Healthcare Compliance Resources

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

Closing the DMEPOS Screening Gap in Medicare Advantage: How FACIS Helps MAOs Stay Ahead of Fraud

A HHS Office of Inspector General issue brief (OEI-02-24-00310, September 2026) delivers a clear warning to Medicare Advantage organizations: the screening gaps that let fraudulent durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) suppliers bill...

Creating a Single Source of Truth for Provider Data

Healthcare organizations often manage provider information across credentialing platforms, HR systems, provider directories, compliance tools, committees, enrollment systems, and claims workflows. When those systems maintain different versions of the same record,...

Provider Eligibility Verification in Claims Processing Explained

Provider eligibility verification in claims processing confirms whether a healthcare provider is qualified, authorized, and free from disqualifying compliance issues before that provider is connected to a claim, authorization, prescription, referral, or reimbursement...

What to Do If You Fail a Joint Commission Credentialing Audit

Receiving adverse findings during a Joint Commission credentialing audit can create compliance, accreditation, and operational challenges. While findings should be addressed quickly, most organizations can regain compliance through structured corrective action and...

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...

Webinars & Compliance Updates

December 2025 Legislative and Compliance Healthcare Updates

December 2025 Legislative and Compliance Healthcare Updates

    Federal and state enforcement actions continued to close out 2025, reinforcing the importance of strong compliance oversight across healthcare operations. December’s updates highlight intensified mental health parity enforcement, renewed congressional...

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November 2025 Legislative and Compliance Healthcare Updates

November 2025 Legislative and Compliance Healthcare Updates

    Welcome to the November 2025 edition of Verisys’ Legislative and Compliance Update. This month brings notable developments in federal data security oversight, Medicare enrollment, and significant state-level provider misconduct. These updates underscore...

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October 2025 Legislative and Compliance Healthcare Updates

October 2025 Legislative and Compliance Healthcare Updates

Empowering Compliance Professionals Through Awareness and Insight From the expiration of key Medicare telehealth flexibilities to new cybersecurity mandates in New York and expanded oversight of private equity healthcare acquisitions in California, October 2025 brings...

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