Credentialing

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

Understanding the Difference Between Payer Enrollment and Credentialing

Payer enrollment and credentialing are two processes that determine whether a clinician can treat patients and receive payment. Though often confused, these are distinct workflows with different objectives, timelines, and requirements. Misunderstanding them may lead...

How to Choose the Best Provider Credentialing Software

Given the critical nature of the healthcare industry, provider credentialing is non-negotiable. But the best credentialing software isn’t just one that makes the provider verification process easier. It’s one whose features integrate seamlessly with your systems and...

What is Provider Recredentialing?

Provider Recredentialing is a critical process for healthcare organizations to provide high-quality patient care, maintain compliance, and ensure providers remain fully verified. This complete recredentialing process involves routine screening, license verification,...

The Role of AI in Healthcare Compliance

Technologies continue to transform the healthcare industry—the da Vinci® Surgical Robot performs precise movements that enable minimally invasive surgeries, the CyberKnife delivers targeted radiotherapy, and smart devices provide practitioners with instantaneous...

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...

The Role of AI in Healthcare Compliance

Mar 6, 2025

Technologies continue to transform the healthcare industry—the da Vinci® Surgical Robot performs precise movements...

Preventing Non-Compliance Consequences in Healthcare

Mar 6, 2025

In the healthcare industry, compliance with regulatory standards is not merely a requirement but a cornerstone of...

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...

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,...

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...

Medical Credentialing – From the Medicine Man to Telemedicine

Apr 14, 2021

A Brief History of the Evolution of Medical Credentialing In this blog, Hugh Greeley offers a brief summary of medical...

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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.

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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.

Credentialing

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

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

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