Question: In our recent risk evaluation, we discovered that the electronic signatures we and our patients use could potentially be accessed by an external party. Fortunately, this was just an audit simulation, and no actual breaches occurred. How can we better safeguard this information in the future? AAPC Forum Participant Answer: There are a few things that your organization can do to ensure that your patients’ e-signatures are more secure. Even though it’s not a requirement under the HIPAA Security Rule, you may want to use software and form generators that employ encryption to protect your documents and e-signatures. Additionally, if a risk assessment determines that encryption is a “reasonable and appropriate safeguard” for your organization, you should probably follow through and implement it to avoid a violation down the line. Password protection and multifactor authentication (MFA) can also help to protect electronic protected health information (ePHI). Platforms like DocuSign and PandaDoc offer a variety of templates, storage options, and legal resources to help providers with patients’ e-signatures.