HIPAA Compliance
HIPAA Compliance

What Are HIPAA Violations Made by Employers?

May 28, 2025

HIPAA violations are more common than you might think, especially when it comes to employers. These violations can lead to hefty fines and even legal trouble, not to mention the breach of trust they cause. Here, we'll take a closer look at some of the most frequent HIPAA violations made by employers, offering insights and practical advice on how to avoid these pitfalls. We'll explore everything from the mishandling of employee health information to failing to conduct risk assessments. Let's get started!

Misunderstanding HIPAA's Scope

Many employers mistakenly believe that HIPAA only applies to healthcare providers, insurers, or any organization directly involved in patient care. However, HIPAA's reach extends to any business that handles protected health information (PHI), even if healthcare isn’t their primary function. This misunderstanding can lead companies to inadvertently commit violations simply because they don't realize the rules apply to them.

Consider a company with an in-house doctor or nurse providing basic healthcare services to employees. Such a setup might make the employer subject to HIPAA regulations. Employers should ensure they know whether and how HIPAA applies to their operations. It’s not just about doctors' offices or hospitals—it can be relevant to tech startups offering health apps, companies with wellness programs, or even businesses with self-insured health plans.

One way to stay compliant is by conducting regular training sessions for staff to keep everyone informed about HIPAA's scope and requirements. If you're unsure whether your company falls under HIPAA, consulting with a legal expert or healthcare compliance specialist can provide clarity. Additionally, using tools like Feather can help ensure that all your documentation and processes are compliant, saving you from potential headaches down the road.

Improper Handling of Employee Health Information

Employers often deal with employee health information, whether through health plans, wellness programs, or workers' compensation claims. The improper handling of this information is a common violation. For instance, sharing an employee’s medical condition with colleagues without consent is a breach of HIPAA privacy rules.

It's crucial to remember that employee health information should be treated with the same level of confidentiality as patient information in a medical setting. Employers should establish strict protocols for handling such information, ensuring it is only accessible to authorized individuals. This means storing documents securely, using encrypted emails for communication, and shredding paper records once they’re no longer needed.

A practical example might involve a company HR department. Suppose an employee takes medical leave, and HR needs to inform their manager. Instead of divulging the medical condition, HR should simply state that the employee is on approved leave for personal health reasons. This respects the employee’s privacy and keeps the company on the right side of HIPAA regulations.

Failure to Conduct Regular Risk Assessments

Risk assessments are crucial for identifying vulnerabilities in how PHI is handled. Unfortunately, many employers overlook this critical step, potentially exposing themselves to HIPAA violations. Regular risk assessments help uncover gaps in security measures, whether it’s outdated software, insufficient password protection, or lack of employee training.

Conducting these assessments should be a routine practice, much like financial audits. It involves reviewing how PHI is collected, stored, and shared, and then implementing strategies to mitigate any identified risks. This might include upgrading IT systems, enhancing encryption methods, or updating privacy policies.

Moreover, involving employees in the risk assessment process can be beneficial. They can provide insights into daily operations that management might overlook. By fostering a culture of compliance, where employees are encouraged to report potential issues without fear of retribution, companies can enhance their overall security posture.

Remember, risk assessments are not a one-time task. They should be conducted annually or whenever there’s a significant change in business operations or technology. By using tools like Feather, businesses can automate parts of this process, making it easier to stay on top of compliance requirements.

Inadequate Employee Training

Many HIPAA violations occur simply because employees are not adequately trained. They may not understand what constitutes PHI or how to handle it properly. For instance, an employee might inadvertently share sensitive information over an unsecured network or leave confidential documents in plain sight.

To avoid such pitfalls, regular training sessions should be part of the company culture. These are opportunities to educate employees on what HIPAA entails, the importance of protecting PHI, and the specific protocols they must follow. Training should be comprehensive, covering everything from secure communication methods to recognizing phishing emails.

Interactive training sessions that encourage questions and real-world scenarios can be particularly effective. Employees should feel empowered to ask questions and seek clarification on any policies they find confusing. This ensures they’re not just passively absorbing information but actively engaging with it.

Additionally, consider providing refresher courses periodically. As technology and regulations evolve, so too should employee knowledge. Employers can make use of online platforms or in-house experts to deliver these sessions, ensuring everyone is up-to-date with the latest best practices.

Overlooking Business Associate Agreements

HIPAA requires that companies enter into business associate agreements (BAAs) with any third party that handles PHI on their behalf. This includes cloud service providers, billing companies, and even IT consultants. Failing to establish these agreements can result in significant violations.

A BAA is a contract that outlines each party’s responsibilities in protecting PHI. It ensures that third parties are also compliant with HIPAA regulations, providing a layer of protection for the primary business. Unfortunately, many employers either overlook this requirement or assume verbal agreements suffice. Spoiler alert: they don’t.

Establishing a BAA doesn’t have to be complicated. Templates are available that can be customized to fit specific needs. However, it’s crucial to review these agreements regularly and update them as necessary, particularly when changes occur in how services are provided or when new regulations are introduced.

Moreover, conducting due diligence on potential business associates can prevent issues down the line. Ensure they have a good track record in handling PHI and are committed to maintaining compliance. By using a reliable AI tool like Feather, you can automate the management of these agreements, ensuring they’re not only in place but up-to-date and effective.

Neglecting to Secure Physical Workspaces

While much of the focus is on digital security, physical security is just as important. Many violations occur because physical workspaces are not adequately secured. This can include leaving sensitive documents out in the open, failing to lock file cabinets, or allowing unauthorized individuals to access secure areas.

Ensuring physical security starts with evaluating the workspace layout. Identify any areas where PHI might be vulnerable to unauthorized access. Implement security measures such as access control systems, locked storage for documents, and privacy screens for computer monitors.

Creating a culture of security awareness is also essential. Employees should be encouraged to lock their computers when stepping away from their desks and to store sensitive documents securely. Regular security audits can help identify any weak spots in the physical environment.

Additionally, consider the security of offsite locations. For companies that allow remote work, ensuring that employees have secure environments at home is crucial. Providing guidelines on secure home office setups and offering tools to protect data remotely can minimize risks.

Over-relying on Technology Without Human Oversight

Technology is a fantastic asset in managing PHI, but it should never replace human oversight. Over-reliance on automated systems can lead to errors going unnoticed. For example, a software glitch might fail to encrypt a file, or an automated email might be sent to the wrong person.

Employers should establish checks and balances that include human oversight. Regular audits of digital systems can catch errors that automated processes might miss. Additionally, employees should be empowered to question and verify automated actions, particularly when they involve sensitive information.

It’s also important to ensure that technology is up-to-date. Outdated software can be a significant risk, as it might not have the latest security patches. Regularly updating systems and conducting vulnerability assessments can help maintain a strong security posture.

Using AI tools like Feather can enhance productivity and compliance. However, it’s crucial to maintain a balance between automation and human oversight to ensure that nothing slips through the cracks.

The Importance of Incident Response Plans

Despite best efforts, incidents can happen. Having a robust incident response plan is vital for mitigating damage and maintaining compliance. Surprisingly, many employers neglect this aspect, leaving themselves vulnerable to prolonged breaches and severe penalties.

An incident response plan should outline the steps to take when a breach occurs, including identifying the breach, containing it, and notifying the relevant parties. It should also include a communication plan for stakeholders and steps for preventing future incidents.

Conducting regular drills and simulations can help prepare employees for real-life scenarios. These exercises ensure that everyone knows their role in the response plan and can act quickly and efficiently in the event of a breach.

Additionally, reviewing and updating the incident response plan regularly is crucial. As threats evolve, so too should the strategies for combating them. By maintaining an up-to-date and practiced plan, employers can minimize the impact of any potential breaches.

Final Thoughts

HIPAA compliance is a crucial responsibility for employers handling health information. By understanding common violations and taking proactive measures, businesses can protect themselves and their employees. Using tools like Feather, companies can streamline compliance processes, enhancing productivity and reducing the risk of violations. Our HIPAA-compliant AI helps eliminate busywork, enabling you to focus on what truly matters.

Feather is a team of healthcare professionals, engineers, and AI researchers with over a decade of experience building secure, privacy-first products. With deep knowledge of HIPAA, data compliance, and clinical workflows, the team is focused on helping healthcare providers use AI safely and effectively to reduce admin burden and improve patient outcomes.

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