Healthcare Compliance Resources

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

A Strategic Guide to Modern Provider Network Monitoring

Provider network monitoring requires continuous oversight of every provider in an organization’s network to verify credentials, detect sanctions and exclusions, and confirm regulatory compliance across an increasingly complex healthcare environment. In many healthcare...

How OIG Monitoring Strengthens Patient Safety and Compliance

OIG monitoring is the recurring process of screening employees, contractors, providers, and vendors against the OIG List of Excluded Individuals and Entities (LEIE) to identify individuals or entities excluded from participation in federally funded healthcare...

The Benefits of Continuous Background Checks in Healthcare Staffing

A background check confirms who a provider is at the moment of hire, but it does not confirm who they remain over time. In the healthcare industry, that gap creates measurable risk. A provider’s license can lapse, a sanction can be issued, or a criminal background...

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...
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...

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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