Healthcare Compliance Resources

Single source for healthcare compliance best practices, regulatory updates, and industry news.

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, independent validation requirements, and continuous monitoring expectations that change how organizations demonstrate...

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 regulatory oversight. Civil monetary penalties, repayment exposure, audit findings, and reputational risk often trace back to one...

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...

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 sanctions history again.” With this, entire departments can come to a standstill. What looked like a routine provider...

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...

Webinars & Compliance Updates

December 2023 Regulatory Compliance Updates

December 2023 Regulatory Compliance Updates

– The best resource for monthly healthcare regulatory compliance updates. Compliance Updates: December 2023 Overlook: Federal Legislation DEA Licensure Compacts Other Legislation Board Updates   Federal Legislation: The TREATS Act has been proposed which would...

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December 2023 Regulatory Compliance Updates

November 2023 Regulatory Compliance Updates

– The best resource for monthly healthcare regulatory compliance updates. Compliance Updates: November 2023 Here is our monthly regulatory update. See below for changes from several states introducing legislation. A big thanks to our compliance team, who monitors...

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December 2023 Regulatory Compliance Updates

October Regulatory Update

– The best resource for monthly updates. Here is our monthly regulatory update. See below for changes from several states introducing legislation. A big thanks to our compliance team, who monitors state, federal, and international updates. Alabama:  License renewals...

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