HIPAA Security Rule update

    For MSOs and multi-location groups

    HIPAA compliance across every location, on one record.

    Live Compliance runs the HIPAA program for management services organizations and multi-location medical groups: one organization-wide risk analysis, training and policies that roll up by location, exclusion checks on everyone, and a named compliance team on every plan.

    ~10 minutes · No credit card · No call required

    The compliance lead sees everything; each location sees its part. Multi-location management with one roll-up view and HRIS integrations are included on Enterprise.

    Live Compliance dashboard with the business-unit selector, employee, vendor, training, and risk assessment status, device vulnerabilities, and exclusion verification.

    Every obligation on one row, always current

    Where it goes wrong

    Where multi-location programs actually fail.

    An MSO's compliance risk multiplies by location: every site has its own staff, devices, and habits, and the program is only as strong as the location nobody is watching.

    01

    The risk analysis covers headquarters and samples the rest

    The Security Rule requires an accurate and thorough risk analysis of the risks to the organization’s ePHI, wherever that ePHI lives. For a group with many locations, an analysis that covers the main office and assumes the satellites look the same does not meet the standard, and it is the first document an investigator asks for.

    45 CFR 164.308(a)(1)(ii)(A)

    In the programOne risk analysis in the platform with every location inside it, kept current as locations are added, and the roll-up view that shows where the gaps are.

    02

    Training completion lives in a different spreadsheet per site

    HIPAA requires security awareness and training for all workforce members, with documentation retained. At one location that is a checklist; across many it is version chaos, and an auditor asks for the records, not the intention.

    45 CFR 164.308(a)(5)

    In the programTraining lands by role at every location, new hires are trained on arrival with a dated record, and completion rolls up by site on one dashboard.

    03

    People leave one site and keep access at another

    The Security Rule requires procedures for terminating access to ePHI when employment ends. Multi-entity groups are exactly where that breaks: the person leaves location A, the directory at location B never hears about it, and the account stays live. Access-termination failures are among the most expensive findings in public OCR settlements.

    45 CFR 164.308(a)(3)(ii)(C)

    In the programEmployee records, termination workflows, and the device register in one system, so offboarding closes accounts and recovers equipment with a signed record.

    04

    Exclusion screening happens at hire and never again

    Anyone on the OIG exclusion list cannot be billed to Medicare or Medicaid, and the OIG updates its list monthly and recommends monthly screening of employees and contractors. Across hundreds of employees and many locations, manual monthly checks quietly stop.

    OIG LEIE · 42 CFR 1001.1901

    In the programExclusion checks run on hire and monthly on every plan, against the OIG, SAM.gov, and state lists, with the verification record kept automatically.

    Accuracy and legal note. Plain-language summary of the HIPAA Security Rule (45 CFR 164.308) and OIG exclusion-screening guidance, accurate as of November 2026. Regulations change. This is general educational information, not legal advice. Verify current requirements at hhs.gov/hipaa or with your compliance counsel.

    Straight answers

    MSOs and Live Compliance, in plain words.

    Live Compliance is the HIPAA compliance program for MSOs and multi-location medical groups: one record across every location, with a named compliance team on every plan.

    It works beside the MSP or IT provider each location already has. The compliance lead gets the roll-up; auditors get one program instead of a binder per site.

    • Since 2010
    • 500+ organizations
    • Multi-location roll-up on Enterprise
    • Named team on every plan
    • 100% audit success rate

    Yes. Enterprise includes multi-location management with one roll-up view: every location's training, policies, risk assessment status, and exclusion checks on one record, by location and across all of them. The compliance lead sees the whole picture; each location sees its part.

    The Security Rule requires an accurate and thorough risk analysis of the organization's ePHI, wherever it lives. For a multi-location group that means the analysis has to cover every location and shared system, not a sample. Live Compliance runs it as one program with every location inside it.

    Training lands by role, new hires are trained on arrival with a dated record, and completion rolls up by location. HIPAA requires training for all workforce members with documentation to prove it; a spreadsheet per site is where that usually breaks.

    Every price is published: $399, $895, or $1,450 a month plus $8.33 per employee per month, billed annually, with no add-on fees. Multi-location management, one roll-up view, and HRIS integrations are on Enterprise at $1,450 a month. Example: an 80-employee group runs $2,116.40 a month on Enterprise.

    See the platform, on real screensEvery price on the page

    See where your program stands before an auditor does.

    Get your free 10-minute audit-readiness score. Then, if you want it, the guarantee: audit-ready in 60 days, or we keep working at no additional cost until you are.

    Or talk to a Specialist

    ~10 minutes · No credit card · No call required

    500+
    healthcare organizations
    100%
    audit success rate
    2010
    protecting healthcare since