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XpioHealth

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Cybersecurity & Compliance

HIPAA. 42 CFR Part 2. NIST 800-53. The regulations are complex. Your compliance program shouldn't be.

The Problem

Behavioral health organizations face a unique regulatory burden. Beyond standard HIPAA requirements, 42 CFR Part 2 adds consent and disclosure requirements for substance use treatment records, protections most security firms don't understand. Add federal incentive programs requiring NIST-aligned security controls, and the compliance landscape gets overwhelming fast.

Compliance & Risk

Framework-driven security.

Xpio Delphi Cyber Pro

Our proprietary compliance framework makes security systematic. Policies, procedures, risk assessments, staff training. All structured, all documented, all auditable.

HIPAA & 42 CFR Part 2

Most security consultants know HIPAA. Few understand Part 2's additional consent and disclosure requirements for substance use data. We do. It's our specialty.

Security Risk Assessments

Comprehensive risk assessments that meet OCR expectations. A real evaluation of your technical, administrative, and physical safeguards.

Cybersecurity Programs

From vulnerability assessments to incident response planning. We build security programs that protect revenue and patient trust.

Offensive Security

Penetration Testing & Vulnerability Assessment

We don't just build compliance programs. We test them. Our offensive security team simulates real-world attacks to validate your defenses before an actual adversary does.

Penetration Testing

Simulated real-world attacks against your network, applications, and infrastructure. We find the vulnerabilities and help you close them.

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Vulnerability Scanning & Management

Continuous vulnerability assessment using industry-standard tools. Prioritized remediation plans that focus on what matters most to your threat profile.

Network Security Assessment

Internal and external network assessments covering firewall configurations, segmentation, wireless security, and remote access. We map your attack surface and reduce it.

Application Security Testing

Web application and API security testing, including OWASP Top 10, authentication bypass, injection flaws, and business logic vulnerabilities. For EHR portals, patient-facing apps, and internal tools.

NIST & Federal Standards

NIST Standards & Framework Alignment

Federal and state programs increasingly require NIST-aligned security controls. We help healthcare organizations adopt NIST 800-53, the Cybersecurity Framework (CSF), and NIST 800-66, building security programs that satisfy both HIPAA and federal security requirements.

NIST 800-53 Control Mapping

We map your existing security controls against the NIST 800-53 framework, identifying gaps, prioritizing remediation, and building a roadmap to compliance.

NIST Cybersecurity Framework (CSF)

Identify, Protect, Detect, Respond, Recover. We help healthcare organizations adopt the NIST CSF as a practical, executive-friendly security program structure.

NIST 800-66 (HIPAA Alignment)

NIST 800-66 maps HIPAA Security Rule requirements to NIST 800-53 controls. We use this crosswalk to ensure your HIPAA compliance program is built on a defensible, standards-based foundation.

Continuous Monitoring & Compliance Validation

Security isn't a point-in-time event. We build continuous monitoring programs that track control effectiveness, generate evidence for auditors, and alert on drift.

Our Toolkit

Industry-standard tools. Behavioral health expertise.

We use the same tools trusted by enterprise security teams and federal agencies, combined with deep knowledge of behavioral health workflows and data flows.

Vulnerability Management

Nessus, Qualys, OpenVAS, Rapid7 InsightVM

Penetration Testing

Burp Suite, Metasploit, Nmap, Kali Linux, BloodHound

Cloud Security

AWS Security Hub, Azure Defender, ScoutSuite, Prowler

SIEM & Monitoring

Splunk, Microsoft Sentinel, Elastic SIEM, Wazuh

Compliance & GRC

Xpio Delphi Cyber Pro, Vanta, Drata, NIST SP 800-53 Controls

Endpoint Protection

CrowdStrike, SentinelOne, Microsoft Defender for Endpoint

Audit Services

Get your organization audit-ready.

SOC 2, HIPAA, NIST. We've been through the process ourselves and we take clients through it every day. From gap analysis to evidence collection to auditor hand-off.

SOC 2 Type I & Type II

Readiness assessments, control design, evidence collection, and audit support. We work with your auditor or recommend one.

HIPAA Security Risk Assessment

Full SRA meeting OCR expectations. Technical, administrative, and physical safeguards evaluated. Remediation roadmap included.

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NIST 800-53 Gap Analysis

Map your current controls against NIST 800-53 Rev. 5. Prioritized remediation plan with implementation support.

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Vanta Implementation

Stand up Vanta from scratch, including integrations, policy templates, evidence automation, and Trust Center configuration. We run Vanta ourselves.

FDA Cybersecurity (510(k))

Premarket cybersecurity documentation per FDA 2023 guidance. SBOM, threat modeling, risk assessment, eSTAR mapping. We've done it.

Audit Evidence & Preparation

Organize your evidence, prepare your team, rehearse the auditor walkthrough. No surprises on audit day.

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Virtual CISO Services

Fractional CISO for healthcare organizations that need executive security leadership without a full-time hire. Program oversight, board reporting, incident response leadership, and regulatory coordination.

Penetration Testing

Architecture-first offensive security built for healthcare. HIPAA and SOC 2 compliance-mapped findings, cloud posture assessment, and AI-powered reporting. Powered by our Delphi Pentest Engine.

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Built for Behavioral Health

Why Behavioral Health Security Requires a Specialized Approach

Generic healthcare security misses the unique requirements that behavioral health organizations face every day.

42 CFR Part 2 Complexity

Substance use records carry federal protections that go well beyond HIPAA — stricter consent requirements, tighter disclosure rules, and liability that most security firms have never encountered. We build Part 2 compliance into your security program from the ground up.

Consent Management

Behavioral health consent involves multiple layers of authorization, revocation, and disclosure tracking that require systems integrated directly with clinical workflows. We design consent management that works inside your EHR, not alongside it.

Patient Population Sensitivity

Your patients face stigma and discrimination risks that make a breach far more damaging than in standard healthcare settings. We apply enhanced data handling and access controls calibrated to behavioral health’s unique privacy stakes.

Regulatory Overlap

HIPAA, 42 CFR Part 2, state regulations, and payer requirements create compliance scenarios that require someone who knows where they intersect and where they conflict. We navigate the overlap so your team doesn’t have to.

Revenue Impact

Compliance violations in behavioral health can trigger immediate billing restrictions and program exclusions — consequences that hit faster and harder than in other healthcare settings. We protect revenue through proactive compliance automation before violations occur.

Integration Complexity

Behavioral health organizations run multiple systems that must share data while maintaining strict security boundaries between different types of protected information. We build the security architecture that lets your systems talk without creating exposure.

Get Started

Start with a security assessment.

Our AI-guided intake scopes your engagement in minutes. HIPAA SRA, NIST 800-53, penetration testing, audit preparation.

Start Security Assessment

Secure your organization. Protect your patients.

From penetration testing to NIST compliance to 42 CFR Part 2, we build security programs that withstand scrutiny and protect the people you serve.

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