Healthcare Compliance Resources

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

Automating Credential Expiration Tracking Across Large Teams

Healthcare organizations discover credential lapses in a similar way: A compliance leader pulls a report and realizes a provider's license expired weeks ago, even though the tracking spreadsheet showed a renewal date months away. The data was wrong, and the provider...

Enterprise Provider and Entity Credentialing Challenges (and How to Solve Them)

Provider and entity credentialing verifies that healthcare practitioners, facilities, and business entities meet the qualifications, licensure, enrollment, certification, and compliance requirements needed to participate in patient care, network, employment,...

Understanding Delegated Credentialing

Imagine a relay race where passing the baton smoothly determines the outcome of the entire event. Now, think of credentialing in healthcare as that race—only instead of runners, it's healthcare providers and organizations ensuring qualifications, compliance,...

How to License Your New Pharmacy

How to Acquire a Pharmacy License The process of becoming a licensed pharmacy can be complex even if you have experience, as every state has different documentation requirements. Pharmacies must obtain all the necessary licenses to meet the necessary professional...

7 Things You Need to Know About the CMS Preclusion List

When the Centers for Medicare and Medicaid Services’ (CMS) Medicare Preclusion List went into effect in 2019, it added restrictions on Medicare payments to certain providers. This article explains the CMS Preclusion List, its effect on healthcare providers, and the...

How to License Your New Pharmacy

Apr 2, 2025

How to Acquire a Pharmacy License The process of becoming a licensed pharmacy can be complex even if you have experience, as every state has different documentation requirements. Pharmacies must...

7 Things You Need to Know About the CMS Preclusion List

Apr 1, 2025

When the Centers for Medicare and Medicaid Services’ (CMS) Medicare Preclusion List went into effect in 2019, it added restrictions on Medicare payments to certain providers. This article explains...

What is Provider Recredentialing?

Mar 17, 2025

Provider Recredentialing is a critical process for healthcare organizations to provide high-quality patient care, maintain compliance, and ensure providers remain fully verified. This complete...