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...

How To Strengthen Your Pharmacy Compliance and Reduce Risk

What Is Pharmacy Compliance? In essence, pharmacy compliance is an ongoing commitment to abide by all laws, regulations, and professional standards that guide how a pharmacy operates. The goal is to ensure that every prescription is filled accurately, every patient’s...

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,...
How to Choose the Right Credentialing Vendor

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...

How Often Should You Check the OIG Exclusion List?

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...

What is OIG Compliance?

What is OIG Compliance?

OIG compliance refers to adherence to the guidelines and regulations set forth by the Office of Inspector General...

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Webinars & Compliance Updates

August 2025 Federal & State Policy Updates in Healthcare

August 2025 Federal & State Policy Updates in Healthcare

Federal Updates CONNECT for Health Act of 2025 (H.R. 4206) Representative Mike Thompson (D-CA) recently introduced the bipartisan CONNECT for Health Act of 2025 (H.R. 4206). This bill aims to permanently extend the telehealth flexibilities, which expire on September...

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July 2025 Key Legislative Developments Impacting Healthcare 

July 2025 Key Legislative Developments Impacting Healthcare 

This month, we delve into federal legislative activities and state policy updates that significantly impact the healthcare sector. Notable highlights include H.R. 1 and the establishment of the Rural Health Transformation Fund, the reintroduction of the Resident...

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NCQA Requirements | On Demand Webinar

NCQA Requirements | On Demand Webinar

Is Your Organization Ready for NCQA’s 2025 Compliance Changes?On July 1, 2025, NCQA will require real-time license monitoring, shortened credentialing timeframes, and new Medicare, Medicaid, and demographic data expectations. Join Verisys’ compliance and credentialing...

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