Fixed-scope security for independent clinics · New York, NY

not a binder on the shelf — a practice that’s actually locked down.

Rowan runs HIPAA security risk assessments, phishing-resilience drills, and email + endpoint hardening for independent medical and dental practices. Every engagement has a written scope, a fixed price between $400 and $1,500, and one invoice.

$400–$1,500 per engagement Invoice, net 15 Mon–Fri 9am–5:30pm
A brownstone dental practice on a Manhattan side street at golden hour, a laptop bag resting on the stoop
  • hipaa security risk assessment
  • §164.308(a)(1) risk analysis
  • spf · dkim · dmarc
  • phishing simulation + debrief
  • mfa with number matching
  • bitlocker & filevault
  • patch baseline
  • backup restore test
  • baa inventory
  • least-privilege ehr roles

The materials

dns records, group policy, and the inbox at the front desk

A security engagement is only as real as the settings it changes. These are the controls we open, edit, and verify inside your practice — each one written into the report with the before value, the after value, and the date it changed.

  • DMARC p=none → p=reject
  • MFA: number matching on
  • Screen lock ≤ 5 min
  • BitLocker XTS-AES 256
  • Local admin removed
  • Defender ASR rules
  • 3-2-1 backup, restore-tested
  • Guest Wi-Fi on its own VLAN
  • Auto-forwarding blocked
  • EHR roles: least privilege
A clinician's hand holding a phone showing a sign-in approval prompt on a sunlit sidewalk
MFA that asks for a number — not just “approve?”
see exactly what each engagement changes

Meet the engagements

four engagements, four prices, written down before we start

Each one is scoped to a single-location practice with up to ten workstations. Pick one, stack two, or start with the assessment and let the findings decide.

RX-01

phishing-resilience drill

$415

45-min session + one live campaign

  • On-site session for front desk and clinical staff
  • Simulated campaign two weeks later, built from your real vendors — lab, clearinghouse, payroll
  • Debrief by role: who clicked, who reported, who did both
scope the drill
RX-02

email hardening

$680

Remote · after hours

  • SPF + DKIM published and aligned; DMARC staged to reject
  • MFA on every mailbox, including the shared front-desk inbox
  • External-sender banners and auto-forward blocking in Microsoft 365 or Google Workspace
scope the email fix
RX-03

endpoint hardening

$1,140

Up to 10 workstations · one morning

  • BitLocker / FileVault on, recovery keys escrowed
  • Local admin removed, 5-minute lock, patch baseline set
  • Imaging and X-ray PCs handled with your vendor’s sign-off
scope the machines
start here
RX-04

hipaa security risk assessment

$1,465

About three weeks to signed report

  • Asset + PHI-flow inventory, room by room
  • Threat × vulnerability × likelihood scoring, mapped to §164.308–§164.316
  • Signed, dated report with a remediation plan
scope the assessment

Two locations, or more than ten machines? We price it on the intake call, in writing, before anything is touched. The number on the invoice is the number you agreed to.

A laptop, checklist clipboard and roll of red tape on clinic steps in low evening sun

Before the first visit

what to have on the desk when we arrive

Six things turn a walk-through from a guessing game into a two-hour morning. If any of these are missing, that’s already a finding — and we’ll write it down kindly.

  1. Admin access to Microsoft 365 or Google WorkspaceOr the name and number of whoever holds it — often a nephew or a former IT contractor.
  2. Your EHR / practice-management vendor and support contractDentrix, Eaglesoft, Open Dental, eClinicalWorks, athenaOne — and how their remote-support tool connects.
  3. A list of every device that touches PHIFront-desk PCs, the sensor workstation in the operatory, the intake tablet, and personal phones that get practice email.
  4. Your BAA folderSigned business associate agreements with your IT vendor, clearinghouse, cloud backup, and e-fax service.
  5. Your domain registrar loginGoDaddy, Squarespace, Network Solutions — DNS is where email spoofing actually gets fixed.
  6. One hour before first patientWe walk the office while the chairs are empty and nobody’s screen holds a chart.
pick a morning for the walk-through

Your network, charted

we chart your practice the way you chart a patient

Subjective, objective, assessment, plan. A single-location practice typically runs about three weeks from intake call to signed report — and the price is fixed on day one.

A clinic reception desk seen through a street window in warm evening light
  1. subjective: the intake call

    You tell us what keeps the office manager up at night — the ex-hygienist who may still have a login, the fax line that quietly became email, the EHR vendor’s always-on remote tool. We agree the scope and the price before we hang up.

    30 minutes · phone or video · no charge

  2. objective: the walk-through

    One morning on-site before first patient. Every device that touches PHI gets looked at in person — including the imaging PC in the operatory nobody remembers to patch. Microsoft 365 or Workspace, DNS, and backups are reviewed remotely.

    On-site across New York, NY · remote config after hours

  3. assessment: the findings

    Ranked findings, each tied to the control it misses — say, §164.312(a)(2)(iii), automatic logoff — with the evidence we saw and the exact setting that closes it. Written for the doctor, readable by your IT vendor.

    PDF report · signed and dated

  4. plan: the fixes and the invoice

    In-scope fixes get done and verified on the machine. Anything outside scope gets a dated remediation plan your MSP can follow line by line. Then one invoice — ACH, check, or card.

    Net 15 · $400–$1,500 per engagement

questions practices ask before signing

Will this make us “HIPAA certified”?

There’s no federal HIPAA certification, and anyone selling one is selling a sticker. What the Security Rule requires under §164.308(a)(1)(ii)(A) is an accurate, thorough risk analysis — documented. That’s what the assessment produces, ready if OCR, a payer, or your malpractice carrier asks.

We already pay an IT company. Why add you?

Your MSP keeps the printers and the EHR running. We check whether it’s all configured to the Security Rule, then hand findings over in their language — GPO names, DNS records, tenant settings — so they can implement, or we do it inside scope.

Does any of this pull staff away from patients?

On-site work happens before first patient or over lunch; email and DNS changes are made remotely after 5:30pm. The phishing session runs 45 minutes and can be split across two staff meetings.

What if the fix turns out bigger than the scope?

We stop, write it down, and quote it as its own fixed engagement. The invoice you agreed to doesn’t grow mid-job.

open a chart for your practice

Tell us the practice type, roughly how many workstations, and who runs your IT today. We reply Mon–Fri 9am–5:30pm, or call (703) 835-0107.

How we write a report

your risk assessment should name the reception pc, the x-ray workstation and the doctor’s personal gmail — by name. if it reads like any practice in manhattan, it wasn’t written for yours.

— the Rowan house rule

East 51st Street in Midtown East at golden hour with long tree shadows on the sidewalk

the breach rarely starts in the server closet. it starts at the front desk, on a tuesday, with an invoice that looks like it came from your lab.”

— Rowan, on where we look first

The office

east 51st, one block from second avenue

Address
312 E 51St St, New York, NY 10022
Hours
Mon–Fri 9am–5:30pm
Phone
(703) 835-0107
Email
contact@rowancybersecurity.com
Serving
Independent medical and dental practices in New York, NY — we come to you; the office is for paperwork and coffee.
Billing
Fixed scope, one invoice, $400–$1,500, net 15
plot a route to east 51st
  • ACH
  • CHECK
  • VISA
  • AMEX
Book the intake call Call