Healthcare Compliance Resources

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

How Negligent Credentialing Increases Medical Malpractice Exposure

Negligent credentialing exposes healthcare organizations to direct legal liability beyond any individual physician's malpractice. When a facility fails to properly verify and monitor provider qualifications, it faces claims rooted in its own procedural failures rather...

Why Provider Eligibility Matters in Workers’ Compensation Claims

Provider eligibility in workers’ compensation is not just a credentialing requirement. It directly determines whether a claim can be paid. When eligibility is not verified accurately and continuously, organizations risk reimbursing ineligible providers, triggering...

Healthcare Exclusion Monitoring – Why It Is So Important to Healthcare Compliance?

Healthcare exclusion monitoring is critical to healthcare compliance because employing or contracting with an excluded provider can result in severe financial penalties, loss of federal program eligibility, and reputational damage. Federal and state exclusion lists...

How To Strengthen Your Pharmacy Compliance and Reduce Risk

What Is Pharmacy Compliance? In essence, pharmacy compliance is an ongoing commitment to abide by all laws, regulations, and professional standards that guide how a pharmacy operates. The goal is to ensure that every prescription is filled accurately, every patient’s...

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 to Choose the Right Credentialing Vendor

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...

How Often Should You Check the OIG Exclusion List?

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...

What is OIG Compliance?

What is OIG Compliance?

OIG compliance refers to adherence to the guidelines and regulations set forth by the Office of Inspector General...

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Webinars & Compliance Updates

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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May 2025 Healthcare Compliance Updates

May 2025 Healthcare Compliance Updates

– The best resource for monthly healthcare regulatory compliance updates. May 2025 Monthly Healthcare Compliance News Overlook: Licensure Compacts Other Legislation Board Updates   Arkansas: Arkansas becomes the 43rd member of Interstate Medical Licensure...

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February 2025 Healthcare Compliance Updates

February 2025 Healthcare Compliance Updates

– 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...

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