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...

7 Core Elements of Healthcare Compliance Program

Healthcare compliance regulations are complex and ever-changing, but are an essential part of any healthcare organization's effort to provide safe, high-quality care for patients. Healthcare entities, especially those that receive funding from Medicaid or Medicare,...

5 Ways to Improve Your Credentialing Committee Meetings

Planning for Provider Credentialing Committee Meetings Saves Time and Assures a Competent Provider Staff Our work schedules are jam-packed with meetings, leaving little to no time to prepare for them effectively. Any delay in receiving the agenda and relevant material...

4 Steps to Becoming an Effective Credentials Chair to Ensure Good Decisions

There is no doubt that being the chair of the credentials committee comes with great responsibility. Ultimately, deciding to appoint a physician to the medical staff falls on your shoulders. When a credentialing committee doesn’t run effectively, it can jeopardize...

5 Ways to Improve Your Credentialing Committee Meetings

Apr 28, 2023

Planning for Provider Credentialing Committee Meetings Saves Time and Assures a Competent Provider Staff Our work schedules are jam-packed with meetings, leaving little to no time to prepare for...

4 Steps to Becoming an Effective Credentials Chair to Ensure Good Decisions

Apr 21, 2023

There is no doubt that being the chair of the credentials committee comes with great responsibility. Ultimately, deciding to appoint a physician to the medical staff falls on your shoulders. When a...

Unlocking the Basics of Medical Credentialing Requirements

Mar 30, 2023

"Medical credentialing": the tedious but necessary process of verifying a provider’s credentials, including license(s) and exclusion status, education, and training. This process ensures that...