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HIPAA Compliant Development

Custom software engineered for HIPAA compliance from day one.

We design PHI-safe architecture with encryption, audit-ready logging, role-based access, and BAA coverage across the stack — so your healthcare software is compliant before launch, not after an audit.

PHI encryption
Audit logging
Role-based access
BAA-ready
Why It Matters

Why HIPAA compliance can't be bolted on.

HIPAA defines three categories of safeguards — administrative, physical, and technical — and every one of them has to be baked into your architecture, your codebase, and your day-to-day operations from the first commit. When teams treat compliance as a late-stage checklist, it shows up in the worst possible places: hard-coded credentials in staging databases, production logs that echo full patient records, background jobs that email PHI to third-party APIs with no Business Associate Agreement in place. Retrofitting those decisions is expensive, slow, and rarely complete.

The consequences of getting it wrong are measurable. OCR audits can be triggered by a single complaint or a reportable breach. HHS civil monetary penalties run from $100 to $50,000 per violation, with an annual cap of roughly $1.9 million per violation category. On top of that, HIPAA's Breach Notification Rule forces you to notify affected individuals, HHS, and sometimes the media — often within 60 days — along with the reputational cost that follows.

There is also a common trap worth naming. HIPAA-capable hosting providers (AWS, Azure, GCP) will sign a Business Associate Agreement and hand you HIPAA-eligible infrastructure, but the BAA only covers the services themselves. Everything above the infrastructure layer — your application code, your access controls, your logging, your key management, your developer workflows — is your responsibility. "Hosted on a HIPAA cloud" is not the same thing as "HIPAA compliant software." That gap is exactly where most healthcare apps fail.

What We Build

Healthcare software and PHI workflows we deliver.

Every engagement is purpose-built custom software designed around the specific PHI flows, clinical users, and integrations your organization needs.

Patient Portals & Telehealth

Secure patient-facing portals, scheduling, video visits, and asynchronous messaging. Identity verification, consent capture, and encrypted communication baked in.

EHR / EMR Integrations

FHIR, HL7v2, and proprietary interfaces for Epic, Cerner, athena, and others. Bidirectional sync with the mappings, terminology services, and error handling real clinical data requires.

Clinical Trial Management

eCRF, ePRO, eConsent, and site-management platforms. 21 CFR Part 11 alignment alongside HIPAA where applicable, with full audit trails for every participant record.

Medical Billing & Claims

Claim scrubbing, 837/835 EDI exchange, clearinghouse integrations, denial management, and patient responsibility estimators — all with PHI safely segmented.

HIPAA-Compliant Messaging

Secure clinician-to-clinician and clinician-to-patient messaging with end-to-end encryption, retention policies, and audit trails that survive legal hold review.

Care Coordination Platforms

Shared care plans, referral management, remote patient monitoring (RPM), and population health tools that keep PHI moving securely between providers and payers.

Our Compliance Stack

The controls we implement on every HIPAA project.

HIPAA has no official certification — anyone claiming to be "HIPAA-certified" is bending the truth. What we do is design to HIPAA requirements with a concrete, opinionated set of safeguards we apply to every engagement, layered with the cybersecurity practices that keep them enforceable.

Technical Safeguards
  • AES-256 encryption for all PHI at rest, with keys managed in KMS/HSM
  • TLS 1.3 required in transit, with HSTS and certificate pinning where feasible
  • Unique user IDs — no shared accounts, ever, for anyone touching PHI
  • Automatic session timeout configurable per role, with re-auth for sensitive actions
  • Append-only audit log of every PHI read, write, export, and permission change
  • Integrity verification via checksums and signed records for critical datasets
Administrative
  • BAA chain — we sign with you, our subprocessors sign with us
  • Workforce security training for every engineer touching PHI or production
  • Documented incident response with defined roles, timelines, and breach triage
  • Annual risk analysis following the NIST 800-66 framework
  • Sanction policy and access reviews run quarterly against active directory
  • Change management with PR review, approvals, and tie-back to audit logs
Physical / Hosting
  • AWS HIPAA-eligible services only (or Azure/GCP equivalents) under a signed BAA
  • SOC 2 Type II data centers with physical access controls and surveillance
  • US-region isolation — PHI never leaves US regions unless explicitly stated
  • Network segmentation separating PHI workloads from public-facing surfaces
  • Backup encryption and restore drills on a documented cadence
  • Hardware decommissioning under cloud-provider-certified media destruction
Delivery Process

How we deliver HIPAA-ready platforms.

A structured process that treats compliance as an engineering requirement, not paperwork. Every phase has concrete deliverables you and your auditors can reference.

01 — SCOPE

BAA & Data-Flow Map

We sign a BAA, then map every place PHI is created, received, stored, transmitted, or destroyed. Each element gets a classification and a control owner before code is written.

02 — DESIGN

Threat Model & Access Matrix

Encryption scheme, key hierarchy, role matrix, and explicit STRIDE-style threat model. Architecture is reviewed and signed off before build starts.

03 — BUILD

Code With Audit Logging

PHI handlers are isolated modules requiring dual code review. Audit logging is a first-class dependency, not a sidecar. Staging uses synthetic data only.

04 — CERTIFY

Pen Test & Documentation

Third-party penetration test, vulnerability scan, and a compliance evidence package — policies, procedures, audit results — you can hand directly to an auditor.

Who We Serve

Healthcare organizations we build for.

We work with covered entities and business associates across the healthcare ecosystem — wherever custom software needs to touch protected health information safely.

Telehealth & Remote Care

Virtual visit platforms, async care, and direct-to-consumer digital health companies that need PHI-safe infrastructure from their first user.

Specialty Clinics

Behavioral health, oncology, dermatology, fertility, and other specialties that outgrew off-the-shelf EHRs and need tailored workflows.

EHR Vendors & Integrators

EHR/EMR vendors building add-on modules or FHIR-based integrations that must pass partner security reviews.

Digital Therapeutics & RPM

DTx, remote patient monitoring, and connected-device companies where clinical data flows from hardware to cloud to provider.

Health Plans & TPAs

Payers and third-party administrators needing member portals, utilization management, and claims-adjacent platforms.

Clinical Research & Pharma

Sponsors, CROs, and pharma teams running studies where HIPAA overlaps with GCP, 21 CFR Part 11, and sponsor data agreements.

FAQ

HIPAA software development questions, answered.

Common questions we hear from healthcare and digital health leaders evaluating a HIPAA-ready platform build.

Chams Enterprise Solutions operates as a business associate when we develop, host, or maintain systems that create, receive, store, or transmit PHI on your behalf. We are not a covered entity and do not provide healthcare services directly. Because we act as a business associate, we sign a BAA with you and flow BAAs down to any subprocessors that touch PHI in the course of delivery.
Yes. We sign a Business Associate Agreement before any PHI (or any environment capable of containing PHI) is shared with us. If you do not have a preferred template, we provide one based on current OCR guidance. Our BAA covers development, staging, production, incident response, and termination handling for PHI in our custody.
Our default — and strong recommendation — is no real PHI in development or staging. We use realistic synthetic data, de-identified datasets, or masked exports generated from production. If your workflow genuinely requires PHI in a pre-production environment, we treat it as production for the purposes of encryption, access control, audit logging, and workforce access, and we document it under the BAA.
We default to AWS HIPAA-eligible services under a signed AWS BAA, with equivalent patterns available on Azure and GCP. Typical building blocks include VPC isolation, KMS-managed encryption keys, private subnets for PHI data stores, WAF and Shield at the edge, CloudTrail and config for audit, and region pinning to US regions only unless you have a specific reason to deploy elsewhere.
Cost depends on scope, integrations, and how much existing infrastructure we can reuse. A focused MVP — for example, a patient-facing portal with a single EHR integration — typically lands in the $60k to $150k range for initial build. Larger platforms (multi-tenant SaaS, multiple integrations, mobile apps, advanced clinical workflows) range from $150k to $500k+. We scope every engagement in writing and tie deliverables to compliance artifacts.
Our incident response plan kicks in the moment a potential incident is detected. Within hours we triage, contain, and preserve evidence; within 24 hours we notify you with a written summary and working timeline. We assist with the HIPAA Breach Notification Rule analysis, including whether the event meets the definition of a breach, the risk assessment, and the notifications to affected individuals, HHS, and (if applicable) the media within the 60-day window.

Ready to build HIPAA-compliant software?

Tell us about your PHI workflows and we'll respond within 24 hours with a scoped plan, BAA, and a clear path to launch.