Healthcare Compliance Resources

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

How to Choose the Right Credentialing Vendor

Choosing the right credentialing verification vendor directly affects whether your healthcare organization can maintain compliance, protect patient safety, and operate efficiently. This is especially important when credentialing fails, organizations face delays in...

How Often Should You Check the OIG Exclusion List?

For healthcare organizations, exclusion screening is not a one-time task, it is an ongoing compliance obligation. The question is not whether you should screen against the OIG exclusion list, but how often you should do it to protect your organization, your 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....