Compliance Guide | AI EHR — TheMadHacker LLC

EHR Compliance Framework

HIPAA Privacy Rule

Complete coverage of all HIPAA Privacy Rule requirements for protected health information handling in EHR contexts.

Fully Compliant

HIPAA Security Rule

AES-256 encryption at rest, TLS 1.3 in transit, automated access controls, integrity controls, and transmission security for all ePHI.

SOC 2 Type II

HIPAA Audit Controls

Complete activity logging for all PHI access, modification, and transmission. Immutable audit trails with RBAC and privilege escalation monitoring.

Full Audit Trail

ONC 2020 Certification

Fully certified to ONC 2020 Edition ABCs for Clinics and Full Edition. FHIR Patient Access, Provider Access, and Payer-to-Payer data exchange.

ONC Certified

ePrescribing Stage 3

Surescripts integration with DEA registration, real-time medication history, formulary checks, and controlled substance tracking.

eRx Stage 3

MIPS Reporting

Comprehensive MIPS reporting across Quality, Promoting Interoperability, Performance Improvement Activities, and Cost categories.

2026 Ready

HIPAA Compliance in Detail

AI EHR was designed from the first line of code with HIPAA compliance as a core architectural requirement — not an afterthought. Here's how we meet each HIPAA safeguard for the EHR ecosystem:

Administrative Safeguards: Workforce security with RBAC (25+ roles), security awareness training modules, incident response with 60-day notification workflows, and BAA management for all sub-processors
Physical Safeguards: On-premise deployment with badge access integration, mobile device management (MDM) with remote wipe, automated encrypted backups with geographic redundancy
Technical Safeguards: AES-256 encryption at rest, TLS 1.3 encryption in transit, SMART on FHIR OAuth 2.0 authentication, integrity controls, and transmission security
Audit Controls: Tamper-proof audit logging for all PHI access, modification, and transmission with SIEM integration readiness
Encryption: End-to-end encryption with customer-managed encryption keys (BYOK) option. PHI encrypted at application layer before reaching database
BAAs: Automatic Business Associate Agreement generation for all integrated platforms including Surescripts, AWS, Cloudflare, and AI WFM workforce module

ONC 2020 Edition Certification

AI EHR v4.2.0 is certified to the ONC Health IT Certification Program for the 2020 Edition. This ensures your organization meets federal requirements for meaningful use and MIPS reporting:

Clinical Decision Support (CDS): CDS Hooks integration with SMART on FHIR apps. Configurable evidence-based rules with opt-out logging
ePrescribing: Stage 3 compliant with Surescripts. Real-time medication history, formulary checks, and controlled substance e prescribing
Patient Access: FHIR R4+ Patient Access API. Patients can view, export, and receive their health data via authorized apps
Provider Access: FHIR R4+ Provider Access API. Providers can access patient data from other systems via standardized APIs
Payer-to-Payer: FHIR R4+ Payer-to-Payer data exchange for prior authorization and coverage determination
Health Information Export: Bulk data export in FHIR Bundle format. Supports Patient, Practitioner, Encounter, and all clinical resources

AI WFM Compliance Integration

The AI WFM workforce module provides compliance integration for the EHR ecosystem. When enabled, AI WFM's staffing compliance engine syncs with AI EHR to ensure:

Nurse-to-patient ratios are validated against state requirements before clinical documentation is finalized
Credential expirations trigger automatic EHR access restriction for affected providers
Shift coverage gaps generate EHR alerts for backup provider assignment
AI WFM absence predictions inform EHR scheduling to prevent understaffing during high-acuity periods
Workforce analytics data flows into EHR compliance reporting for MIPS and ONC certification

AI EHR Compliance Guide