DISCLAIMER: The information provided in this article, other knowledge base articles, and the Compliancy Group website do not, and are not intended to, constitute legal advice. All information, content, and materials in the Knowledge Base and on the Compliancy Group website are for general informational purposes only.
Certain activities are considered to be "healthcare operations" under HIPAA.
Healthcare operations may include, among other activities, "Reviewing the competence or
qualifications of health care
professionals, evaluating practitioner
and provider performance, health
plan performance, conducting
training programs in which students,
trainees, or practitioners in areas of
health care learn under supervision to
practice or improve their skills as
health care providers, training of
non-health care professionals,
accreditation, certification, licensing,
or credentialing activities."
According to the National Institutes of Health (NIH), credentialing is the process of assessing the academic qualifications and clinical practice history of a healthcare provider. According to the NIH, "In general, any licensed, independent healthcare professional who has been permitted by law and regulated by a licensing organization to provide services and care without supervision or direction within the scope of the individual’s license, needs to be credentialed."
Credentialing activities may include (among other activities):
1. Verification of identity.
2. Verification of current licensure, registration, or certification
3. Verification of education and training
Credentialing may be considered to be a business associate function if a business associate creates, receives, maintains, and/or transmits PHI to a covered entity for or on behalf of that covered entity.
Was this article helpful?
That’s Great!
Thank you for your feedback
Sorry! We couldn't be helpful
Thank you for your feedback
Feedback sent
We appreciate your effort and will try to fix the article