Healthcare Compliance Resources

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

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...

Why Risk Management is Critical in Healthcare: Protecting Patients and Providers

Risk management in healthcare is about more than just preventing potential consequences—to effectively mitigate risks, healthcare organizations need proactive, data-driven approaches that protect patients, employees, and the bottom line. This is why patients,...

What is a Healthcare Compliance Officer?

As government agencies and national regulatory organizations continue to pass new laws and regulations, the role of a healthcare compliance officer (HCO) has become more critical than ever. Healthcare organizations depend on compliance officers to ensure their...

Navigating NCQA’s 2025 Credentialing & Monitoring Requirements

The National Committee for Quality Assurance (NCQA) has announced significant updates to its credentialing and monitoring requirements, effective July 1, 2025. These changes are designed to enhance patient safety, data accuracy, and compliance efficiency for health...

How to Ensure Provider Data Accuracy Across Systems

What Is Provider Data Accuracy? Provider data accuracy refers to the completeness, consistency, and up-to-date nature of healthcare provider information across various systems and databases. It encompasses crucial details such as credentials, specialties, locations,...

Navigating NCQA’s 2025 Credentialing & Monitoring Requirements

Feb 10, 2025

The National Committee for Quality Assurance (NCQA) has announced significant updates to its credentialing and monitoring requirements, effective July 1, 2025. These changes are designed to enhance...

How to Ensure Provider Data Accuracy Across Systems

Feb 6, 2025

What Is Provider Data Accuracy? Provider data accuracy refers to the completeness, consistency, and up-to-date nature of healthcare provider information across various systems and databases. It...

What Is Provider Data Management in Healthcare?

Feb 6, 2025

What Is Provider Data Management? Provider data management in healthcare is the systematic process of collecting, organizing, and maintaining accurate information about healthcare providers....