Healthcare Compliance Resources

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

The Role of Credentialing Data in Payment Integrity: What Healthcare Plans Miss

Credentialing is the foundation of payment integrity. Every reimbursement decision depends on accurate provider data, from licensure and enrollment to sanctions screening and credentialing status. When that information is incomplete or outdated, healthcare...

The Healthcare Payment Integrity Process

Healthcare payment integrity depends on one thing above all else, and that’s trusted provider data. Health plans use analytics and audits to catch improper payments after the fact; accurate, continuously monitored provider data prevents many of those payments before...

December 2023 Bad Actors Roundup

Each month we will give a roundup of recent healthcare fraudsters and compliance busters. Here is a round up of bad actors: Physician Fraud Two Suburban Chicago Physicians Sentenced to Federal Prison for Health Care Fraud Full Story Brooklyn Cardiologist...

PBSA Better Know a Provider Spotlight

Better Know a Provider – United States Originally prepared for and published by PBSA in the Nov-Dec 2023 edition of the Journal. Read the full issue here: https://thepbsa.org/resources/publications/ The Provider Advisory Group of the U.S. Council is...

Healthcare Fraud Crackdown: Telehealth Fraud & Improper Billing Scams | Verisys

Healthcare Fraud Crackdown! Each month we will give a roundup of recent healthcare fraudsters and compliance busters. Here is a round up of bad actors: Physician Tennessee Nurse Practitioner Sentenced For Her Role In Operating Pill Mill Full Story Snellville...

PBSA Better Know a Provider Spotlight

Dec 15, 2023

Better Know a Provider – United States Originally prepared for and published by PBSA in the Nov-Dec 2023 edition of the Journal. Read the full issue here:...

Healthcare Fraud Crackdown: Telehealth Fraud & Improper Billing Scams | Verisys

Dec 13, 2023

Healthcare Fraud Crackdown! Each month we will give a roundup of recent healthcare fraudsters and compliance busters. Here is a round up of bad actors: Physician Tennessee Nurse Practitioner...

Verisys CEO Recognized Among 2023 ‘Best CEOs’ by Comparably

Dec 11, 2023

Verisys CEO Recognized Among ‘Best CEOs’ by Comparably The network management and compliance platform for healthcare companies' CEO is honored as a pioneer in workplace culture We are excited to...