Healthcare Compliance Resources
Single source for healthcare compliance best practices, regulatory updates, and industry news.
Mastering the Mental Health Credentialing Process
Credentialing is a crucial process for mental health providers. However, given the extensive amount of paperwork and proof required, credentialing can also feel overwhelming—especially for those who...
Why Insurance Credentialing Matters
What Is Insurance Credentialing? Medical insurance credentialing is the process by which healthcare providers and organizations are verified and approved to participate in an insurance company’s...
Understanding the Difference Between Payer Enrollment and Credentialing
Payer enrollment and credentialing are two processes that determine whether a clinician can treat patients and receive payment. Though often confused, these are distinct workflows with different...
4 Must Know Healthcare Regulations
Healthcare regulations are a lot, but they don’t have to be overwhelming. Just when you think you’ve got HIPAA down,...
Uncovering Compliance Issues Across Healthcare Settings
For many healthcare organizations, “compliance” might mean endless paperwork, or stressful audits — and yes, sometimes...
How to Choose the Best Provider Credentialing Software
Given the critical nature of the healthcare industry, provider credentialing is non-negotiable. But the best...
Mastering NCQA Compliance: Credentialing & Monitoring Simplified
Navigating NCQA’s 2025 Credentialing & Monitoring Requirements What You Need to Know: The National Committee for...
How Healthcare Organizations Can Prepare for Upcoming Compliance Audits
If you’re responsible for compliance in your healthcare organization, you probably don’t need a reminder that...
Reducing Payment Integrity Issues in Health Plan Claims Processing
The complexity of the healthcare system and health plan claims processing leaves room for many errors. Unfortunately,...
Webinars & Compliance Updates
December 2024 Healthcare Compliance Updates
– The best resource for monthly healthcare regulatory compliance updates. Compliance Updates: December 2024 Overlook: Federal Legislation DEA Licensure Compacts Other Legislation Board Updates US HHS & DEA: The Drug Enforcement Administration (DEA) and Department...
November 2024 Regulatory Compliance Updates
– The best resource for monthly healthcare regulatory compliance updates. Compliance Updates: November 2024 Overlook: Other Legislation Board Updates Alabama: The Alabama Board of Pharmacy has issued a policy statement on pharmacist licensure via reciprocity. An...
October 2024 Regulatory Compliance Updates
– The best resource for monthly healthcare regulatory compliance updates. Compliance Updates: October 2024 Overlook: Licensure Compacts Other Legislation Board Updates Interstate Medical Licensure Compact (IMLC): Pennsylvania has reached a partial implementation of...
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