Accountable HQ
For small telehealth practices and health-tech startups.
- Best for
- Small telehealth practices and health-tech startups.
Best HIPAA Compliance for Telehealth-Only Practices 2026
Compare the providers below by buyer fit and documented terms. Use the quick picks to form a shortlist, then review the linked evidence and confirm current terms with each provider.
Also useful: get the HIPAA Compliance Self-Assessment as a free PDF
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Three telehealth workflows to evaluate
Ask how the proposed service handles multi-state PHI flows, video session retention in the BAA, and consent for SMS appointment reminders.
Quick picks by which gap each vendor handles best
| Best for | Vendor | Starting price | Provider link |
|---|---|---|---|
| Best for solo telehealth on a budget (PHI flow mapping) | Medcurity | — | Get pricing → |
| For (audit defense + human coach) | Compliancy Group | — | Get pricing → |
| Best for BAA contract version control (video retention auditing) | HIPAAtrek | — | Get pricing → |
| Best for multi-state PHI flow (virtual privacy officer) | Healthcare Compliance Pros | — | Get pricing → |
Providers compared
Placement on this page cannot be bought. See our methodology.
Prices and vendor descriptions with a source link come from the held vendor records, read on the date shown. A dash (—) means the unsupported field was removed; it is not a price or a statement about what the vendor offers. Best-for picks are editorial fit guidance. Request current written terms before purchase.
Compliancy Group
For telehealth-only practices evaluating compliance support.
- Best for
- Telehealth-only practices evaluating compliance support.
Healthcare Compliance Pros
For multi-state and virtual-only practices without internal compliance staff.
- Best for
- Multi-state and virtual-only practices without internal compliance staff.
HIPAA One (Intraprise Health)
For practices and health systems evaluating Security Risk Analysis.
- Best for
- Practices and health systems evaluating Security Risk Analysis.
HIPAAtrek
For mid-size practices and IPAs.
- Best for
- Mid-size practices and IPAs.
Medcurity
For solo and small telehealth practices.
- Best for
- Solo and small telehealth practices.
Sprinto
For health-tech SaaS and telehealth platforms evaluating multiple compliance frameworks.
- Best for
- Health-tech SaaS and telehealth platforms evaluating multiple compliance frameworks.
Side-by-side comparison
| Provider | Starting price | Best for | Provider link |
|---|---|---|---|
| Accountable HQ | — | Small telehealth practices and health-tech startups. | View provider |
| Compliancy Group | — | Telehealth-only practices evaluating compliance support. | View provider |
| Healthcare Compliance Pros | — | Multi-state and virtual-only practices without internal compliance staff. | View provider |
| HIPAA One (Intraprise Health) | — | Practices and health systems evaluating Security Risk Analysis. | View provider |
| HIPAAtrek | — | Mid-size practices and IPAs. | View provider |
| Medcurity | — | Solo and small telehealth practices. | View provider |
| Sprinto | — | Health-tech SaaS and telehealth platforms evaluating multiple compliance frameworks. | View provider |
How we tested
Use the linked vendor records to check documented terms. Ask providers to demonstrate your required workflows and confirm current commercial terms in writing.
How to choose: the buyer-due-diligence checklist
The way to win this purchase is to make the vendor answer the questions their feature pages skip. Use this checklist on every demo call.
- Multi-state PHI flow: "Walk me through how your platform handles a clinician licensed in three states seeing a patient who travels to a fourth. Where does PHI live, who is liable for transmission across state lines, and which state's breach notification clock starts first?" If the answer is a policy template rather than a workflow, mark the gap as residual risk.
- Video session retention BAA: "Show me the section of your sample BAA that covers video session recordings, transcripts, and chat logs. What is the retention window, and what is the deletion SLA after the window expires?" Read the clause; do not accept a summary.
- TCPA + HIPAA dual SMS: "If a reminder text contains a clinician name and an appointment time, your platform handles the HIPAA side. Who handles the TCPA-required prior-express-consent capture, opt-out routing, and the do-not-text list scrubbing?" If the answer is your video platform or a separate tool, get the integration spec.
- State-by-state breach notification: "When a breach occurs across patients in five states, does your incident manager fan out the notification timelines automatically, or does my team build the spreadsheet?" Most vendors have you build the spreadsheet.
- Audit-defense documentation: Ask for a sample OCR audit response packet the vendor has produced. The presence of one is a stronger signal than a long feature list.
The federal clock underneath every state clock is fixed. Under 45 CFR 164.404(b) a covered entity must notify affected individuals without unreasonable delay and in no case later than 60 calendar days after discovering a breach, and under 45 CFR 164.410(b) a business associate owes the practice the same 60-day outer limit. State statutes shorten that window; none extends it. So a vendor's fan-out feature is about the shorter state deadlines, and the spreadsheet question in item 4 is really asking who owns those. The HIPAA breach response playbook covers the sequence once the clock starts.
Frequently asked questions
How should a telehealth-only practice evaluate BAA coverage for video session retention?
Read the BAA from your video platform vendor. Confirm the retention window for recordings, the deletion terms and responsibility for a breach. 45 CFR 164.504(e)(2)(ii)(J) addresses return or destruction of PHI at termination.
The deletion question has a regulatory hook. 45 CFR 164.504(e)(2)(ii)(J) requires every business associate contract to provide that, at termination, the associate returns or destroys all PHI it still holds and keeps no copies, or extends the contract's protections where return or destruction is infeasible. A BAA that is silent on recordings is not silent on this clause, so ask the vendor whether session video is inside its definition of the PHI it maintains. Which practice vendors require a BAA covers the rest of the stack.
Why do SMS appointment reminders trigger both TCPA and HIPAA?
Evaluate consent and opt-out requirements alongside HIPAA obligations. 47 CFR 64.1200 sets the federal framework for calls and texts.
The dual framework is written into the FCC's rule. 47 CFR 64.1200(a)(1) and (a)(2) exempt a "health care" message sent by or on behalf of a HIPAA covered entity or business associate from the prior express written consent that telemarketing texts need, but the message still requires the called party's prior express consent. That is the exact gap: the HIPAA vendor owns the content and nobody in the HIPAA stack owns the consent record. HIPAA-compliant CRM and patient communication tools covers the tools that do.
Is the cheapest HIPAA tool enough for a solo telehealth therapist?
What an auditor expects is not a matter of vendor opinion. 45 CFR 164.308(a)(1)(ii)(A) makes the risk analysis a required implementation specification, and OCR's published HIPAA Audit Protocol (updated July 2018) lists the written risk analysis and its update cadence among the first documents an auditor asks for. The COVID-era enforcement discretion for telehealth platforms ended on August 9, 2023, per HHS's HIPAA and Telehealth page, so a telehealth-only practice is on the full Rules today. The small-practice security risk analysis guide covers doing the analysis yourself, and HIPAA telehealth compliance covers the telehealth-specific controls.
How do vendors get included?
Placement on this page cannot be bought. Vendors are included using our published methodology and the information and evidence available for each vendor. You can submit corrections or supporting evidence for review. Providers are listed alphabetically. Paid placement is labeled separately.
Bottom line
- If you run a multi-state virtual-only group practice: compare Healthcare Compliance Pros and Compliancy Group against your required workflows.
Use the buyer due diligence checklist to define the service scope in writing.
Running a treatment-center operation with a telehealth arm? The compliance picture changes when telehealth is one channel inside a multi-site operator footprint. Read GetTreatmentHelp's operator-side coverage for the multi-site treatment-center angle on telehealth compliance.