Healthcare Compliance Resources

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

Automating Credential Expiration Tracking Across Large Teams

Healthcare organizations discover credential lapses in a similar way: A compliance leader pulls a report and realizes a provider's license expired weeks ago, even though the tracking spreadsheet showed a renewal date months away. The data was wrong, and the provider...

Enterprise Provider and Entity Credentialing Challenges (and How to Solve Them)

Provider and entity credentialing verifies that healthcare practitioners, facilities, and business entities meet the qualifications, licensure, enrollment, certification, and compliance requirements needed to participate in patient care, network, employment,...

What Healthcare Organizations Look for in a Compliance Data Provider

Healthcare organizations face many complexities in compliance monitoring: more regulations, more provider types, more data sources, and higher consequences for gaps in verification. Selecting the right compliance data provider directly affects patient safety,...

The Benefits of Continuous Background Checks in Healthcare Staffing

A background check confirms who a provider is at the moment of hire, but it does not confirm who they remain over time. In the healthcare industry, that gap creates measurable risk. A provider’s license can lapse, a sanction can be issued, or a criminal background...

How Health Plans Can Meet 2026 Network Adequacy Requirements

Medicaid certification for network adequacy is entering a new era of regulation. Beginning in 2026, health plans face stricter federal standards, independent validation requirements, and continuous monitoring expectations that change how organizations demonstrate...
FACIS vs Other Healthcare Exclusion Databases

FACIS vs Other Healthcare Exclusion Databases

For healthcare compliance leaders, exclusion screening is not a routine administrative task; it is one of the most scrutinized elements of regulatory oversight. Civil monetary penalties, repayment...

Webinars & Compliance Updates

August 2025 Federal & State Policy Updates in Healthcare

August 2025 Federal & State Policy Updates in Healthcare

Federal Updates CONNECT for Health Act of 2025 (H.R. 4206) Representative Mike Thompson (D-CA) recently introduced the bipartisan CONNECT for Health Act of 2025 (H.R. 4206). This bill aims to permanently extend the telehealth flexibilities, which expire on September...

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July 2025 Key Legislative Developments Impacting Healthcare 

July 2025 Key Legislative Developments Impacting Healthcare 

This month, we delve into federal legislative activities and state policy updates that significantly impact the healthcare sector. Notable highlights include H.R. 1 and the establishment of the Rural Health Transformation Fund, the reintroduction of the Resident...

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NCQA Requirements | On Demand Webinar

NCQA Requirements | On Demand Webinar

Is Your Organization Ready for NCQA’s 2025 Compliance Changes?On July 1, 2025, NCQA will require real-time license monitoring, shortened credentialing timeframes, and new Medicare, Medicaid, and demographic data expectations. Join Verisys’ compliance and credentialing...

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