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Provider Data Solutions

Accurate and reliable provider data is the cornerstone of healthcare compliance, credentialing, and network integrity. Our blog explores how advanced provider data solutions improve accuracy, reduce fraud risks, and enhance operational efficiency. Stay updated on the latest trends, best practices, and innovative technologies in provider data management. Learn how data-driven strategies can transform healthcare operations and ensure regulatory compliance.

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. Provider data helps patients choose the right healthcare professional for their needs, but it’s often inconsistent. In...
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Ensuring Provider Directory Accuracy for Improved Patient Access

Patients normally research networks and providers before they enroll in a new healthcare plan or seek medical care from a new specialist. However, a 2023 study found over 80% of provider directory listings across five payers demonstrated inconsistencies or...
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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...
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What is FACIS©? A Guide to the Fraud Abuse Control Information System

In this post, we’ll break down everything you need to know about FACIS background checks—from the baseline FACIS Level 1M screening that fulfills OIG and CMS requirements, to the industry‑leading FACIS Level 3 that aggregates thousands of state and federal sanction...
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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. ...
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