Payment Integrity

Simplify Payment Processes and Reduce Risk with Verisys Payment Eligibility Solutions

Healthcare Fraud in the Digital Age: New Challenges and Solutions

Healthcare fraud prevention is paramount. It’s crucial for regulatory compliance, it promotes patient safety, and it supports organizational success. But healthcare is evolving: As new technologies enter the market, so are new fraud risks. Fraud, waste, and abuse...

What Is Payer Contracting in Healthcare?

Receiving fair payment from insurance companies depends on one critical process: payer contracting. These agreements specify reimbursement terms, which directly impacts your hospital’s revenue cycle performance. But managing payer contracts can be overwhelming,...

What Is Payer Contracting in Healthcare?

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...

Five Ways Payers Can Improve Provider Responsiveness

By Scott Alsup Consider partnering with a Credentials Verification Organization (CVO) to save time and expedite your provider credentialing. It can be difficult for health plans to complete provider credentialing without the help of a CVO. As the largest CVO in the...

Rising Importance of Healthcare Governance in 2026

Aug 19, 2025

Governance in healthcare exists to keep the patient safe. It is the glue that keeps the different departments of the...

Five Ways Payers Can Improve Provider Responsiveness

Jan 4, 2022

By Scott Alsup Consider partnering with a Credentials Verification Organization (CVO) to save time and expedite your...

What is Risk Management in Healthcare?

Dec 4, 2020

Patient safety takes first priority in healthcare. To protect patients and reduce the possibility of injury, it is...

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

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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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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...

Payment Integrity

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

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