There are a lot of regulations and for most small offices using hosted email, the vendor is supposed to be HIPAA Hitech compliant.
The following link gives a lot of information
LUXSCI
And don't forget that faxes over the internet would also need protection. Perhaps Unityfax can help...they have TLS encrypted email to the client. Not sure of other standards they might meet.
Here's one company offering secure Fax
http://www.safetysend.com/
Sfax review
http://www.emrandhipaa.com/emr-and-hipaa/2010/12/16/secure-fax-services-and-emr/
Wednesday, July 13, 2011
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