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...

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...

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...

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. ...

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...

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....

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...

How Verisys Contributes to HCM

Mar 1, 2024

Learn about Human Capital Management here. Verisys stands at the forefront of enhancing Human Capital Management (HCM)...

Provider Sanctions And Sanction Monitoring Best Practices

Jan 25, 2023

Did you know within an average population of medical professionals, 2-5% of individuals are on a provider sanction...

Understanding A FACIS Level 3 Background Check

Dec 2, 2022

Patient safety increases when healthcare organizations thoroughly verify the identity, credentials, and backgrounds of...

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.

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.

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

How Health Plans Can Meet 2026 Network Adequacy Requirements

Medicaid certification for network adequacy is entering a new era of regulation. Beginning in 2026, health plans face stricter federal standards,...

FACIS vs Other Healthcare Exclusion Databases

For healthcare compliance leaders, exclusion screening is not a routine administrative task; it is one of the most scrutinized elements of...

The Importance of Exclusion Screening in Healthcare

Healthcare organizations that employ or contract with excluded individuals face severe civil monetary penalties, repayment of all associated claims,...

Market vs Verisys for Eligibility & Payment Integrity

Why Eligibility and Payment Integrity Matter More Than Ever Every improper payment tells a story, not just about a claim, but about the controls...

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Company news and Verisys updates.

February 2026 Legislative and Compliance Healthcare Updates

This month’s compliance landscape features a major federal fraud enforcement action, a state-level government audit revealing critical data privacy failures, multi-state provider license revocations, and a reminder of the New Jersey Board of Pharmacy’s robust oversi...

Provider Data Solutions

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

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

Healthcare Industries We Serve

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Monthly Compliance Updates

Company Announcements

February 2026 Legislative and Compliance Healthcare Updates