Credentialing

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

Why Insurance Credentialing Matters

What Is Insurance Credentialing? Medical insurance credentialing is the process by which healthcare providers and organizations are verified and approved to participate in an insurance company’s network. It’s a formal process of verification to ensure that the...

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...

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...

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...

Credentialing, OPPE, and FPPE for Advanced Nurse Practitioners (APN) and Physician Assistants (PA)

Apr 7, 2021

What Is the Difference Between OPPE and FPPE? The Joint Commission (TJC) is responsible for accrediting healthcare...

Top 3 Reasons Why Medical Credentialing is Important

Jan 18, 2021

Why is Credentialing Important? The importance of medical credentialing plays out in so many ways from patient...

How to Navigate Telemedicine and Medical Credentialing

Jan 10, 2021

Telemedicine is a rapidly expanding field that has accelerated during the COVID-19 pandemic. Proponents argue that...

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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.

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.

Comprehensive Coverage

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

Connect With Us

Creating a Single Source of Truth for Provider Data

Healthcare organizations often manage provider information across credentialing platforms, HR systems, provider directories, compliance tools,...

How Hospitals Can Reduce Credentialing Delays and Data Gaps

Hospital credentialing verifies a practitioner’s qualifications, including licensure, education, training, sanctions history, and other required...

Healthcare Credentialing API Integration Guide

Healthcare credentialing and compliance teams often rely on several systems to manage provider information. License data, verification results, and...

Why Real-Time Provider Monitoring Is Essential Between Credentialing Cycles

Periodic credentialing is essential, but it confirms a provider's status at a specific moment. A license, sanction, exclusion, registration, or...

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Healthcare compliance insights and news from the industry leader.

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The best resource for monthly healthcare regulatory compliance updates.

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July 2026 Healthcare Compliance Updates: Licensure, Board Rules, and Workforce Changes

Healthcare licensure and workforce requirements continued to shift in July 2026. New and upcoming changes affect physician applications, supervision and collaboration rules, criminal background checks, genetic counselor licensing, advanced practice nur...

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?

License Verification

Payment Integrity

Healthcare Industries We Serve

Webinars

Monthly Compliance Updates

Company Announcements

July 2026 Healthcare Compliance Updates: Licensure, Board Rules, and Workforce Changes