Healthcare · Health Data Privacy · Patient Safety · Fraud & Abuse

HIPAA. Anti-Kickback. CLIA.
40,985 obligations scored.

Health data privacy, clinical lab standards, fraud & abuse, and patient safety regulations for hospitals, clinics, and health systems. AuditDSS decomposes 84 regulations into 40,985 individually testable obligations across 18 jurisdictions with 4-axis risk scoring.

Healthcare enforcement is intensifying

OIG, CMS, and OCR are pursuing larger penalties and broader investigations. The compliance gap you don't know about is the one that triggers an audit.

$2.6B

DOJ healthcare fraud recoveries (2023)

False Claims Act, Anti-Kickback, and Stark Law cases continue to dominate enforcement

$1.25M

Average HIPAA penalty

OCR has imposed penalties up to $16M for systemic Security Rule failures

Strict liability

Stark Law violations

No intent required — if the arrangement doesn't fit an exception, it's a violation. Period.

84

Regulations covered

4,192

Rules decomposed

40,985

Obligations scored

18

Jurisdictions

Geographic coverage

18 jurisdictions, 84 regulations

Complete healthcare regulatory coverage

From HIPAA Privacy and Security Rules to FDA device manufacturing standards, from Anti-Kickback safe harbors to CLIA laboratory requirements — AuditDSS decomposes every regulation into independently testable obligations.

Key coverage areas

PHI privacy & security
Electronic records (21 CFR 11)
Device quality systems
Physician self-referral
Anti-kickback safe harbors
Laboratory standards
Breach notification
Clinical trial compliance

Purpose-built for healthcare compliance

Health systems & hospitals

Score your HIPAA program, Stark Law arrangements, and Anti-Kickback compliance in a single assessment. Identify the gaps OIG will find in their next investigation.

  • Map physician arrangements against all 47 Stark exceptions
  • Validate HIPAA Security Rule technical safeguards
  • Prioritise remediation by enforcement risk

Medical device manufacturers

FDA QSR (21 CFR 820) and 21 CFR 11 compliance scored at the obligation level. Know exactly which CAPA, design control, or electronic records requirement you're missing.

  • Score design controls against all 31 QSR requirements
  • Validate Part 11 audit trail and e-signature compliance
  • Pre-audit readiness before FDA inspections

Clinical laboratories

CLIA laboratory standards decomposed into 1,119 individual obligations. Personnel qualifications, proficiency testing, quality control — all scored and risk-ranked.

  • All CLIA complexity levels covered
  • CMS survey preparation and gap identification
  • Risk-scored obligation-level reporting

Australian Healthcare & Aged Care Solution

AHPRA, Aged Care Quality Standards, Privacy Act health provisions, TGA, and evidence integration for clinical governance and workforce management systems.

View solution

Regulatory coverage

All 84 regulations applicable to healthcare, grouped by theme. Every regulation links to its detailed obligation breakdown.

Health Data Privacy & Compliance

International Privacy

Cybersecurity

Corporate Governance & Anti-Corruption

ESG & Climate Disclosure

Workplace Safety

Employment & Modern Slavery

Consumer Protection

Saudi Healthcare

Audit & Assurance Frameworks

AI Governance

Compliance Program Builder

Generate your healthcare compliance program

Answer a few questions about your business. Get a complete compliance program — policies, procedures, and operational forms — tailored to your risk profile and mapped to every obligation. Ready in minutes.

  • AI-guided questionnaire adapts to your entity type
  • Every clause traces to specific regulatory obligations
  • Export to PDF — ready for board review or audit

Healthcare Compliance Policy

Risk-calibrated · 10–15 sections

Policy

Operational Procedures

Step-by-step · Staff-ready

Procedures

Forms & Checklists

Operational forms · Ready to use

Forms

Score your healthcare compliance

Score your existing policies against 40,985 obligations — or generate a complete compliance program tailored to your business in minutes.