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Healthcare Compliance Solutions

Healthcare compliance solutions combine software and specialist services that help providers, payers and health technology companies meet regulatory requirements. They cover privacy and security rules such as HIPAA, interoperability regulations, quality and accreditation standards, and emerging AI and medical device rules, turning each requirement into working controls, workflows and evidence.

Taction Software has built compliance into healthcare software since 2013, across 200+ healthcare projects for providers, billing companies and digital health startups. This page explains the compliance solutions we deliver, how we price them at a $50 hourly rate, and how they connect to our custom healthcare compliance solutions practice.

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What Healthcare Compliance Solutions Cover

Healthcare organizations answer to many regulators at once. A single hospital may need to satisfy HIPAA, CMS Conditions of Participation, Joint Commission standards, information blocking rules and state privacy laws, while a software vendor adds SOC 2, ONC certification or FDA oversight on top. Compliance solutions bring these obligations together so they can be met through software, documented processes and continuous monitoring rather than yearly scrambles before an audit. The six capabilities below form the core of every compliance engagement we deliver, whether the client is a provider, a payer or a technology company selling into healthcare.

Regulatory Gap Assessment

We compare your current systems, policies and workflows against the rules that apply to you, then list the gaps in priority order. Each gap includes the risk it creates, the evidence an auditor would expect and a practical estimate of the effort needed to close it.

Compliance Built Into Software

Many compliance requirements are best met inside the software itself: access controls, audit logs, consent capture, data retention and reporting. We design and build these features directly into your applications, so compliance becomes part of daily operation instead of a separate manual process layered on afterward.

Policy and Procedure Documentation

Auditors ask for written policies, procedures and evidence that staff follow them. We help draft and maintain documentation that matches how your systems actually work, so written policies and technical reality stay aligned instead of drifting apart between one audit cycle and the next.

Automated Compliance Reporting

Quality measures, audit reports and regulatory submissions take significant staff time when assembled by hand. We automate data collection, validation and report generation, so submissions are accurate, repeatable and ready on time, with a clear trail showing how every reported number was produced.

Continuous Monitoring and Alerts

Compliance is not a single moment in time. We set up monitoring for access anomalies, configuration drift, expiring certificates, overdue reviews and failed controls, with alerts routed to the right owner, so problems are found and fixed long before an auditor or attacker finds them first.

Audit Preparation and Support

Before an audit, we organize evidence, run readiness reviews and prepare your team for auditor questions. During the audit, we support technical walkthroughs. Afterward, we help implement corrective actions, so findings are closed properly and do not return unresolved in the next review cycle.

Privacy and Security Compliance

Privacy and security rules are the foundation of healthcare compliance because every other obligation depends on protecting patient data. HIPAA sets the baseline for covered entities and business associates, but many organizations also face stricter rules for substance use disorder records, state privacy laws and security frameworks demanded by enterprise customers. Meeting these requirements means combining technical safeguards, contracts and documented processes that work together consistently. The six areas below cover the privacy and security compliance work we deliver most often, from HIPAA risk analysis through to formal third-party security certifications.

01

HIPAA Compliance Consulting

We help covered entities and business associates meet the Privacy, Security and Breach Notification Rules through gap assessments, policy work and technical controls. Our HIPAA compliance consulting service covers the full program, from initial assessment to ongoing compliance management. Every recommendation is practical.

02

HIPAA Risk Assessment

The HIPAA Security Rule requires a documented risk analysis. Our HIPAA risk assessment services identify threats and vulnerabilities across systems, vendors and workflows, rate each risk and produce a remediation plan that auditors and leadership can both understand clearly. Findings are ranked by severity.

03

42 CFR Part 2 Compliance

Substance use disorder treatment records carry extra protections beyond HIPAA, including specific consent and redisclosure rules. Our 42 CFR Part 2 compliance services build consent management, data segmentation and disclosure tracking into the systems that handle these sensitive records. Consent status is always visible to staff.

04

SOC 2 and HITRUST Readiness

Enterprise healthcare buyers often require SOC 2 reports or HITRUST certification from their vendors. Our SOC 2 compliance for healthcare work maps controls to these frameworks, collects evidence and prepares your team for the formal external assessment. Evidence collection is automated where possible.

05

HHS Cybersecurity Performance Goals

The HHS healthcare cybersecurity performance goals set out essential and enhanced security practices for healthcare organizations. Our HHS cybersecurity performance goals compliance service measures your current position and implements the missing practices in a sensible priority order. Progress is reported to leadership regularly.

06

State Health Data Privacy Laws

A growing number of states regulate consumer health data beyond HIPAA, often affecting apps and companies that are not covered entities. Our guide to state health data privacy laws explains the main requirements, and we build consent and data handling to match them.

Interoperability and Health IT Regulations

Federal interoperability rules have turned data sharing from a nice-to-have into a legal obligation. Providers, health IT developers and health information networks face information blocking rules, while payers must support patient access and data exchange APIs under CMS regulations. Certified health IT developers must also keep pace with ONC certification criteria and updated data standards. These rules require real technical work, not just policy statements, because compliance is measured by whether data actually moves. The six areas below cover the interoperability compliance work we deliver, combining regulatory analysis with FHIR and API engineering.

Information Blocking Compliance

The information blocking rules restrict practices that interfere with access, exchange or use of electronic health information. Our information blocking rule compliance service reviews your data sharing practices, documents exceptions properly and fixes technical barriers that could be treated as blocking.

CMS Interoperability Rules

CMS requires many payers to support patient access, provider directory and payer-to-payer APIs. Our CMS interoperability rule compliance work designs and builds the FHIR APIs, data mapping and security these regulations require, then tests them against the relevant implementation guides.

CMS Prior Authorization Requirements

CMS rules on prior authorization require impacted payers to support electronic prior authorization and faster decisions. Our analysis of the CMS prior authorization rule explains the technical requirements, and we build the APIs and workflows payers and providers need to meet them.

ONC Health IT Certification

Health IT developers selling certified EHR technology must meet ONC certification criteria and maintain them over time. Our ONC health IT certification services cover gap analysis, development against criteria, test preparation and ongoing conditions of certification for your product. Test scripts are prepared early.

USCDI Data Standards

The United States Core Data for Interoperability defines the data classes and elements that certified systems must support. Our USCDI implementation guide explains the requirements, and we map your data models so exchanged records carry the right structure and codes.

21st Century Cures Act Obligations

Many interoperability requirements trace back to the 21st Century Cures Act. Our 21st Century Cures Act guide summarizes the obligations for providers and developers, and we help translate them into concrete technical and policy changes across your systems. Each change is documented for audit.

Quality, Accreditation and Reporting Compliance

Hospitals and health systems must prove quality and safety continuously to keep accreditation, Medicare participation and payment. That proof comes from surveys, quality measures and reports that often depend on data scattered across many systems. When the data is incomplete or late, organizations risk survey findings, payment penalties and a great deal of manual work before every deadline. Software that captures the right data at the point of care and reports it automatically reduces that burden considerably. The six areas below cover the quality, accreditation and reporting compliance solutions we build for providers and health plans.

Joint Commission Compliance

Joint Commission accreditation depends on meeting standards across safety, documentation and operations. Our Joint Commission compliance services build tracking, documentation and reporting tools that help organizations stay survey-ready throughout the year rather than preparing in a rush beforehand. Survey evidence stays organized all year.

CMS Conditions of Participation

Hospitals must meet CMS Conditions of Participation to take part in Medicare and Medicaid. Our CMS Conditions of Participation services help map requirements to systems and workflows, then build monitoring that shows compliance status for each condition in real time.

DNV Accreditation Support

Hospitals accredited by DNV follow a different survey model built around continuous improvement and quality management. Our DNV healthcare compliance services help organize documentation, track corrective actions and support the annual survey cycle that DNV accreditation requires of participating hospitals.

eCQM Implementation

Electronic clinical quality measures depend on structured data captured correctly in the EHR. Our eCQM implementation services cover measure logic, data mapping, validation and submission preparation, so reported results reflect the care actually delivered rather than documentation gaps and mapping errors.

MIPS and MACRA Reporting

Clinicians in the Quality Payment Program face payment adjustments based on their MIPS performance. Our MIPS and MACRA reporting automation gathers quality and improvement data automatically, checks it for gaps and prepares submissions accurately before each reporting deadline arrives. Performance is visible during the year.

HEDIS Reporting

Health plans report HEDIS measures to demonstrate quality, and results affect ratings and contracts. Our HEDIS reporting automation software consolidates claims and clinical data, applies measure logic and highlights care gaps that plans can still close during the measurement year.

AI and Medical Device Compliance

Artificial intelligence and software-driven medical devices are now regulated more closely than ever. Software that diagnoses, treats or informs clinical decisions may fall under FDA oversight, and AI used in healthcare faces new state laws, international regulation and governance frameworks. Many organizations are adopting AI faster than their compliance programs can adapt, which creates risk that is easy to miss until a regulator or customer asks direct questions. The six areas below cover the AI and medical device compliance work we deliver, from regulatory classification through to ongoing governance and monitoring after deployment.

FDA Software as a Medical Device

Software intended to diagnose, treat or prevent disease may be regulated as a medical device. Our FDA SaMD compliance services help determine whether your product qualifies, choose a regulatory pathway and build the quality and documentation processes the FDA expects.

AI Governance Frameworks

AI governance defines who approves models, how they are validated and how performance is monitored after launch. Our healthcare AI governance framework work sets up committees, policies, model inventories and review processes suited to clinical and administrative AI use cases.

NIST AI Risk Management Framework

The NIST AI Risk Management Framework offers a structured way to identify and manage AI risks. Our NIST AI RMF healthcare service applies it to your AI systems, documenting risks, controls and monitoring in a form that enterprise buyers and regulators recognize.

EU AI Act Compliance

Healthcare AI offered in the European Union may be classed as high-risk under the EU AI Act, with obligations for risk management, data governance and human oversight. Our EU AI Act healthcare compliance service maps those obligations to your product.

Colorado AI Act

Colorado’s AI law introduces duties for developers and deployers of high-risk AI systems, including many healthcare uses. Our Colorado AI Act healthcare service assesses whether your systems are in scope and builds the impact assessments and disclosures the law requires.

Joint Commission AI Readiness

Accrediting bodies are paying closer attention to how hospitals govern AI tools. Our Joint Commission AI readiness service helps organizations inventory AI in use, document oversight and prepare evidence showing that AI tools are validated, monitored and used safely. Gaps are fixed before surveys.

Cost of Healthcare Compliance Solutions

Our compliance work is billed at a blended rate of $50 per hour, covering compliance analysts, engineers, QA and project management. Cost depends on the number of regulations in scope, the size of your environment, the condition of existing documentation and how much of the solution needs to be built into software. The ranges below reflect typical effort and are planning figures, not quotes. A short scoping call produces a more precise estimate. For HIPAA-specific budgeting, our guide to HIPAA compliance cost for software breaks down the main cost drivers.

Compliance Gap Assessment: $3,000 to $10,000

A gap assessment for one or two regulations typically takes 60 to 200 hours. It covers interviews, system and policy review, and a prioritized findings report with remediation estimates, giving leadership a clear view of risk before committing budget to fixes.

Risk Assessment and Remediation Plan: $4,000 to $12,000

A formal HIPAA risk assessment with a remediation roadmap typically takes 80 to 240 hours, depending on the number of systems, locations and vendors involved. The output is documentation that satisfies the Security Rule requirement and guides the next year of work.

Compliance Software Build: $40,000 to $150,000

Building compliance features or a dedicated compliance application, such as consent management, audit reporting or quality measure automation, typically takes 800 to 3,000 hours. Scope depends on integrations, data sources and the number of regulations the software must support. Discovery confirms the exact range.

Certification Readiness: $10,000 to $40,000

Preparing for SOC 2, HITRUST or ONC certification typically takes 200 to 800 hours of control mapping, evidence collection, remediation support and readiness review. External auditor and certification body fees are separate and paid directly to those organizations. We coordinate closely with auditors throughout.

Ongoing Compliance Support: $1,000 to $4,000 per Month

Ongoing support retainers typically cover 20 to 80 hours per month for monitoring, policy updates, regulatory change tracking, evidence collection and audit support. The right size depends on how many frameworks you maintain and how often your systems change. Scope is reviewed quarterly.

What Changes the Cost

Cost rises with more regulations in scope, many locations or vendors, weak existing documentation and heavy software changes. It falls when policies already exist, systems are well documented and one person owns decisions. Auditor, certification and legal fees are separate from our engineering and consulting cost.

Why Choose Taction for Healthcare Compliance Solutions

Two questions matter when choosing a compliance partner: do they understand the regulations well enough to interpret them correctly, and can they actually build the controls into your systems. Many consultancies do the first but not the second, while many developers do the reverse. Our team combines both, with experience across 200+ healthcare projects since 2013 and ISO 27001 certified processes. We are not a law firm and do not give legal advice, but we work alongside your counsel. The six points below explain what working with us looks like in practice.

  • 01

    Compliance Proven in Production Software

    For Procentive, we built a behavioral health platform on a HIPAA-aligned multi-tenant architecture with encryption, role-based access and audit logging. Read the Procentive case study to see how compliance shaped the platform’s design from the start. Compliance was never an afterthought there.

  • 02

    Auditability Across Many Parties

    For Xoomia, a unified platform shared by caregivers, agencies, clinics and government bodies, transaction-level audit logging makes shared access defensible under HIPAA review. The Xoomia case study explains how role-based access was designed into the record structure. Every access is traceable to a user.

  • 03

    Engineering and Compliance in One Team

    Our compliance analysts and engineers work together, so findings turn into working controls rather than reports that sit unread. When a gap needs code, configuration or integration changes, the same team that identified it can design and implement the fix directly in your systems.

  • 04

    Security Leadership When You Need It

    Organizations without a full-time security leader can use our healthcare CISO as a service to own the security program, report to leadership and manage compliance priorities, without the cost of hiring a permanent executive before the organization truly needs one.

  • 05

    We Will Tell You What Is Not Required

    Not every regulation applies to every organization, and not every framework is worth pursuing. If a certification will not help you win customers or reduce real risk, we will say so, and help you focus budget on the obligations that genuinely matter most.

  • 06

    You Own the Evidence and the Systems

    Policies, risk assessments, evidence libraries, software and documentation belong to you. We hand everything over in an organized, usable form, so your team can maintain the compliance program internally or continue with us on an ongoing support basis if you prefer.

FAQs

Frequently Asked Questions

These are the questions healthcare organizations and health technology companies ask most often when they look for compliance solutions, whether they are preparing for an audit, entering a new market or responding to a new regulation. The answers are short on purpose and are not legal advice, so please involve your counsel for legal interpretation. If your situation depends on specific regulations, locations or products, a short call with our team will give you a clearer answer. For a quick self-check, try our free HIPAA compliance checklist before the call.

They are software and services that help healthcare organizations meet regulatory requirements, including HIPAA, interoperability rules, quality reporting, accreditation standards and AI regulations. They combine gap assessments, documented policies, compliance features built into software, automated reporting and continuous monitoring into one program.

We bill a blended $50 per hour. A gap assessment typically costs $3,000 to $10,000, certification readiness $10,000 to $40,000, a compliance software build $40,000 to $150,000, and ongoing support $1,000 to $4,000 per month, depending on scope. Auditor fees are separate.

It depends on what you do, who you serve and where you operate. Covered entities and business associates face HIPAA, payers face CMS interoperability rules, and AI or device software may face FDA and state AI laws. A gap assessment maps this precisely.

No one can, because there is no official HIPAA certification. What we provide is a documented compliance program, a risk analysis, working technical safeguards and audit-ready evidence. For a formal third-party attestation, SOC 2 or HITRUST are the frameworks enterprise buyers usually recognize.

No. We are a technology and compliance services company, not a law firm. We interpret requirements for implementation, build controls and prepare evidence, and we work alongside your legal counsel, who should confirm legal interpretations and sign off on final policies.

This page covers the full range of healthcare compliance solutions we deliver and how we price them. Our custom healthcare compliance solutions page focuses specifically on building bespoke compliance software for organizations whose needs are not met by existing commercial tools.

Share the regulations you face, your upcoming audits or deadlines, and the systems involved. In a 30-minute call we will tell you where the biggest risks are, what fixing them would cost and which obligations you can safely deprioritize. Book a free consultation.

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