Healthcare Compliance Resources

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

Healthcare Fraud in the Digital Age: New Challenges and Solutions

Healthcare fraud prevention is paramount. It’s crucial for regulatory compliance, it promotes patient safety, and it supports organizational success. But healthcare is evolving: As new technologies enter the market, so are new fraud risks. Fraud, waste, and abuse...

Why Risk Management is Critical in Healthcare: Protecting Patients and Providers

Risk management in healthcare is about more than just preventing potential consequences—to effectively mitigate risks, healthcare organizations need proactive, data-driven approaches that protect patients, employees, and the bottom line. This is why patients,...

Unlocking the Basics of Medical Credentialing Requirements

"Medical credentialing": the tedious but necessary process of verifying a provider’s credentials, including license(s) and exclusion status, education, and training. This process ensures that providers in your organization have the qualifications to deliver quality...

Verisys- Healthcare Fraud and Abuse

3 Healthcare Fraud and Abuse Laws Providers Should Know About In 2021, the Department of Justice reported recovering over $5.5 billion from settlements due to fraud and false claims. This is the largest amount recovered under the False Claims Act since 2014....

A Story About Provider Data

While leaving her house to visit her grandson, Sue falls and twists her knee. At the emergency room, the doctors begin a series of tests to discover what’s wrong with her knee. Unfortunately, Sue’s knee injury is complex. It will take months for her to recover, and as...

Verisys- Healthcare Fraud and Abuse

Mar 23, 2023

3 Healthcare Fraud and Abuse Laws Providers Should Know About In 2021, the Department of Justice reported recovering over $5.5 billion from settlements due to fraud and false claims. This is...

A Story About Provider Data

Feb 24, 2023

While leaving her house to visit her grandson, Sue falls and twists her knee. At the emergency room, the doctors begin a series of tests to discover what’s wrong with her knee. Unfortunately, Sue’s...

Provider Sanctions And Sanction Monitoring Best Practices

Jan 25, 2023

Did you know within an average population of medical professionals, 2-5% of individuals are on a provider sanction list? A medical sanction is detrimental to the excluded individual and the...