Healthcare Compliance Resources

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

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,...

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...

Provider Sanctions And Sanction Monitoring Best Practices

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 affiliated entity. Employing an individual will jeopardize a healthcare...

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...

A Comprehensive Approach to Healthcare Provider Credentialing

Dec 8, 2022

In today's dynamic healthcare landscape, providers often transition across state lines and navigate various license types. For healthcare organizations aiming to maintain the highest standards of...