Compliance

Explore healthcare compliance strategies, regulatory compliance monitoring, exclusion screening, and fraud prevention techniques to protect your organization.

How Negligent Credentialing Increases Medical Malpractice Exposure

Negligent credentialing exposes healthcare organizations to direct legal liability beyond any individual physician's malpractice. When a facility fails to properly verify and monitor provider qualifications, it faces claims rooted in its own procedural failures rather...

Why Provider Eligibility Matters in Workers’ Compensation Claims

Provider eligibility in workers’ compensation is not just a credentialing requirement. It directly determines whether a claim can be paid. When eligibility is not verified accurately and continuously, organizations risk reimbursing ineligible providers, triggering...

What Healthcare Organizations Look for in a Compliance Data Provider

Healthcare organizations face many complexities in compliance monitoring: more regulations, more provider types, more data sources, and higher consequences for gaps in verification. Selecting the right compliance data provider directly affects patient safety,...

How To Strengthen Your Pharmacy Compliance and Reduce Risk

What Is Pharmacy Compliance? In essence, pharmacy compliance is an ongoing commitment to abide by all laws, regulations, and professional standards that guide how a pharmacy operates. The goal is to ensure that every prescription is filled accurately, every patient’s...

How Often Should You Check the OIG Exclusion List?

For healthcare organizations, exclusion screening is not a one-time task, it is an ongoing compliance obligation. The question is not whether you should screen against the OIG exclusion list, but how often you should do it to protect your organization, your patients,...

How To Strengthen Your Pharmacy Compliance and Reduce Risk

Feb 15, 2026

What Is Pharmacy Compliance? In essence, pharmacy compliance is an ongoing commitment to abide by all laws,...

How Often Should You Check the OIG Exclusion List?

Jan 31, 2026

For healthcare organizations, exclusion screening is not a one-time task, it is an ongoing compliance obligation. The...

Behavioral Health Compliance: Best Practices to Implement and Ensure Regulatory Readiness

Jan 30, 2026

Behavioral health compliance has become a critical operational priority as mental health and substance treatment...

Healthcare Fraud in the Digital Age: New Challenges and Solutions

Nov 16, 2025

Healthcare fraud prevention is paramount. It’s crucial for regulatory compliance, it promotes patient safety, and it...

Why Risk Management is Critical in Healthcare: Protecting Patients and Providers

Nov 16, 2025

Risk management in healthcare is about more than just preventing potential consequences—to effectively mitigate risks,...

Top 5 Technology Trends Driving the Future of Healthcare Compliance

Nov 16, 2025

Healthcare compliance technology has reached new heights: From AI to blockchain and cloud-based platforms, healthcare...

Ensuring Provider Directory Accuracy for Improved Patient Access

Oct 17, 2025

Patients normally research networks and providers before they enroll in a new healthcare plan or seek medical care...

Trends in Healthcare Compliance Monitoring

Oct 16, 2025

As one of the most heavily regulated industries, healthcare compliance involves adhering to a number of regulations...

3 Reasons to Invest in Healthcare Continuous Monitoring

Oct 9, 2025

Monitoring in healthcare is a hot topic. In July, NCQA implemented new license expiration monitoring requirements....

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Verisys is your source for healthcare compliance best practices, news, and information.

Is Your Organization Ready for NCQA’s 2025 Compliance Changes?

Learn more about the updated July 1st NCQA requirements and how Verisys can help maintain your compliant status.

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FACIS® Sanction & Exclusion Screening + Monitoring

Industry’s most accurate and trusted exclusion + sanction dataset.

Healthcare Credentialing

Optimize Cred processes to reduce cost, mitigate risk, and speed up time-to-network.

Decisional Data Verification

OFAC, DEA, Abuse Registry, & more: Confirm your organization makes decisions based on accurate, verified provider data.

Provider Data Management

Transform incomplete, flawed provider data into comprehensive, configurable directories.

Automated Licensure with LicenseCheck

Real-time verification and monitoring of providers’ licenses.

Continuous True Monitoring

Continuously monitor credentials, licenses, and regulatory statuses for real-time confirmation of good standing.

Credential & Certification Verification

Ensure regulatory statuses are always current with real-time alerts.

Pre-Hire & Workforce Compliance

Pre-screen medical credentials, sanctions, and licensure history for real-time workforce compliance.

Comprehensive Coverage

Verisys supports all provider and taxonomy types across all jurisdictions, from surgeons to technicians.

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Is Your Organization Ready for NCQA’s 2025 Compliance Changes?

Learn more about the updated July 1st NCQA requirements and how Verisys can help maintain your compliant status.

Learn More

FACIS® Sanction & Exclusion Screening + Monitoring

Industry’s most accurate and trusted exclusion + sanction dataset.

Healthcare Credentialing

Optimize Cred processes to reduce cost, mitigate risk, and speed up time-to-network.

Credential & Certification Verification

Ensure regulatory statuses are always current with real-time alerts.

Provider Data Management

Transform incomplete, flawed provider data into comprehensive, configurable directories.

License Verification

Verify and monitor licenses across all 56 U.S. jurisdictions and 800+ provider taxonomies.

Automated Licensure with LicenseCheck

Real-time verification and monitoring of providers’ licenses.

Continuous True Monitoring

Continuously monitor credentials, licenses, and regulatory statuses for real-time confirmation of good standing.

Decisional Data Verification

Confirm your organization makes decisions based on accurate, verified provider data.

Pre-Hire & Workforce Compliance

Pre-screen medical credentials, sanctions, & license history for real-time workforce compliance.

Payment Integrity

Identify ineligible providers and reduce improper payments with real-time compliance data.

Compliance

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Is Your Organization Ready for NCQA’s 2025 Compliance Changes?

Is Your Organization Ready for NCQA’s 2025 Compliance Changes?

License Verification

Payment Integrity

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May 2026 Healthcare Compliance Update: Licensure, Telehealth, PBMs, and Provider Mobility