Healthcare Compliance Resources

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

Healthcare Identity Verification: Why It Matters More Than Ever

Healthcare-related identity fraud is on the rise in the United States. The 2025 National Health Care Fraud Takedown found over $10.6 billion in fraudulent claims from more than one million stolen identities across all 50 states. With this increasing potential for...

Provider Onboarding: Best Practices for Healthcare Organizations

Imagine a new provider is scheduled to start on Monday at your healthcare organization. Patients are booked weeks out, and the department is counting on the extra coverage. However, late Friday afternoon, operations reports that they’re still missing primary source...

The Importance of Healthcare Sanction Screening for Workforce Integrity

The healthcare sanctions background check process remains one of the most critical operations for direct care organizations in 2025. For health systems, pharmacies, health plans, and other entities, healthcare sanction screening supports compliance efforts and ensures...

Credentialing Requirements by State: A Guide for Healthcare Providers

A healthcare provider’s credentials refer to their education, training, and the licenses or certifications they’ve earned before or during their career. ‘Credentialling’ is a little different, referring to the formal process—often conducted by a government agency or...

Ensuring Provider Directory Accuracy for Improved Patient Access

Patients normally research networks and providers before they enroll in a new healthcare plan or seek medical care from a new specialist. However, a 2023 study found over 80% of provider directory listings across five payers demonstrated inconsistencies or...

Credentialing Requirements by State: A Guide for Healthcare Providers

Oct 17, 2025

A healthcare provider’s credentials refer to their education, training, and the licenses or certifications they’ve earned before or during their career. ‘Credentialling’ is a little different,...

Ensuring Provider Directory Accuracy for Improved Patient Access

Oct 17, 2025

Patients normally research networks and providers before they enroll in a new healthcare plan or seek medical care from a new specialist. However, a 2023 study found over 80% of provider directory...

2026 Guide to Healthcare Background Checks

Oct 17, 2025

Although the overwhelming majority of healthcare professionals prioritize compliance, medical ethics, and patient safety, the unfortunate reality is that some do not. It's for this reason that...

Understanding the Difference Between Payer Enrollment and Credentialing

Aug 19, 2025

Payer enrollment and credentialing are two processes that determine whether a clinician can treat patients and receive...

Navigating Today’s Biggest Legal Issues in Healthcare

Aug 19, 2025

Patients want optimum healthcare and are willing to sue if they get anything short of that. Regulatory bodies also...

What Is Payer Contracting in Healthcare?

Aug 19, 2025

Receiving fair payment from insurance companies depends on one critical process: payer contracting. These agreements...

Rising Importance of Healthcare Governance in 2026

Aug 19, 2025

Governance in healthcare exists to keep the patient safe. It is the glue that keeps the different departments of the...

How to Keep Provider Credentials Updated Across All States

Jul 8, 2025

How do you keep up with credentialing when your providers are in five, ten, or even twenty states? For many healthcare...

Navigating Telehealth Credentialing and Compliance

Jul 8, 2025

As telehealth becomes a core part of healthcare delivery, providers looking to offer virtual care must figure out how...

Webinars & Compliance Updates

May 2025 Healthcare Compliance Updates

May 12, 2025 |

– The best resource for monthly healthcare regulatory compliance updates. May 2025 Monthly Healthcare Compliance News Overlook: Licensure Compacts Other Legislation Board Updates Arkansas: Arkansas becomes the 43rd member of Interstate Medical Licensure...

February 2025 Healthcare Compliance Updates

Feb 7, 2025 |

– The best resource for monthly healthcare regulatory compliance updates. Monthly Healthcare Compliance News: February 2025 Overlook: DEA Licensure Compacts Other Legislation Board Updates Drug Enforcement Administration (DEA): The DEA has issued rules addressing...

January 2025 Healthcare Compliance Updates

Jan 7, 2025 |

– The best resource for monthly healthcare regulatory compliance updates. Monthly Healthcare Compliance News: January 2025 Overlook: Federal Legislation Licensure Compacts Other Legislation Board Updates US Department of Health and Human Services: The...