Healthcare Compliance Resources
Single source for healthcare compliance best practices, regulatory updates, and industry news.
A Guide to OPPE and FPPE
Healthcare organizations are under increasing pressure to demonstrate that provider performance is evaluated consistently, fairly, and in line with accreditation standards. For medical staff leaders...
PECOS Enrollment: What Healthcare Organizations Need to Know
PECOS enrollment determines whether your organization can participate in Medicare, receive reimbursement for services, and maintain compliance with federal and state healthcare regulations. Yet many...
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 fraudulent claims from more than one million stolen...
Mastering NCQA Compliance: Credentialing & Monitoring Simplified
Navigating NCQA’s 2025 Credentialing & Monitoring Requirements What You Need to Know: The National Committee for...
How Healthcare Organizations Can Prepare for Upcoming Compliance Audits
If you’re responsible for compliance in your healthcare organization, you probably don’t need a reminder that...
Reducing Payment Integrity Issues in Health Plan Claims Processing
The complexity of the healthcare system and health plan claims processing leaves room for many errors. Unfortunately,...
ROI of Outsourced Medical Credentialing
The rapid growth of the healthcare system places a demand on healthcare facilities to onboard more providers to...
Why Vendor Credentialing is a Compliance Must-Have for Health Systems
The healthcare industry is sustained by rules and regulations that hospitals must comply with. These hospitals...
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...
Webinars & Compliance Updates
January 2024 Regulatory Compliance Updates
– The best resource for monthly healthcare regulatory compliance updates. Compliance Updates: January 2024 Overlook: State Legislation Board Updates California: The Federal Servicemembers Civil Relief Act (SCRA) authorizes servicemembers or their spouses who...
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...
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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