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Healthcare managed IT · Montana practices

Most Montana practices think their IT provider is handling HIPAA.

Really your IT provider thinks it's handling just printers and internet.

Under HIPAA they are also a business associate, which means the Security Rule applies to them directly. They owe you a signed BAA, the government their own risk analysis, and they owe their own staff continuous HIPAA training that is documented.

Ask for those three documents. What you hear back tells you everything.

Signed BAA before we touch anything · Helpdesk answered in Montana 8–5 weekdays, on call outside those hours, monitoring around the clock · ★★★★★ 5.0 on Google and Birdeye · Published pricing
A physician reviewing records on a tablet
5.0
On Google and Birdeye
10 min
Median first response for security issues
for security issues
Since 2013
Our team serving Montana
supporting businesses and nonprofits across the state
$95
Per device, Professional tier
Our standard

Vetted, tested, and in writing.

Every certified client is assessed by a third party risk assessor and keeps the required controls in place. For those clients, we do the response work at no added cost and back our services with a written warranty.

Ransomware
● Response within 1 hour
Business email compromise
● Response within 1 hour
Backup recovery failure
● Response within 4 hours
The Big Sky Guarantee
We do the work.

Containment, forensics, eradication, recovery, and rebuilding if needed, at no additional cost, within defined service limits.

The Big Sky Guarantee is not an insurance policy. It’s our commitment to do the response work ourselves.

PLUS
The Big Sky Service Warranty
Up to $500,000

Eligible payments made directly to the organization, up to $500,000 per covered incident, depending on plan.

The Big Sky Service Warranty is not an insurance policy and does not replace cyber insurance.

For certified clients on Professional, Enterprise, or co-managed plans, with required controls in place. Eligibility requirements, service limits, and exclusions apply. Full terms are provided for your review before you sign. See which plans qualify

The two phrases

“HIPAA aware” and “HIPAA made easy”

Two things you will see on other providers' websites. Here is what each one actually means, and why it matters.

What they say
What the rule actually says
“We're HIPAA aware”
Awareness isn't a service. Any IT company that touches protected health information is a business associate, directly liable under the Security Rule since 2013. Advertising “HIPAA aware” means advertising that they have heard of a law they already have to follow. A proposed update to the Security Rule has been published but is not yet final.
“We'll make HIPAA easy”
It isn't easy, it's ongoing. HIPAA breaks every time you hire someone, change a vendor, update software or open a second location. Anyone selling “easy” is selling a one time checklist that won't stay current for long.
“We handle your compliance”
They owe their own paperwork too. A provider handling your PHI must complete its own risk analysis and train its own staff, on top of yours. Ask any provider to see both — ours are in the next section.
“You're compliant, we sorted it in 2023”
Compliance lapses quietly. In our experience, the practices that get into trouble usually aren't the ones who never tried. They're the ones who got compliant three years ago and then stopped.
Due diligence

Ask us the same three questions you ask them.

If a provider can't produce these, that is the answer. Ours are below, and you can ask for all three before signing anything.

01

Show me the BAA you'd sign with us

Ours is standard, and we send it before you sign anything and before we touch your systems or your network. Ask any provider for theirs.
02

Show me your last risk analysis

As a business associate we're bound by HIPAA too. We complete our own SRA annually and after any major change, and we'll show you the date.
03

Show me your training records

Every Big Sky employee who supports healthcare clients and handles ePHI trains continuously, with certificates kept on file. Yours to inspect.
Day to day

The daily IT, run by people who respond to breaches.

The compliance program is what you buy. The helpdesk is what you live with. Both are in the same contract.

The front desk gets unstuck fast

A 10 minute median first response for security issues. Remote support is included, with no hourly billing for “my scanner disappeared.”

Your EHR stays up

We work alongside common EHR vendors including Open Dental, Dentrix and Epic. We handle the workstation and network side, and deal with their support line so your office manager doesn't have to.

Backups that have actually been restored

Endpoint backups to 500GB and server backups on every plan, test restored monthly — because an untested backup is a story you tell auditors, not a recovery.

Patching, licensing and new hire setup

Workstations, 3rd party software, printers, onboarding and offboarding. Offboarding matters more than people think: a terminated employee with live PHI access is a reportable issue.

Your tenant stays in your name

Microsoft 365, domain, licences, HIPAA SRA and documentation belong to the practice.

Co-managed if you have IT staff

If you already have a part time IT person, we don't replace them. We take the compliance and security layer, and give them a specialist to call.
100+
Incidents supported
Across Montana over the last five years, including practices holding protected health information.

“Great company to work with. Any issues we have had they have addressed quickly.”

Kevin F.
Montana dental practice
★★★★★ 5.0 on Google and Birdeye · Read the reviews
Case study · Rural clinic
One public IP, two vendors on the internet, and a 90 day retest that protected grant funding.
Read the case study →
Switching

Leaving your current IT provider without a bad week.

Nobody switches IT companies because it sounds fun. Here is what it looks like.

See the full switching timeline →
You keep control

You don't have to remove access for anyone on day one

Plenty of practices start us on compliance and security only, and keep their existing IT staff on daily support. You decide later whether anything else moves across.
Before notice

We read your current contract before you give notice

Automatic renewal windows, notice periods and early termination language, read before you commit to anything. We'll tell you the date you actually need to act by.
Days 1–5

We inventory your systems before we touch anything

Who holds your domain, your Microsoft tenant, your backup keys and your firewall admin account. Practices discover uncomfortable things here, and better now than during a transition.
Cutover

Scheduled away from patient facing hours

Usually about two weeks from signature, with four allowed for handoff and anything that comes up. Nothing patient facing changes during clinic hours, and if your outgoing provider is uncooperative, we've recovered a client's tenant through Microsoft directly before.
Practices run on the Professional tier: $95 per device.
Managed EDR with retained logs, Microsoft 365 detection and response, and advanced email and cloud identity — the controls a practice needs to answer an auditor. Professional is also eligible for The Big Sky Guarantee and Service Warranty, once certified. Eligibility requirements, service limits and exclusions apply. The HIPAA risk analysis, policies and training records are priced separately.
The Big Sky Guarantee and Service Warranty, once certifiedUp to $500,000 per covered incident, depending on your planIncident response under The Big Sky Guarantee for certified clients
Honest fit

Where we're a good fit.

And one case where we are not. We'll say so on the call rather than after it.

01

You want full support

Remote support is included, with same day onsite for contract clients anywhere in Montana. Onsite hours are billed separately.
02

You're ready to tighten access

MFA, local admin rights and shared logins. Staying certified requires least privilege access and current best practice. If you want a provider who says yes to everything, that isn't us.
03

Your EHR vendor stays your vendor

We keep the environment healthy and manage the vendor relationship. Charting questions and application training stay with them.
04

You have no internal security team

We become that function for you. If you already have a mature one, you probably want us on retainer instead — see incident response.
A view of Billings, Montana
Next step

Book a healthcare IT review.

Twenty minutes. We'll ask when your last Security Risk Analysis was completed, what's been sitting on a list nobody has time for, and who currently holds your admin access.

01
Not sure where you stand?
The assessment is free and the findings are yours either way.
02
Already know the security gaps?
Send them over and we'll price the work as a project to remediate the concerns.
03
Want the compliance programme itself, without IT support?
HIPAA Services covers the risk analysis, policies and training records.
If we're not the right fit for your practice, we'll say so on the call rather than after it. Managed IT and HIPAA security for practices in Great Falls, Billings, Helena, Bozeman and across Montana. We sign a Business Associate Agreement before any work begins.
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