Healthcare Compliance Resources

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

How Negligent Credentialing Increases Medical Malpractice Exposure

Negligent credentialing exposes healthcare organizations to direct legal liability beyond any individual physician's malpractice. When a facility fails to properly verify and monitor provider qualifications, it faces claims rooted in its own procedural failures rather...

Why Provider Eligibility Matters in Workers’ Compensation Claims

Provider eligibility in workers’ compensation is not just a credentialing requirement. It directly determines whether a claim can be paid. When eligibility is not verified accurately and continuously, organizations risk reimbursing ineligible providers, triggering...

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...

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...

Trends in Healthcare Compliance Monitoring

Oct 16, 2025

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...

3 Reasons to Invest in Healthcare Continuous Monitoring

Oct 9, 2025

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...

Your Complete Guide to Dental Credentialing Success

Sep 15, 2025

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...

What Is Hospital Credentialing?

Feb 2, 2025

Hospital credentialing, sometimes referred to as healthcare credentialing, is the process of verifying that a provider...

What Is Physician Credentialing?

Jan 29, 2025

In healthcare, physician credentialing is a critical process that ensures healthcare providers are competent,...

July 2024 Bad Actors Roundup

Aug 13, 2024

July 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and...

June 2024 Bad Actors Roundup

Jul 25, 2024

June 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and...

May 2024 Bad Actors Roundup

Jun 17, 2024

May 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and...

April 2024 Bad Actors Roundup

May 13, 2024

April 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and...

Webinars & Compliance Updates

February Regulatory Update

Feb 16, 2023 |

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...

December Regulatory Update

Dec 9, 2022 |

California Board of Pharmacy: Enforcement and Compounding Committee Report - On September 30, 2022, Governor Newsom signed A.B. 2194, which changes the continuing education requirements for licensed pharmacy professionals. Beginning on January 1, 2024, all licensed...

November Compliance Update

Nov 13, 2022 |

https://www.youtube.com/watch?v=_HpGAUInmvk Emergency Waivers: Hurricane Ian: Florida: September 23, 2022 - Governor Ron DeSantis declared a state of emergency for 24 counties. Florida’s Surgeon General, Joseph A Ladapo, MD, PhD, has issued the...