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...

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...

The Importance of Exclusion Screening in Healthcare

Healthcare organizations that employ or contract with excluded individuals face severe civil monetary penalties, repayment of all associated claims, and potential loss of Medicare and Medicaid participation. The stakes are clear: exclusion screening is not optional...
FACIS vs Other Healthcare Exclusion Databases

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...

The Importance of Exclusion Screening in Healthcare

The Importance of Exclusion Screening in Healthcare

Healthcare organizations that employ or contract with excluded individuals face severe civil monetary penalties, repayment of all associated claims, and potential loss of Medicare and Medicaid...

Market vs Verisys for Eligibility & Payment Integrity

Market vs Verisys for Eligibility & Payment Integrity

Why Eligibility and Payment Integrity Matter More Than Ever Every improper payment tells a story,  not just about a claim, but about the controls behind it. For health plans, eligibility and payment...

Webinars & Compliance Updates

December 2025 Legislative and Compliance Healthcare Updates

December 2025 Legislative and Compliance Healthcare Updates

    Federal and state enforcement actions continued to close out 2025, reinforcing the importance of strong compliance oversight across healthcare operations. December’s updates highlight intensified mental health parity enforcement, renewed congressional...

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November 2025 Legislative and Compliance Healthcare Updates

November 2025 Legislative and Compliance Healthcare Updates

    Welcome to the November 2025 edition of Verisys’ Legislative and Compliance Update. This month brings notable developments in federal data security oversight, Medicare enrollment, and significant state-level provider misconduct. These updates underscore...

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October 2025 Legislative and Compliance Healthcare Updates

October 2025 Legislative and Compliance Healthcare Updates

Empowering Compliance Professionals Through Awareness and Insight From the expiration of key Medicare telehealth flexibilities to new cybersecurity mandates in New York and expanded oversight of private equity healthcare acquisitions in California, October 2025 brings...

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