| Identity & Access |
Review all active Microsoft 365 users |
Administrative / Technical |
High |
90Risk Score
|
Monthly |
IT Administrator |
HIPAA Access Control / PCI User Access |
Remove terminated users, disable stale accounts, and verify continued business need. |
| Identity & Access |
Enforce Multi-Factor Authentication for all users |
Technical |
Critical |
100Risk Score
|
Quarterly |
Security Administrator |
HIPAA Access Control / PCI MFA |
Require MFA for users, administrators, remote access, and cloud applications. |
| Identity & Access |
Review Conditional Access policies |
Technical |
Critical |
95Risk Score
|
Quarterly |
Security Administrator |
HIPAA Technical Safeguards / PCI Access Control |
Block risky sign-ins, require MFA, restrict admin access, and block legacy authentication. |
| Privileged Access |
Review Global Administrator accounts |
Administrative / Technical |
Critical |
100Risk Score
|
Monthly |
CISO / IT Manager |
HIPAA Access Control / PCI Least Privilege |
Limit global admins, require MFA, use separate admin accounts, and document approvals. |
| Privileged Access |
Review administrator role assignments |
Administrative |
High |
90Risk Score
|
Quarterly |
IT Manager |
HIPAA Workforce Security / PCI Privileged Access |
Apply least privilege and remove unnecessary admin roles. |
| Password Security |
Review password policy and password protection |
Technical |
High |
85Risk Score
|
Quarterly |
Security Administrator |
HIPAA Access Control / PCI Authentication |
Use strong password protection, block common passwords, and monitor risky sign-ins. |
| Email Security |
Review anti-phishing policy |
Technical |
Critical |
95Risk Score
|
Quarterly |
Email Administrator |
HIPAA Security Management / PCI Security Monitoring |
Enable impersonation protection, spoof intelligence, and executive protection. |
| Email Security |
Review anti-spam and anti-malware policies |
Technical |
High |
90Risk Score
|
Quarterly |
Email Administrator |
HIPAA Integrity Controls / PCI Malware Protection |
Review filtering, quarantine, malware detection, and user reporting process. |
| Email Security |
Enable Safe Links and Safe Attachments |
Technical |
High |
90Risk Score
|
Quarterly |
Security Administrator |
HIPAA Security Controls / PCI Malware Protection |
Protect users from malicious URLs and attachments in email and collaboration tools. |
| Email Security |
Review mailbox forwarding rules |
Technical |
Critical |
95Risk Score
|
Monthly |
Email Administrator |
HIPAA Audit Controls / PCI Data Protection |
Detect unauthorized forwarding to external accounts and suspicious inbox rules. |
| DNS & Email Authentication |
Validate SPF record |
Technical |
High |
85Risk Score
|
Quarterly |
DNS Administrator |
HIPAA Transmission Security / PCI Email Security |
Verify authorized senders and remove obsolete third-party email services. |
| DNS & Email Authentication |
Enable and validate DKIM |
Technical |
High |
85Risk Score
|
Quarterly |
DNS Administrator |
HIPAA Integrity / PCI Email Authentication |
Digitally sign outbound email to reduce spoofing and improve trust. |
| DNS & Email Authentication |
Configure DMARC policy |
Technical |
Critical |
95Risk Score
|
Quarterly |
DNS Administrator |
HIPAA Transmission Security / PCI Anti-Spoofing |
Implement DMARC monitoring, then move toward quarantine or reject enforcement. |
| Logging & Monitoring |
Enable Microsoft 365 unified audit logging |
Technical |
Critical |
95Risk Score
|
Quarterly |
Security Administrator |
HIPAA Audit Controls / PCI Logging |
Ensure user, admin, mailbox, and security events are logged and retained. |
| Logging & Monitoring |
Review sign-in logs and risky users |
Technical |
High |
90Risk Score
|
Monthly |
Security Administrator |
HIPAA Audit Controls / PCI Monitoring |
Investigate risky sign-ins, impossible travel, unfamiliar locations, and failed login patterns. |
| Data Protection |
Review Data Loss Prevention policies |
Technical / Compliance |
Critical |
95Risk Score
|
Quarterly |
Compliance Officer |
HIPAA PHI Protection / PCI Cardholder Data |
Detect and restrict PHI, credit card numbers, SSNs, financial records, and confidential files. |
| Data Protection |
Review email encryption settings |
Technical |
High |
90Risk Score
|
Quarterly |
Compliance Officer |
HIPAA Transmission Security / PCI Data Protection |
Encrypt sensitive outbound email and restrict forwarding where appropriate. |
| SharePoint & OneDrive |
Review external sharing settings |
Technical / Administrative |
High |
90Risk Score
|
Quarterly |
SharePoint Administrator |
HIPAA Access Control / PCI Data Access |
Restrict anonymous links, review guest access, and set link expiration policies. |
| Microsoft Teams |
Review Teams guest and external access |
Technical / Administrative |
Medium |
75Risk Score
|
Quarterly |
Teams Administrator |
HIPAA Access Control / PCI Collaboration Security |
Limit external collaboration and verify access to sensitive teams and channels. |
| Devices & Endpoints |
Review device compliance and mobile access |
Technical |
High |
85Risk Score
|
Quarterly |
Endpoint Administrator |
HIPAA Device Security / PCI Endpoint Security |
Require compliant devices, app protection, encryption, and remote wipe capability. |
| Backup & Recovery |
Review Microsoft 365 backup strategy |
Administrative / Technical |
High |
90Risk Score
|
Semi-Annual |
IT Manager |
HIPAA Contingency Plan / PCI Recovery |
Review Exchange, SharePoint, OneDrive, and Teams backup and recovery procedures. |
| Compliance |
Review retention and eDiscovery policies |
Compliance / Administrative |
Medium |
80Risk Score
|
Semi-Annual |
Compliance Officer |
HIPAA Documentation / PCI Evidence Retention |
Verify retention, legal hold, audit evidence, and compliance documentation requirements. |
| Incident Response |
Review Microsoft 365 incident response procedure |
Administrative |
Critical |
95Risk Score
|
Semi-Annual |
CISO / IT Manager |
HIPAA Security Incident Procedures / PCI Incident Response |
Document procedures for compromised accounts, phishing, data exposure, and ransomware. |