You're under audit pressure.
Your team is buried. And the regulations keep moving.
Healthcare providers and health systems face a compliance burden that manual research can't keep pace with: BAA stacks that have grown inconsistently, audit prep that ties up clinical and IT staff, and a regulatory environment that doesn't pause between assessments. Rote is built to address all three.
If you have treated the addressable specifications as optional, the proposed HIPAA Security Rule would close that option. The work to start now is separating what you already do from what you would need to stand up. See what the update would require →
What HIPAA compliance looks like
when you're the covered entity
Your compliance team has been asked to prepare documentation for an OCR investigation. The HIPAA gap analysis from the last cycle is 18 months old, and the controls that were deficient then haven't been fully addressed. Your BAA library has agreements from three acquisitions in it, and no one has done a systematic review of whether they meet current 45 CFR 164.504(e)(2) requirements. Meanwhile, ONC dropped new interoperability guidance and your security officer isn't sure if it touches your HIPAA program.
This is the normal state for healthcare provider compliance teams: perpetual catch-up, with documentation that is always a step behind what auditors or customers need. The underlying problem is not that compliance is hard. It is that the tools force everything to be manual. The work either does not get done, or it ties up the most expensive staff to do it.
Rote replaces the manual research cycle with structured workflows that run against your actual documents. HIPAA Gap Analysis produces coverage status, confidence scores, and citation-backed remediation steps per control. BAA Review runs clause by clause against 45 CFR 164.504(e)(2) and identifies what is wrong and what the remediation language should be. Control Assessment scores each safeguard individually. The Security Risk Assessment pulls these into the risk analysis the rule requires — risk register, risk management plan, attestation-ready letter — and the Risk Management Project acts on it: corrected policies, safeguard documentation, BAA language, and an evidence log configured for organizations under active audit pressure. Maintenance keeps the team current as regulations shift.
The workflows that power each engagement
Maps your policies and security documentation against HIPAA Security Rule and Privacy Rule requirements with coverage status, confidence scoring, evidence citations, and specific remediation steps. This methodology drives the gap findings in the Security Risk Assessment and the remediation built in the Risk Management Project. The output is structured for auditors, not internal review only.
Clause-by-clause analysis against 45 CFR 164.504(e)(2) required elements, including cross-analysis of every related BAA that could be impacted when multiple entities are involved. Identifies what is present, deficient, or missing and produces recommended contract language. This powers the BAA analysis in the Security Risk Assessment and the vendor-level findings in AI Vendor Analysis.
Individual safeguard scoring across your HIPAA Security Rule controls: administrative, physical, and technical. This methodology supports the risk scoring in the Security Risk Assessment, where each control gap feeds into the risk register and the remediation roadmap the Risk Management Project executes with ownership and timeline assigned.
Monitors HHS OCR guidance, Federal Register notices for 45 CFR Parts 160 and 164, and CMS program updates against your documented posture. This methodology powers Maintenance: the annual SRA refresh, quarterly reviews, the SAFER Guide self-assessment, and continuous regulatory surveillance. The compliance team knows before the next audit cycle.
Start here.
The risk analysis 45 CFR 164.308 requires and MIPS attests to: asset and ePHI inventory, threats scored with written rationale, a risk register, a risk management plan with 30/60/90 actions, and an attestation-ready summary letter. Every finding evidence-cited. 10 business days.
Implements the risk management plan per 45 CFR 164.308(a)(1)(ii)(B): corrected policies and procedures, safeguard documentation, BAA language, and an evidence log showing the analysis was acted on — the follow-through OCR's current enforcement pattern examines. The assessment fee credits in.
Want to run the analysis yourself first?
The Rote platform lets you run gap analysis, BAA review, and risk assessment directly, without a consulting engagement. Setup starts with a conversational intake agent. It asks about your org, your framework, and your documents, and has your workspace ready in about 15 minutes. A coordinated team of agents then maintains your program weekly, starting with Gap Closure, Regulatory Watch, and Document Health. Currently in beta. Access by request.
Request platform beta access →Common provider questions
HIPAA Gap Analysis maps your documentation against Security Rule and Privacy Rule requirements with coverage status, confidence scores, and citation-backed remediation steps per control. Control Assessment scores each safeguard individually. The output is structured for auditors: evidence chains, specific CFR citations, and gap remediation plans, rather than a requirements list to interpret yourself.
Yes. The HIPAA Security Risk Assessment is the risk analysis 45 CFR 164.308(a)(1)(ii)(A) requires and the artifact MIPS Promoting Interoperability reporters attest to: for 2026 the attestation covers both conducting the analysis during the calendar year and implementing security measures to address what it found. The assessment starts at $3,500, delivered in 10 business days, evidence-cited, with a risk register, risk management plan, and attestation-ready summary letter. Maintenance carries the annual refresh and the SAFER Guide self-assessment.
Yes. BAA Review analyzes agreements clause by clause against 45 CFR 164.504(e)(2) required elements. When a clause is deficient, the workflow identifies the specific required element and produces recommended contract language. You can run it against vendor BAAs, customer agreements, and subcontractor arrangements, each in a separate workspace run.
Yes. Rote supports multi-workspace configurations, which lets you isolate documents, assessments, and reports per entity or facility while managing from a single account. Each workspace has its own Qdrant RAG store, so document sourcing stays entity-specific.
Ongoing regulatory monitoring is part of the Maintenance engagement. It tracks HHS OCR guidance, Federal Register notices, and CMS program updates on a recurring schedule and surfaces changes against your documented posture with recommendations. Maintenance builds on the Security Risk Assessment and the Risk Management Project that closes the gaps it finds. Your team knows before the next audit, not after.
Running a substance use disorder program, or need another regulation worked end to end? The homepage lists the regulatory programs. The free Snapshot places you on the maturity matrix and recommends where to start.
See the HIPAA program →Audit-ready output.
Continuous coverage as regulations move.
Start with the free Snapshot. The Rote methodology is applied to your current posture, delivering a structured maturity assessment within one week.