HIPAA Compliant Video Conferencing: What Healthcare Teams Actually Need

HIPAA compliant video conferencing requires more than a vendor claiming compliance on their marketing page. Healthcare organizations that conduct patient consultations, staff discussions, or any meeting involving Protected Health Information (PHI) over video need to evaluate platforms against specific technical and administrative safeguards.

What does HIPAA require for video conferencing?

• A signed Business Associate Agreement (BAA): the video platform must sign a BAA acknowledging it handles PHI.
• Encrypted transmission: all video and audio must be encrypted in transit.
• Access controls: meetings must be limited to authorized participants.
• Audit controls: mechanisms to log and monitor access to PHI.
• Minimum necessary standard: don't share more PHI than the purpose requires.

What HIPAA does NOT require for video conferencing?

HIPAA does not require end-to-end encryption specifically, though it is a strong technical safeguard. It does not require any specific technology — the requirement is that appropriate safeguards are in place, not that a particular product is used. Many commercial video platforms can be made HIPAA-compliant with the right configuration and a BAA.

What video conferencing platforms offer HIPAA-compliant options?

Zoom, Google Meet, Microsoft Teams, and Webex all offer HIPAA-compliant configurations for healthcare customers on qualifying plans, with a BAA available. The key questions for any platform: Is a BAA available? What is encrypted and what is stored? Where are recordings and transcripts stored, and who has access? MeetOye includes encrypted transport and workspace-level controls for transcript and recording retention as part of its standard platform.

What are the specific risks for AI features in HIPAA-covered meetings?

AI transcription and recap features create a specific HIPAA risk: if the AI processing is handled by a third-party service, that service is a Business Associate and must also sign a BAA. Platforms that handle AI transcription natively (keeping data within their own infrastructure) present a simpler compliance picture than platforms that pass meeting audio to a third-party AI API. Always ask: which AI providers process meeting content, and do they have a BAA?