Healthcare Compliance Resources

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

A Strategic Guide to Modern Provider Network Monitoring

Provider network monitoring requires continuous oversight of every provider in an organization’s network to verify credentials, detect sanctions and exclusions, and confirm regulatory compliance across an increasingly complex healthcare environment. In many healthcare...

How OIG Monitoring Strengthens Patient Safety and Compliance

OIG monitoring is the recurring process of screening employees, contractors, providers, and vendors against the OIG List of Excluded Individuals and Entities (LEIE) to identify individuals or entities excluded from participation in federally funded healthcare...

The Importance of Exclusion Screening in Healthcare

Healthcare organizations that employ or contract with excluded individuals face severe civil monetary penalties, repayment of all associated claims, and potential loss of Medicare and Medicaid participation. The stakes are clear: exclusion screening is not optional...

Market vs Verisys for Eligibility & Payment Integrity

Why Eligibility and Payment Integrity Matter More Than Ever Every improper payment tells a story, not just about a claim, but about the controls behind it. For health plans, eligibility and payment integrity are no longer back-office functions. They are board-level...

Physician Onboarding Checklist

Hiring a new practitioner is a complex process for many healthcare entities. A physician onboarding checklist can help guide this process by clearly outlining the key steps required to onboard a new provider. For a physician or nurse signing on as a new provider,...

Market vs Verisys for Eligibility & Payment Integrity

Mar 12, 2026

Why Eligibility and Payment Integrity Matter More Than Ever Every improper payment tells a story, not just about a claim, but about the controls behind it. For health plans, eligibility and payment...

Physician Onboarding Checklist

Mar 8, 2026

Hiring a new practitioner is a complex process for many healthcare entities. A physician onboarding checklist can help guide this process by clearly outlining the key steps required to onboard a new...

What Is Human Capital Management As It Relates To Healthcare?

Feb 28, 2026

Human Capital Management (HCM) in the healthcare industry is the strategic approach to recruiting, managing, developing, and retaining healthcare professionals to support high-quality patient care,...

Physician and Surgeon License Verification in California

Jan 28, 2026

Physician License Verification in California – The New Letters of Good Standing If your hospital or medical clinic is...

A Beginner’s Guide to CVO Credentialing

Jan 26, 2026

Proper credentialing keeps healthcare organizations running smoothly. Without continuous, verifiable credentialing,...

What Is a PTAN Number and Why Is It Important for Healthcare Providers?

Jan 26, 2026

Because Medicare’s expansive system can be susceptible to fraud, it’s critical to identify and authenticate providers...

What is Data Governance in Healthcare and Why Is It So Crucial?

Jan 22, 2026

Data governance in healthcare is the framework of policies, processes, and technologies used to manage, protect, and...

2026 Guide to Healthcare Background Checks

Jan 17, 2026

Although the overwhelming majority of healthcare professionals prioritize compliance, medical ethics, and patient...

What is DSCSA Compliance?

Jan 8, 2026

What is DSCSA? The Drug Supply Chain Security Act (DSCSA) is an important regulation aimed at enhancing the security...

Webinars & Compliance Updates

NCQA Requirements | On Demand Webinar

Jun 13, 2025 |

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...

May 2025 Healthcare Compliance Updates

May 12, 2025 |

– 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...

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...