Reviewed for 2026 pricing and feature changes. After surveying seven HIPAA compliance vendors against telehealth-only workflows, we found a structural gap: not one of them productizes the three scenarios virtual-only practices actually live in every day. Multi-state PHI flow handling, BAA terms covering video session retention with a deletion SLA, and TCPA-plus-HIPAA dual compliance for SMS appointment reminders all sit in the cracks between feature pages. This guide ranks vendors by which gap each one handles best, names the residual risk vendors will not name themselves, and gives you the buyer-due-diligence questions to ask before you sign.
The full ranking
- Starting price
- $300/mo (Pro tier; quote-based above)
- Renewal
- Annual subscription
- Trial
- Demo on request; no public trial
Key features
- Security Risk Assessment (yes/no guided)
- BAA tracking and vendor management
- 100+ customizable policy templates
- Employee HIPAA training
- Breach/incident manager with anonymous reporting
- Compliance Coach (human, white-glove)
- HIPAA Seal of Compliance
How they handle the three telehealth gaps
- Multi-state PHI flow: Policy templates cover multi-state language; the human Compliance Coach handles case-by-case scenarios. Not productized as a flow map.
- Video session retention BAA: BAA tracking surfaces vendor agreements but does not parse retention clauses. Coach can review on request.
- TCPA + HIPAA SMS: Not addressed in product. Coach will discuss; no native consent management.
Best for: Telehealth practices that want lawyer-approved methodology with a dedicated human compliance coach and audit-defense documentation.
Notable pro: G2 #1-rated healthcare compliance platform with white-glove coaching; strong audit-defense posture with documented good-faith effort.
Notable con: Premium pricing at $300+/mo with opaque public pricing; not telehealth-specific and offers no native video session retention controls.
Get Compliancy Group
- Starting price
- Quote-based (fractional VCO + software bundle)
- Overage
- $300/hr above included consulting time
- Trial
- Discovery call
Key features
- Virtual / Fractional Compliance Officer (dedicated team of 3-5)
- HIPAA + OSHA + corporate compliance bundle
- Cloud-based compliance software
- Policy management and audit support
- Ongoing guidance and incident handling
- Additional consulting time at $300/hr
How they handle the three telehealth gaps
- Multi-state PHI flow: Strongest fit in our review. The dedicated team triages multi-state licensure and PHI movement when a clinician onboards a new state. Handled as managed service, not a productized feature.
- Video session retention BAA: Team reviews vendor BAAs as part of engagement. No purpose-built retention parser.
- TCPA + HIPAA SMS: Discussed in scoping; not productized. Team can advise on dual-framework consent capture.
Best for: Multi-state and virtual-only practices without internal compliance staff that need an outsourced privacy officer plus the supporting tooling.
Notable pro: Closest fit for the virtual privacy officer search intent. The dedicated team of three to five reduces single-point-of-contact risk.
Notable con: Pricing fully sales-led with no public tier. Hourly overage rate of $300 can surprise small practices that exceed the included scope.
Get Healthcare Compliance Pros
- Starting price
- $499/yr (~$42/mo)
- Renewal
- Flat annual; no per-seat fees
- Trial
- Demo on request
Key features
- Risk Assessment (self-service, automated)
- Employee HIPAA training
- Policy templates and documentation
- BAA management
- PHI data flow mapping
- Onsite physical assessments (optional add-on)
- Dedicated advisor add-on
How they handle the three telehealth gaps
- Multi-state PHI flow: The PHI data flow mapping feature is the closest productized tooling in the category. Helpful for diagramming where PHI moves across video, charting, and billing — not state-licensure-aware out of the box.
- Video session retention BAA: BAA management tracks the contract; retention guidance is general, not platform-integrated.
- TCPA + HIPAA SMS: Not addressed. Telehealth-specific guidance is documentation-level only.
Best for: Solo and small telehealth practices that want broad HIPAA coverage at the lowest sustainable price without per-seat fees.
Notable pro: Most affordable transparent pricing in the category at $499/yr flat. PHI data flow mapping is genuinely useful for multi-state telehealth PHI tracking.
Notable con: Brand recognition is smaller than Compliancy Group or Accountable HQ. Self-service skews toward operators comfortable doing the work themselves.
Get Medcurity
- Starting price
- $149/mo (Starter)
- Top tier
- $749/mo
- Training
- $25 per employee on completion
Key features
- Security Risk Assessment
- BAA workflow automation + Vendor BAA tracking
- Policy templates and management
- Per-employee training
- Breach response workflows
- BAA API for SaaS integrations
- Audit-ready reporting
How they handle the three telehealth gaps
- Multi-state PHI flow: Policy templates are generic. The BAA API helps track many vendor BAAs at once, useful when a virtual practice has 15+ SaaS BAAs to maintain across state expansions.
- Video session retention BAA: Tracks BAAs; does not parse retention clauses.
- TCPA + HIPAA SMS: Not addressed.
Best for: SMB telehealth practices and health-tech startups that want modern UI, transparent pricing, and a self-serve BAA workflow with optional API.
Notable pro: Transparent pricing tiers from $149 to $749/mo. The BAA API supports virtual-vendor-heavy telehealth stacks where 20+ SaaS tools each need a BAA.
Notable con: Less hand-holding than Compliancy Group; self-serve model. Per-employee training fee adds up for larger practices.
Get Accountable HQ
- Starting price
- $299/mo (basic; ~$500/mo typical)
- Advanced tiers
- Quote-based
- Trial
- Free trial available
Key features
- BAA contract management with 10-year version history
- Policy/procedure workflows with role-based approvals
- Role-specific training videos and quizzes with reporting
- Risk assessment and breach management
- Automated reminders and audit trails
- In-house policy template library (lawyer-maintained)
How they handle the three telehealth gaps
- Multi-state PHI flow: Role-based access supports distributed virtual teams. Policy workflows can branch on state, but the data flow itself is not modeled.
- Video session retention BAA: Closest fit in our review. The 10-year BAA version history lets you compare retention clauses as your video vendor renegotiates terms — useful when an OCR audit asks "what did the BAA say in 2023?"
- TCPA + HIPAA SMS: Not addressed.
Best for: Mid-size practices and IPAs that need rigorous BAA contract lifecycle management and version-controlled policy workflows.
Notable pro: Best-in-class BAA contract management with 10-year version history. Role-based access for distributed virtual teams. Free trial available.
Notable con: Pricing higher than self-service competitors and quote-based for advanced tiers. Telehealth-specific scenarios are not productized.
Get HIPAAtrek
- Starting price
- Quote-based
- Trial
- Free trial available
- Renewal
- Annual; sales-led
Key features
- Annual Security Risk Assessment (60% faster, automation-driven)
- Privacy/Breach Risk Assessment (PBRA)
- Auto-import of prior assessments
- Remediation workflow with collaboration
- NIST-aligned quantitative risk ratings
- Vulnerability scanning and pen-test alignment for the 2026 Security Rule
How they handle the three telehealth gaps
- Multi-state PHI flow: SRA can scope multi-state environments; flow handling is incidental, not the focus.
- Video session retention BAA: Vulnerability scanning covers the video platform from a security perspective; BAA retention parsing is not the product's focus.
- TCPA + HIPAA SMS: Not addressed.
Best for: Practices and health systems prioritizing rigorous, audit-defensible Security Risk Analysis aligned to the 2026 HIPAA Security Rule update.
Notable pro: Strongest dedicated SRA tooling in the market. Aligned with 2026 NIST-based quantitative risk requirements. Scales from solo practitioners to large hospitals.
Notable con: SRA-centric with weaker BAA and training breadth than competitors. Pricing not public; sales-led. Heavier than what telehealth-only solos typically need.
Get HIPAA One
- Starting price
- $8,000/yr (HIPAA single-framework)
- Multi-framework
- $9k-$15k/yr
- Trial
- Demo on request
Key features
- Continuous compliance monitoring (automation-first)
- 200+ frameworks (HIPAA, SOC 2, ISO 27001, GDPR, PCI DSS)
- Cloud control mapping
- Policy management and training
- Vendor risk management
- Audit-ready evidence collection
How they handle the three telehealth gaps
- Multi-state PHI flow: Cloud control mapping covers infrastructure-level data residency. Clinician-level multi-state licensure is out of scope.
- Video session retention BAA: Vendor risk management tracks BAAs; retention parsing not productized.
- TCPA + HIPAA SMS: Not addressed; framework library does not include TCPA.
Best for: Health-tech SaaS and telehealth platforms that need HIPAA plus SOC 2 in parallel for B2B sales and enterprise contracts.
Notable pro: Multi-framework coverage when SOC 2 is also required. Strong cloud-control automation for SaaS-first telehealth. Continuous monitoring rather than point-in-time.
Notable con: Designed for tech companies; lacks healthcare-specific features such as onsite assessments, PHI data flow mapping, and dedicated HIPAA advisor. 16-24x more expensive than Medcurity for HIPAA-only need.
Get Sprinto
Frequently asked questions
Does any HIPAA compliance vendor productize multi-state PHI flow handling for telehealth-only practices?
No vendor in our 2026 review surfaces a productized multi-state PHI flow module. Medcurity offers PHI data flow mapping, which is the closest tooling and useful for tracking where PHI moves between video platform, charting, and billing across state lines. Healthcare Compliance Pros assigns a fractional compliance officer who handles multi-state scenarios case-by-case rather than through a configurable feature. The rest treat licensure-driven PHI movement as policy text, not workflow.
How should a telehealth-only practice evaluate BAA coverage for video session retention?
Read the BAA from your video platform vendor and answer three questions: how long are session recordings retained, what is the deletion SLA after a retention window expires, and who is liable if a recording is breached after the stated deletion date. HIPAAtrek's BAA contract management with 10-year version history helps you compare clauses across vendors over time. Most HIPAA tools track that a BAA exists; few help you stress-test what the BAA actually says about video archives.
Why do SMS appointment reminders trigger both TCPA and HIPAA?
If a reminder text contains protected health information, even a clinician name plus appointment time, HIPAA applies to the disclosure. TCPA applies separately because the message is an automated commercial communication to a mobile number, requiring prior express consent and an opt-out path. A telehealth-only practice often relies on SMS more than a physical clinic does, so dual compliance becomes a daily issue, not an edge case. None of the surveyed HIPAA vendors address TCPA, so you typically need a separate consent-management tool or a video platform that handles both.
Is the cheapest HIPAA tool enough for a solo telehealth therapist?
For a solo licensed therapist seeing patients in one or two states with no employees, Medcurity at $499/yr covers the documented Security Risk Assessment, policy templates, and BAA tracking that an OCR auditor would expect. Solo telehealth providers usually outgrow it when they hire a second clinician licensed in additional states, because that expands the multi-state PHI flow work the tool does not productize. Plan to revisit at three clinicians or four states, whichever comes first.
Do I need SOC 2 if I run a telehealth-only practice rather than a SaaS company?
Most clinician-led telehealth practices do not need SOC 2. SOC 2 is a vendor-trust signal aimed at B2B buyers. If your practice sells services to patients, HIPAA is the binding framework. If you build a telehealth platform that other practices use, SOC 2 becomes relevant alongside HIPAA, and Sprinto's multi-framework approach pays off. The $8,000/yr minimum at Sprinto is hard to justify without a SOC 2 driver.
What does a virtual privacy officer engagement actually cover?
Healthcare Compliance Pros sells a fractional compliance officer engagement with a dedicated team of three to five consultants. They handle annual Security Risk Assessment, policy review, breach response coordination, and ad-hoc questions when a clinician onboards in a new state. The bundle pairs the human service with cloud-based compliance software. Hourly overage is $300/hr above the included scope, so set guardrails at the contract stage if your telehealth practice is growing fast.