Credentialing

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

How Automated Credentialing Is Transforming Healthcare

In healthcare, every second counts, but too often, administrative delays and errors slow things down—especially when it comes to credentialing. Thanks to automation in healthcare provider credentialing, what once took weeks or months can now be streamlined: AI-driven...

Understanding Delegated Credentialing

Imagine a relay race where passing the baton smoothly determines the outcome of the entire event. Now, think of credentialing in healthcare as that race—only instead of runners, it's healthcare providers and organizations ensuring qualifications, compliance,...

Navigating NCQA’s 2025 Credentialing & Monitoring Requirements

The National Committee for Quality Assurance (NCQA) has announced significant updates to its credentialing and monitoring requirements, effective July 1, 2025. These changes are designed to enhance patient safety, data accuracy, and compliance efficiency for health...

How to Ensure Provider Data Accuracy Across Systems

What Is Provider Data Accuracy? Provider data accuracy refers to the completeness, consistency, and up-to-date nature of healthcare provider information across various systems and databases. It encompasses crucial details such as credentials, specialties, locations,...

Streamlining Nurse Credentialing Processes

What Is Nurse Credentialing? Nurse credentialing is a crucial process in healthcare that ensures nurses have the qualifications, skills, and experience to provide safe and effective patient care. The primary purpose of nurse credentialing is to protect patients and...

How to Ensure Provider Data Accuracy Across Systems

Feb 6, 2025

What Is Provider Data Accuracy? Provider data accuracy refers to the completeness, consistency, and up-to-date nature...

Streamlining Nurse Credentialing Processes

Feb 6, 2025

What Is Nurse Credentialing? Nurse credentialing is a crucial process in healthcare that ensures nurses have the...

Exploring Types of Credentialing in Healthcare

Feb 6, 2025

What Are the Different Types of Credentialing in Healthcare? Healthcare credentialing is a crucial process that...

What is FACIS and Why is it the Gold Standard

Nov 30, 2022

Maintaining compliance and safeguarding against fraud and abuse in today's changing healthcare landscape can be...

The Current State of Credentialing and Beyond

Nov 21, 2022

Learn about the current state of credentialing from the eyes of providers, provider admins, hospital and health plans....

Medical Provider Credentialing 101

Jan 11, 2022

While medical credentialing might be considered a modern concept, credentialing dates as far back as the practice of...

Credentialing Companies Aperture and Verisys Combine: What Providers Need to Know

Dec 14, 2021

Since healthcare organizations outsource provider credentialing to companies like Verisys and Aperture Health,...

A Beginner’s Guide to CVO Credentialing

Oct 26, 2021

Proper credentialing keeps healthcare organizations running smoothly. Without continuous, verifiable credentialing,...

Defining Roles of the Credentialing Process

Sep 24, 2021

In this blog, Hugh Greeley identifies the four distinct parties and the primary activities of each party’s role...

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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.

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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...

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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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