Credentialing

Anything and everything credentialing, from regulatory updates to best practices and better credentialing.

Why Vendor Credentialing is a Compliance Must-Have for Health Systems

The healthcare industry is sustained by rules and regulations that hospitals must comply with. These hospitals must also maintain relationships only with vendors and suppliers who are compliant with these regulations. Just as with provider credentialing,...

Avoiding Costly Credentialing Issues in Healthcare

Credentialing is the backbone of healthcare, ensuring providers are qualified, compliant, and trusted by patients. However, the process itself can be complicated and time-consuming—and when things go wrong, it can lead to financial setbacks, medical standard...

Preventing Non-Compliance Consequences in Healthcare

In the healthcare industry, compliance with regulatory standards is not merely a requirement but a cornerstone of safe, effective, and ethical patient care. When healthcare organizations fail to meet compliance standards, the consequences can be severe—spanning legal...

What Is Provider Credentialing and Why It Matters in Healthcare

When a patient walks into a doctor’s office, they want to feel confident that the healthcare professional they’re seeing is qualified, experienced, and trustworthy. That’s where provider credentialing comes in. Provider credentialing is the formal process by which...

Why Provider Data Quality Matters in Healthcare

Provider data quality is a fundamental necessity for the healthcare industry. In a high-stakes environment, like a hospital emergency room, efficiency and accuracy in staffing ensure that qualified medical professionals are available to provide immediate,...

What Is Provider Credentialing and Why It Matters in Healthcare

Mar 6, 2025

When a patient walks into a doctor’s office, they want to feel confident that the healthcare professional they’re...

Why Provider Data Quality Matters in Healthcare

Mar 6, 2025

Provider data quality is a fundamental necessity for the healthcare industry. In a high-stakes environment, like a...

Navigating NCQA’s 2025 Credentialing & Monitoring Requirements

Feb 10, 2025

The National Committee for Quality Assurance (NCQA) has announced significant updates to its credentialing and...

7 Core Elements of Healthcare Compliance Program

May 4, 2023

Healthcare compliance regulations are complex and ever-changing, but are an essential part of any healthcare...

5 Ways to Improve Your Credentialing Committee Meetings

Apr 28, 2023

Planning for Provider Credentialing Committee Meetings Saves Time and Assures a Competent Provider Staff Our work...

4 Steps to Becoming an Effective Credentials Chair to Ensure Good Decisions

Apr 21, 2023

There is no doubt that being the chair of the credentials committee comes with great responsibility. Ultimately,...

Unlocking the Basics of Medical Credentialing Requirements

Mar 30, 2023

"Medical credentialing": the tedious but necessary process of verifying a provider’s credentials, including license(s)...

Verisys- Healthcare Fraud and Abuse

Mar 23, 2023

3 Healthcare Fraud and Abuse Laws Providers Should Know About In 2021, the Department of Justice reported...

A Story About Provider Data

Feb 24, 2023

While leaving her house to visit her grandson, Sue falls and twists her knee. At the emergency room, the doctors begin...

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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.

Connect with us →

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.

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.

Comprehensive Coverage

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

Connect With Us

Healthcare Identity Verification: Why It Matters More Than Ever

Healthcare-related identity fraud is on the rise in the United States. The 2025 National Health Care Fraud Takedown found over $10.6 billion in...

Provider Onboarding: Best Practices for Healthcare Organizations

Imagine a new provider is scheduled to start on Monday at your healthcare organization. Patients are booked weeks out, and the department is...

Why Provider Data Validation Is Critical to Reducing Risk in Healthcare

To expedite clinical progress and maximize the chances of positive outcomes, patients need to match with suitable, qualified healthcare providers....

Credentialing KPIs Every Healthcare Executive Should Track

It usually starts with a message no healthcare executive wants to see: “We can’t move this provider through credentialing until we verify their...

Compliance Resources

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Verisys Blog Posts

Healthcare compliance insights and news from the industry leader.

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Monthly Compliance Updates

The best resource for monthly healthcare regulatory compliance updates.

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Company news and Verisys updates.

November 2025 Legislative and Compliance Healthcare Updates

Welcome to the November 2025 edition of Verisys’ Legislative and Compliance Update. This month brings notable developments in federal data security oversight, Medicare enrollment, and significant state-level provider misconduct. These updates under...

Credentialing

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

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