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...

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 from protecting patients’ data privacy rights under the Health...

3 Reasons to Invest in Healthcare Continuous Monitoring

Monitoring in healthcare is a hot topic. In July, NCQA implemented new license expiration monitoring requirements. Yet, many organizations think about monitoring as a check-the-box need. Many feel that monthly point-in-time monitoring rather than continuous monitoring...

Your Complete Guide to Dental Credentialing Success

Whether you’re looking to expand provider networks or onboard new staff to your practice, dental insurance credentialing is a crucial part of providing high-quality care that aligns with state and industry standards.  But why exactly is dental credentialing so...
Your Complete Guide to Dental Credentialing Success

Your Complete Guide to Dental Credentialing Success

Whether you’re looking to expand provider networks or onboard new staff to your practice, dental insurance credentialing is a crucial part of providing high-quality care that aligns with state and...

Mastering the Mental Health Credentialing Process

Mastering the Mental Health Credentialing Process

Credentialing is a crucial process for mental health providers. However, given the extensive amount of paperwork and proof required, credentialing can also feel overwhelming—especially for those who...

Webinars & Compliance Updates

April Regulatory Update

April 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.  The Fair Credit Reporting Act summary of rights:  On March 20th, the...

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April Regulatory Update

March 2023 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.    Licensure Compacts:  Several states have introduced...

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April Regulatory Update

February Regulatory Update

Here is our monthly regulatory update. See below for changes from the US Department of Justice, California, and Oregon. A big thanks to our compliance team, who monitors state, federal, and international updates.    US Department Of Justice:  Fraudulent Nursing...

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