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...

ROI of Outsourced Medical Credentialing

The rapid growth of the healthcare system places a demand on healthcare facilities to onboard more providers to expedite patient care. This translates to long hours spent on provider verification, credentialing, and paperwork, which can sway admin teams. For...

Why Vendor Credentialing is a Compliance Must-Have for Health Systems

The healthcare industry is sustained by rules and regulations that hospitals must comply with. These hospitals must also maintain relationships only with vendors and suppliers who are compliant with these regulations. Just as with provider credentialing,...

What is FACIS©? A Guide to the Fraud Abuse Control Information System

In this post, we’ll break down everything you need to know about FACIS background checks—from the baseline FACIS Level 1M screening that fulfills OIG and CMS requirements, to the industry‑leading FACIS Level 3 that aggregates thousands of state and federal sanction...

Why Vendor Credentialing is a Compliance Must-Have for Health Systems

May 15, 2025

The healthcare industry is sustained by rules and regulations that hospitals must comply with. These hospitals must also maintain relationships only with vendors and suppliers who are...

What is FACIS©? A Guide to the Fraud Abuse Control Information System

Apr 8, 2025

In this post, we’ll break down everything you need to know about FACIS background checks—from the baseline FACIS Level 1M screening that fulfills OIG and CMS requirements, to the industry‑leading...

Avoiding Costly Credentialing Issues in Healthcare

Apr 3, 2025

Credentialing is the backbone of healthcare, ensuring providers are qualified, compliant, and trusted by patients. However, the process itself can be complicated and time-consuming—and when things...