Linea Secure will perform a comprehensive review process designed to evaluate whether your organization is meeting the requirements of the Health Insurance Portability and Accountability Act (HIPAA). The goal of this review process is to identify gaps in compliance, reduce the risk of breaches, and protect the privacy and security of protected health information (PHI). Linea Secure will perform the following as part of the assessment:
Security Risk Assessment
Identifies and analyzes potential risks and vulnerabilities to the confidentiality, integrity, and availability of ePHI. This assessment includes:
Privacy Rule Compliance Review
This compliance review ensures that your organization is following policies for use and disclosure of PHI, patient rights (e.g., access, amendments, accounting of disclosures), Notice of Privacy Practices (NPP), and workforce training on privacy practices.
Security Rule Compliance Review
Linea Secure will evaluate administrative, physical, and technical safeguards, including the following:
Breach Notification Rule Review
Performing the breach notification rule review confirms proper protocols for:
Policies and Procedures Review
Linea Secure will assess whether HIPAA-required policies are in place, documented, and enforced. This includes reviews of:
Business Associate Agreements (BAAs)
We will verify that contracts with vendors and partners handling PHI meet HIPAA requirements, as well as ensuring BAAs are current and properly executed.
Employee Training & Awareness
We will also verify that the following training and awareness programs are in place:
Gap Analysis & Remediation Plan
Linea Secure will identify compliance gaps or risks through performing these assessments. Upon discovering any gaps or risks, we will provide recommendations and a prioritized plan to remediate issues. This analysis and remediation plan may include timelines, responsible parties, and budget estimates.
The Linea Secure Risk Assessment includes a comprehensive review of your organization’s cybersecurity controls, network architecture, and operational practices. The assessment draws on a combination of documentation review, technical and operational interviews, and penetration testing to evaluate the organization’s current state. In alignment with both industry standards (e.g., National Institute of Standards and Technology (NIST) 800.53, Rev. 5) and the HIPAA Security Rule, Linea will assess administrative, physical, and technical safeguards for protecting electronic Protected Health Information (ePHI). The findings will be used to perform an impact analysis of identified vulnerabilities, calculate a Cyberscore to reflect the organization's overall cybersecurity maturity, and develop a tailored Roadmap and Plan of Action and Milestones (PoAM) to guide remediation efforts and support HIPAA compliance.
Impact Analysis
For each identified risk, Linea performs a detailed impact analysis to understand the likelihood of exploitation, the potential impact on systems and data, and the broader threat to business operations, individual privacy, and regulatory compliance. This involves identifying potential threat sources, analyzing the events they could trigger, and estimating both the success likelihood and severity of impact. We also evaluate the intent and capability of threat actors, assess targeting patterns, and calculate the overall risk level to the organization.
To determine organizational impact, we analyze several factors across systems, services, and business processes, including:
This analysis enables the organization to focus remediation efforts on the risks that are most likely to occur and have the highest potential impact on operations, data security, and stakeholder trust. Visual risk scoring tables and diagrams are included in the final report to support prioritization and executive-level decision-making.
Cyberscore
Linea Secure calculates a Cyberscore to provide a clear, quantifiable snapshot of an organization’s overall cybersecurity maturity. The score is derived from an in-depth evaluation of both technical and operational controls, using the NIST 800.53, Rev. 5 framework and, where applicable, HIPAA Security Rule requirements. It reflects how well the organization is positioned to protect sensitive data, such as ePHI, against known and emerging threats.
The Cyberscore is informed by findings across several key areas:
Each component is assessed and weighted based on its importance to overall risk reduction. The resulting score enables stakeholders to quickly understand security strengths, identify areas of concern, and track improvements over time. It also serves as a practical tool for prioritizing remediation efforts, informing leadership, and aligning cybersecurity investments with organizational risk.
When combined with impact analysis and remediation planning, the Cyberscore helps organizations build a defensible and measurable path toward stronger security and HIPAA compliance.
Roadmap and Plan of Action & Milestones (PoAM)
Following the completion of the Risk Assessment and Cyberscore, Linea Secure will develop a Roadmap and a Plan of Action & Milestones (PoAM) to guide the organization through its cybersecurity improvement efforts. These tools are designed to help prioritize and sequence the actions needed to address the most critical risks identified during the assessment, while also supporting ongoing security maintenance and long-term program maturity.
The roadmap provides a strategic timeline for implementing key initiatives, including policy enhancements, technical upgrades, process improvements, and training efforts. The PoAM outlines specific remediation tasks, responsible parties, and target dates, serving as a working document that tracks progress and ensures accountability.
Together, the Roadmap and PoAM support execution of the Information Security Plan (ISP) and help sustain security readiness between assessments.
