VNDRIQ — Vendor Comparison
Fathom vs AKASA
Side-by-side comparison of BAA status, PHI exposure, AI training risk, HIPAA suitability, and VNDRIQ governance scores.
Fathom
Billing / RCM
Last verified: May 22, 2026
AKASA
Billing / RCM
Last verified: May 22, 2026
VNDRIQ Scores
51
Overall
51
Overall
Approval Tier
BAA Status
PHI Exposure Risk
AI Training Risk
HIPAA Risk Level
Review Frequency
Quarterly
Quarterly
Recommended Use
—
—
Restrictions
—
—
Executive Summary
Fathom
Billing / RCM
Fathom is classified as Approved With Restrictions with a BAA status of Verify Directly. PHI exposure is rated High and AI training risk is High.
42
Privacy
73
Governance
59
Healthcare
30
AI Risk
AKASA
Billing / RCM
AKASA is classified as Approved With Restrictions with a BAA status of Verify Directly. PHI exposure is rated High and AI training risk is High.
42
Privacy
73
Governance
59
Healthcare
30
AI Risk
Recommended For
Fathom
Organizations with established governance workflows
Multi-location healthcare groups needing standardized vendor status
AKASA
Organizations with established governance workflows
Multi-location healthcare groups needing standardized vendor status
Governance Considerations
Fathom
BAA has not been confirmed. Execute BAA before processing PHI.
Verify model training opt-out clauses before deployment.
PHI exposure is elevated. Review data flow documentation.
Quarterly reviews are required — establish internal review cadence.
AKASA
BAA has not been confirmed. Execute BAA before processing PHI.
Verify model training opt-out clauses before deployment.
PHI exposure is elevated. Review data flow documentation.
Quarterly reviews are required — establish internal review cadence.
Questions to Ask Before Approval
Has the vendor executed a Business Associate Agreement (BAA) with your organization?
Does the vendor use customer data to train AI models? Can you opt out?
Where is PHI stored, processed, and transmitted?
What data retention and deletion policies apply to your PHI?
Has the vendor undergone a third-party HIPAA or SOC 2 audit?
What is the vendor's incident response and breach notification process?
Does the vendor offer audit logging for PHI access?
What subprocessors have access to PHI through this vendor?
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