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...

Credentialing Requirements by State: A Guide for Healthcare Providers

A healthcare provider’s credentials refer to their education, training, and the licenses or certifications they’ve earned before or during their career. ‘Credentialling’ is a little different, referring to the formal process—often conducted by a government agency or...

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...

2026 Guide to Healthcare Background Checks

Although the overwhelming majority of healthcare professionals prioritize compliance, medical ethics, and patient safety, the unfortunate reality is that some do not. It's for this reason that healthcare background check requirements remain strict. However, regulatory...
2026 Guide to Healthcare Background Checks

2026 Guide to Healthcare Background Checks

Although the overwhelming majority of healthcare professionals prioritize compliance, medical ethics, and patient safety, the unfortunate reality is that some do not. It's for this reason that...

Trends in Healthcare Compliance Monitoring

Trends in Healthcare Compliance Monitoring

As one of the most heavily regulated industries, healthcare compliance involves adhering to a number of regulations that are enforced at different jurisdictional levels. Laws and regulations range...

Webinars & Compliance Updates

July Regulatory Update

July Regulatory Update

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: Legislation has been passed as of...

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July Regulatory Update

June Regulatory Update

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. Centers for Medicare & Medicaid Services: The US Department of...

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July Regulatory Update

May Regulatory Update

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.    Arizona:  Legislation to join the APRN Compact has passed the...

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