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,...

Why Provider Data Validation Is Critical to Reducing Risk in Healthcare

To expedite clinical progress and maximize the chances of positive outcomes, patients need to match with suitable, qualified healthcare providers. Provider data helps patients choose the right healthcare professional for their needs, but it’s often inconsistent. In...

Credentialing KPIs Every Healthcare Executive Should Track

It usually starts with a message no healthcare executive wants to see: “We can’t move this provider through credentialing until we verify their sanctions history again.” With this, entire departments can come to a standstill. What looked like a routine provider...

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...

Credentialing KPIs Every Healthcare Executive Should Track

Dec 30, 2025

It usually starts with a message no healthcare executive wants to see: “We can’t move this provider through credentialing until we verify their sanctions history again.” With this, entire...

Healthcare Fraud in the Digital Age: New Challenges and Solutions

Nov 16, 2025

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...

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

Nov 16, 2025

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...

Mastering the Mental Health Credentialing Process

Sep 15, 2025

Credentialing is a crucial process for mental health providers. However, given the extensive amount of paperwork and...

Why Insurance Credentialing Matters

Sep 15, 2025

What Is Insurance Credentialing? Medical insurance credentialing is the process by which healthcare providers and...

Understanding the Difference Between Payer Enrollment and Credentialing

Aug 19, 2025

Payer enrollment and credentialing are two processes that determine whether a clinician can treat patients and receive...

Navigating Today’s Biggest Legal Issues in Healthcare

Aug 19, 2025

Patients want optimum healthcare and are willing to sue if they get anything short of that. Regulatory bodies also...

What Is Payer Contracting in Healthcare?

Aug 19, 2025

Receiving fair payment from insurance companies depends on one critical process: payer contracting. These agreements...

Rising Importance of Healthcare Governance in 2026

Aug 19, 2025

Governance in healthcare exists to keep the patient safe. It is the glue that keeps the different departments of the...

Webinars & Compliance Updates

February 2025 Healthcare Compliance Updates

Feb 7, 2025 |

– The best resource for monthly healthcare regulatory compliance updates. Monthly Healthcare Compliance News: February 2025 Overlook: DEA Licensure Compacts Other Legislation Board Updates Drug Enforcement Administration (DEA): The DEA has issued rules addressing...

January 2025 Healthcare Compliance Updates

Jan 7, 2025 |

– The best resource for monthly healthcare regulatory compliance updates. Monthly Healthcare Compliance News: January 2025 Overlook: Federal Legislation Licensure Compacts Other Legislation Board Updates US Department of Health and Human Services: The...

December 2024 Healthcare Compliance Updates

Dec 10, 2024 |

– 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...