What Comes Next

June 19, 2026 Penelope Schweitzer No comments yet

June 19, 2026   Quick Guide:  The Office for Civil Rights issued a major fine towards Spencer Gifts benefits plan. This fine reinforces that all HIPAA-regulated entities must have a thorough compliance program.    The Stats You Need to Know 76%: The percentage of large healthcare breaches now caused by hacking/IT incidents. $450,000: Financial settlement of this enforcement. 10,023: The number of individuals were impacted in this breach.  264%: The increase in ransomware-related breaches reported to the OCR since 2018.   When you think about Spencer’s, you likely picture the staple mall store with pop culture novelty gifts, not the latest HIPAA settlement enforcement headline.  Spencer Gifts LLC Flexible Benefits and Welfare Benefit Plans, or their employee benefits plan, reached a settlement with the Office for Civil Rights for $450,000 and a 2 year Corrective Action Plan (CAP).  This fine is a reminder that Covered Entities include all parties that create and utilize patient data, including health care plans. While they might not see patients traditionally, they still are responsible for keeping Protected Health Information (PHI) secure.    What Happened?   In response to employee complaints regarding access to their employee benefits portal, Spencer Gifts Health Plan discovered their systems were infiltrated with ransomware in November 2021. Malicious actors encrypted over 10,000 individuals’ PHI and demanded a ransom. The exposed data included names, phone numbers, social security numbers, and more, putting employees at risk.  The breach was reported in January 2022. After years of investigation, it was settled that the plan failed to meet basic HIPAA Security Rule requirements proactively.    The Compliance Gaps A common misconception is that an organization faces a financial penalty due to a breach. While the breach serves as the catalyst for the investigation, the OCR is looking to see if an organization has a thorough compliance program in place and made a genuine effort to protect patient data.  For instance, the health plan did not complete a Security Risk Analysis (SRA). This required assessment identifies all technical, administrative, and physical safeguards (and vulnerabilities) across your organization. By completing this document, your organization can address concerns before they become an issue. There’s no way to know where risks are unless they are properly reviewed.  Additionally, the plan did not have sufficient policies and procedures, nor trained staff adequately. Without sufficient policies and training, staff are left without the tools to recognize and respond to HIPAA threats before they escalate. As a result, Spencer Gifts now faces $450,000 in penalties and two years of government monitoring to ensure those missing requirements are finally implemented. And that figure doesn’t account for the years of investigation, legal fees, breach notification costs, and operational disruption that preceded the settlement.   The Biggest Takeaway This case isn’t only a lesson for retail organizations’ health plans, but it’s a warning for every HIPAA-regulated entity. The OCR can and will investigate any organization exposed for failing to meet HIPAA requirements, including small medical practices To be prepared before a cyberattack occurs, make sure your organization has: A completed and current Security Risk Analysis. A trained workforce that knows how to handle PHI Accessible policies and procedures staff can actually reference. An up-to-date compliance program.  Ready to strengthen your compliance program? Schedule a free educational consultation with our team today.

OCR Ransomware Settlements
Abyde News, Fines, HIPAA

OCR Ransomware Settlements: 4 Massive HIPAA Fines from April 2026 & How to Avoid Them

May 4, 2026 Penelope Schweitzer No comments yet

May 4, 2026   Quick Guide:  The Office for Civil Rights (OCR) just issued a massive wake-up call, announcing four simultaneous settlements totaling $1,165,000. The Stats You Need to Know 76%: The percentage of large healthcare breaches now caused by hacking/IT incidents. 427,000+: Total number of patients impacted across these four recent settlements. 264%: The increase in ransomware-related breaches reported to the OCR since 2018. The Office for Civil Rights (OCR) just announced a flurry of investigation settlements. At the root of the four that were announced: ransomware. Ransomware attacks continue to target healthcare facilities. As of last year, the OCR discovered that 76% of large breaches are due to hacking and IT shortcomings. Unfortunately, healthcare information is a goldmine for hackers, exposing sensitive data that can lead to identity theft, financial fraud, and compromised patient care. Breakdown & Lessons Learned Regional Women’s Health Group (Axia) The first settlement was regarding the Regional Women’s Health Group (Axia), an OBGYN network across five states. In this case, the organization submitted a breach report following a cyberattack that exposed over 37,000 patients. The settlement resulted in a $320,000 fine and a 2-year Corrective Action Plan (CAP). The Lesson: The OCR didn’t just fine them for being hacked; they reached a settlement because the healthcare organization failed to conduct a “thorough and accurate” Security Risk Analysis (SRA). If you don’t know where your vulnerabilities are, you can’t patch them. Unfortunately, hackers counted on this negligence and exploited it.  Assured Imaging This was the largest of the four fines, affecting a staggering 244,813 individuals. When a ransomware infection hit their servers, Assured Imaging, a medical imaging enterprise, reported a breach to the OCR. After a long investigation (the initial cyberattack occurred in 2020), and resulted in a $375,000 settlement and a 2-year CAP.  The Lesson: Beyond the initial ransomware attack, it was discovered that Assured had never completed an SRA. Additionally, the organization did not notify patients within 60 days of discovery of the breach. This is a direct violation of the Breach Notification Rule, which aims to allow patients to take control and mitigate risks as quickly as possible.  Consociate Health Consciate Health is the only Business Associate (BA) fine in the four. BAs continue to be under the OCR’s microscope, such as potentially needing to follow stricter requirements when handling patient data. Their breach started with a phishing attack that eventually led to the encryption of systems holding data for over 136,000 people. The BA discovered the ransomware six months after the initial phishing attack. Upon the OCR’s further investigation, the SRA was found to be insufficient. The organization paid a $225,000 settlement and entered into a 2-year CAP.  The Lesson: Human error (phishing) is the most common entry point for ransomware. Constant employee training is just as important as a strong firewall. Additionally, just because a BA doesn’t directly work with patients doesn’t mean it isn’t their responsibility to keep patient data secure.  SG Health Plan Even employee benefit plans are regulated under the Health Insurance Portability and Accountability Act (HIPAA). SG Health Plan, associated with a Connecticut energy provider, reported that the data of 9,316 members were exposed following a ransomware attack. It was discovered that the organization did not complete an extensive SRA. The benefit plan entered a settlement with the OCR for $245,000 and a 2-year CAP.  The Lesson: This settlement highlights that HIPAA applies to corporate health plans just as much as it does to traditional healthcare providers. Additionally, every organization that handles Protected Health Information (PHI) must complete an SRA.  The Bottom Line The OCR isn’t fining practices for ransomware attacks, but for being ill-prepared.  However, it is easier said than done to ensure your organization is secure in protecting patient data and complying with HIPAA.  Proactively implementing the HIPAA Security Rule is your opportunity to mitigate the impacts of a cyberattack. Waiting until the ransom note appears on your screen is a million-dollar mistake. Want to see what you might be missing?  Run a 5-Minute HIPAA Gap Assessment and protect your practice today! 

  • Facebook
  • Instagram
  • LinkedIn
  • YouTube
Abyde Logo

1.800.594.0883 | info@abyde.com

Automated HIPAA and OSHA Compliance

Our Reviews

From Our Blog
  • Don’t Get Caught Off Guard: HIPAA Audits are Back!
  • Don’t Be a Statistic: Why OSHA Compliance Matters in Healthcare
  • What Money Doesn’t Cover: The True Price of HIPAA Non-Compliance
  • HIPAA: It’s Not Just a Training – Your Guide to Continuous Compliance
Solutions
  • HIPAA for Covered Entities
  • OSHA for Healthcare
  • HIPAA for Business Associates
  • SRA for Covered Entities
  • Abyde Incident Response Program
  • Abyde Reseller Program
Resources
  • News
  • Events
  • Partners
  • HIPAA Badges
  • OSHA Badges
  • Learning Center
  • Compliance FAQs
Company
  • About Us
  • Who We Serve
  • Pricing
  • Contact Us
  • Newsletter
  • Jobs
  • COPYRIGHT © 2026 ABYDE
  • |

  • TERMS & CONDITIONS
  • |

  • PRIVACY POLICY
  • |

  • SECURITY MEASURES
  • |

  • E-SIGNATURE TERMS