A written review of access, logging, encryption, backups, vendors, and BAAs. You get a gap list with owners before the next hospital security questionnaire.
"The questionnaire asks about audit logs. I do not know if we have them."
Founder, digital health"Three vendors touch PHI. I can find one BAA."
COO, health SaaS"We encrypt the database. I cannot say the same for the backups."
Head of engineering, clinical product"They asked how EHR access works. We have a slide, not a control."
Founder, digital healthThis review turns those blanks into a list with an owner on each line.
This is a readiness review, not a certification and not an audit.
NDA first, then read-only access to the code, the cloud account, and the vendor list.
We read access, logging, encryption, backups, vendors, and BAAs. We do not take a copy of patient records.
You get a gap list. Each gap names an owner on your team.
CareMetx helps patients get on and stay on specialty therapies. The work includes benefits verification, prior authorization support, and patient support. Patients, providers, pharmacies, payers, and manufacturers touch the same case, and health information has to be handled at every step. Maxiom's role was staff augmentation: architects, engineers, developers, and designers joined the CareMetx team on CareMetx Connect, on Azure and Microsoft Dynamics, in a service oriented architecture. That engagement was not a HIPAA audit. We do not certify HIPAA compliance.


When a review needs more hands, Maxiom engineers in Ashburn, VA do the work under your CTO's direction. Same standards, same owner.
Meet MaxiomNo. We do not certify HIPAA compliance. We are not auditors. You get a written readiness list with owners.
No. The hospital, the payer, or your auditor makes that call. The review tells you what you can answer and what is still a gap.
Access, logging, encryption, backups, EHR connections, vendors, and BAAs. We do this with read-only access after an NDA. We do not take a copy of patient records.
The gap list, the vendor and BAA inventory, and the notes on which questionnaire answers the list supports.
This review ends with the list. A fractional CTO stays and owns the architecture, PHI, and vendor calls after that. That offer is at https://cto20.com/healthcare-cto.
Book a time. It is a 30-minute call about your product, your vendors, and the questionnaire in front of you. You get a clear yes or no on fit.
Your stack, your vendors, and the questions you cannot answer yet. You leave with a clear yes or no.