Healthcare Compliance & HIPAA Data Security Guide | Revedy
Revedy delivers HIPAA-compliant, audit-ready RCM automation built for healthcare compliance leaders and government contractors. Contact us to request our security documentation or review a BAA.
A Compliance Officer’s Overview: Why Security Is a Matter of Regulatory Compliance
In modern Revenue Cycle Management (RCM), cybersecurity and regulatory compliance are inseparable. For Healthcare Compliance Officers, Privacy Officers, and General Counsel, evaluating an AI medical coding or claim scrubbing vendor goes far beyond basic IT checkboxes—it is a matter of HIPAA statutory obligation, billing integrity, and revenue resilience.
A single vendor security lapse or governance gap can expose Protected Health Information (PHI), trigger Office for Civil Rights (OCR) enforcement, or halt cash flow across an entire organization. Revedy’s compliance program is engineered from the ground up to align technical security controls directly with federal and state healthcare compliance mandates.
Looking for our technical infrastructure overview, SOC 2 / HITRUST status, and API authentication architecture? Visit our Platform Security Overview →
Aligning Technical Security with the HIPAA Security & Privacy Rules
Under the Health Insurance Portability and Accountability Act (HIPAA), protecting electronic Protected Health Information (ePHI) requires a coordinated program of administrative, physical, and technical safeguards (45 CFR § 164.306). Revedy operationalizes these mandates across every layer of our organization and platform:
1. Administrative Safeguards
Workforce Governance & Risk Management
2. Technical Safeguards
Encryption, Auth & Model Isolation
3. Physical & Infrastructure
Tier-1 Cloud & Private VPC Options
Business Associate Agreements (BAAs) & Vendor Risk Management
As a technology partner handling ePHI on behalf of healthcare providers and billing organizations, Revedy operates as a Business Associate under HIPAA.
Direct BAA Execution
We readily execute comprehensive Business Associate Agreements (BAAs) with Covered Entities, detailing permitted uses and disclosures of PHI, breach notification timelines, and statutory safeguard obligations.
Streamlined Security & Procurement Reviews
Our compliance team supports enterprise vendor risk assessments (SIG, CAIQ, HECVAT, and custom HIPAA security questionnaires) to accelerate procurement and legal review.
Federal & State Healthcare Contracts: Subcontractor Compliance
Healthcare organizations operating under federal, state, or county contracts—as well as Revenue Cycle BPOs, EHR vendors, and health IT integrators serving as Prime Contractors—face strict regulatory, procurement, and security flow-down requirements. Revedy is structured to serve as a turnkey, fully compliant subcontractor and downstream Business Associate.
SAM.gov Registered & Certified Small Business Teaming Partner
Prime Contractors bidding on federal, state, and county healthcare RFPs frequently must satisfy Small Business Subcontracting Plan goals while delivering modern AI automation:
Procurement-Ready Subcontractor: Revedy is actively registered in SAM.gov and is a Certified Small Business, enabling Prime Contractors to meet small business participation quotas while adding specialized AI medical coding and pre-bill claim scrubbing to their contract vehicles.
Downstream Subcontractor BAAs (45 CFR § 160.103 & § 164.502(e)): Under the HIPAA Omnibus Rule, subcontractors handling ePHI are bound by the same statutory HIPAA Security, Privacy, and Breach Notification mandates as the Prime Business Associate. Revedy executes downstream Subcontractor BAAs and adheres to prime contract flow-down clauses governing data handling, record retention, incident reporting, and audit cooperation.
Why On-Premises Deployment Is the Key to Federal & State Subcontracting
In federal and state healthcare contracting, routing ePHI or Controlled Unclassified Information (CUI) to an external third-party SaaS cloud often triggers lengthy, multi-year Authority to Operate (ATO) or separate facility/cloud accreditation bottlenecks. Revedy eliminates this barrier through our On-Premises & Private Cloud Deployment architecture:
Inherit the Prime’s or Agency’s Security Boundary
We package Revedy’s AI platform as containerized services that deploy directly inside the Prime Contractor’s or government agency’s existing authorized environment (on-prem data center, AWS GovCloud, or Azure Government VPC)—inheriting your existing physical, facility, and network security controls without ePHI ever leaving your perimeter.
100% Domestic U.S. Data Residency
All data processing and storage remain strictly within domestic U.S. jurisdictions, satisfying federal, state Medicaid, and county prohibitions against offshore PHI access or transmission.
Proven Experience with FQHCs, Medicare, and State Medicaid Regulations
Unlike general-purpose healthcare AI tools built only around commercial billing, Revedy is already deployed in safety-net and public-sector healthcare environments and is purpose-trained on government payer regulations:
Active FQHC & Safety-Net Deployments: Revedy actively serves Federally Qualified Health Centers (FQHCs), supporting Prospective Payment System (PPS) wrap-around reconciliations, same-day integrated care rules, and HRSA/UDS compliance reporting.
AI Trained on Medicare, Medicaid & State Rules: Our clinical intelligence and claim scrubbing engine is trained on CMS Medicare Local and National Coverage Determinations (LCD/NCD), NCCI edits, Excludes1/Excludes2 rules, and state-specific Medicaid billing rules and waivers across all 50 states.
False Claims Act (FCA) Risk Mitigation: Whether operating autonomously or via our Human-in-the-Loop (ICAT) workstation, Revedy ties every assigned ICD-10-CM, CPT, and HCPCS code to verbatim clinical citations in the chart—protecting Prime Contractors and public health providers during CMS, RAC, OIG, and state Medicaid audits.
Audit Readiness & Immutable Traceability
When a Compliance Officer prepares for an internal HIPAA audit, a payer post-payment review, or a government agency inspection, documentation and traceability are paramount. Revedy provides:
Comprehensive System Audit Logs
Immutable logging of user authentication, record access, and API transactions to satisfy HIPAA audit control standards (45 CFR § 164.312(b)).
Encounter-Level Coding Rationale
An auditable record for every chart showing the exact clinical documentation passages, medical necessity validations, and coder review actions that produced the final claim.
Security & Compliance Questions, Concerns, and Reporting
We welcome inquiries from Compliance Officers, Privacy Officers, Prime Contractors, and security teams—whether you need to request our security documentation, initiate a BAA or subcontractor compliance review, or report a potential security concern or incident for immediate investigation.