Healthcare Compliance Resources

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

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,...

How Hospitals Can Reduce Credentialing Delays and Data Gaps

Hospital credentialing verifies a practitioner’s qualifications, including licensure, education, training, sanctions history, and other required information. Privileging is a separate process that authorizes the practitioner to perform specific services at the...

What are Healthcare Provider Voluntary Compliance Programs?

Compliance with the Office of Inspector General (OIG) is not just best practice but a legal requirements not just best practice but a legal requirement. Having a partner with a Gold Standard monitoring data set is the number one way to stay compliant with OIG and all...

December 2023 Bad Actors Roundup

Each month we will give a roundup of recent healthcare fraudsters and compliance busters. Here is a round up of bad actors: Physician Fraud Two Suburban Chicago Physicians Sentenced to Federal Prison for Health Care Fraud Full Story Brooklyn Cardiologist...

PBSA Better Know a Provider Spotlight

Better Know a Provider – United States Originally prepared for and published by PBSA in the Nov-Dec 2023 edition of the Journal. Read the full issue here: https://thepbsa.org/resources/publications/ The Provider Advisory Group of the U.S. Council is...

December 2023 Bad Actors Roundup

Jan 2, 2024

Each month we will give a roundup of recent healthcare fraudsters and compliance busters. Here is a round up of bad actors: Physician Fraud Two Suburban Chicago Physicians Sentenced to...

PBSA Better Know a Provider Spotlight

Dec 15, 2023

Better Know a Provider – United States Originally prepared for and published by PBSA in the Nov-Dec 2023 edition of the Journal. Read the full issue here:...

Healthcare Fraud Crackdown: Telehealth Fraud & Improper Billing Scams | Verisys

Dec 13, 2023

Healthcare Fraud Crackdown! Each month we will give a roundup of recent healthcare fraudsters and compliance busters. Here is a round up of bad actors: Physician Tennessee Nurse Practitioner...