Healthcare Regulations

Keeping up with complex healthcare regulations is essential to ensure operational integrity and compliance. From OIG and CMS requirements to state-specific mandates, our blog covers the latest regulatory updates and strategies. Explore how policy changes affect credentialing, provider data management, and risk assessment, and learn how to implement proactive compliance measures. Stay informed with our expert analysis and industry-leading insights.

Navigating Today’s Biggest Legal Issues in Healthcare

Patients want optimum healthcare and are willing to sue if they get anything short of that. Regulatory bodies also have a high standard for healthcare providers and professionals. Digital healthcare and telemedicine have brought even more risk to the picture. The...

Rising Importance of Healthcare Governance in 2026

Governance in healthcare exists to keep the patient safe. It is the glue that keeps the different departments of the healthcare organization working correctly for the greater good of the patient. Good governance is necessary and should be optimized at all times to...

4 Must Know Healthcare Regulations

Healthcare regulations are a lot, but they don’t have to be overwhelming. Just when you think you’ve got HIPAA down, MACRA changes the game. And somewhere in between, you’re trying to keep patients safe, staff informed, and your legal team happy. The good news is you...

Mastering NCQA Compliance: Credentialing & Monitoring Simplified

Navigating NCQA’s 2025 Credentialing & Monitoring Requirements What You Need to Know: The National Committee for Quality Assurance (NCQA) has announced significant updates to its credentialing and monitoring requirements, effective July 1, 2025. These changes are...

A Guide to the National Practitioner Data Bank (NPDB)

In healthcare, ensuring that providers meet rigorous professional standards isn’t just important—it’s essential. Patients put their trust in qualified professionals, and healthcare organizations must uphold accountability, confidentiality, and safety at every level. ...

Mastering NCQA Compliance: Credentialing & Monitoring Simplified

May 21, 2025

Navigating NCQA’s 2025 Credentialing & Monitoring Requirements What You Need to Know: The National Committee for...

A Guide to the National Practitioner Data Bank (NPDB)

Apr 3, 2025

In healthcare, ensuring that providers meet rigorous professional standards isn’t just important—it’s essential....

7 Things You Need to Know About the CMS Preclusion List

Apr 1, 2025

When the Centers for Medicare and Medicaid Services’ (CMS) Medicare Preclusion List went into effect in 2019, it added...

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...

Everything You Need To Know About NPI Numbers

Jan 29, 2025

What Are NPI Numbers? NPI (National Provider Identifier) numbers are 10-digit numerical identifiers that uniquely...

Pharmaceutical Manufacturers Guide to OIG Compliance

Feb 8, 2024

Verisys can assist pharmaceutical manufacturers in maintaining compliance with OIG guidelines and other regulatory...

6 Critical Checkpoints Pharmaceutical Companies Need to Stay Compliant

Feb 7, 2024

Transparency Brings Greater Protection. The more you know about the people in your organization, the safer you are...

What is a Healthcare Compliance Audit?

Jan 8, 2024

Healthcare is a high-risk industry; auditing is the systematic and objective process that mitigates risk. Healthcare...

The Importance of NCQA Certification for CVOs

Dec 1, 2023

The Importance of NCQA Certification for CVOs Verifying credentials for practitioners and affiliated organizations is...

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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.

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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The best resource for monthly healthcare regulatory compliance updates.

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December 2025 Legislative and Compliance Healthcare Updates

Federal and state enforcement actions continued to close out 2025, reinforcing the importance of strong compliance oversight across healthcare operations. December’s updates highlight intensified mental health parity enforcement, renewed congressio...

Healthcare Regulations

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

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December 2025 Legislative and Compliance Healthcare Updates