HIPAA: Health Insurance Portability and Accountability Act - Federal law governing healthcare privacy, security, and data transmission standards
HITECH Act: Health Information Technology for Economic and Clinical Health Act - Expands HIPAA requirements and establishes standards for electronic health record systems
Fair Credit Reporting Act: Federal law regulating the collection, dissemination, and use of consumer information, including background checks in credentialing processes
Americans with Disabilities Act: Federal law protecting rights of individuals with disabilities, impacting credentialing decisions and reasonable accommodations
State Medical Practice Acts: State-specific laws governing medical practice, licensing requirements, and professional standards
NCQA Standards: National Committee for Quality Assurance requirements for credentialing and provider verification processes
Joint Commission Standards: Accreditation standards for healthcare organizations, including credentialing requirements
URAC Standards: Utilization Review Accreditation Commission standards for healthcare quality and credentialing
CMS Guidelines: Centers for Medicare & Medicaid Services requirements for provider enrollment and credentialing
State Data Protection Laws: State-specific requirements for protecting sensitive information and handling data breaches
Professional Liability Requirements: State-specific malpractice insurance requirements and risk management guidelines
State Contract Laws: State-specific contract formation, enforcement, and interpretation requirements
