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 When that information is incomplete or outdated, healthcare...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...

Verisys CEO Recognized Among 2023 ‘Best CEOs’ by Comparably

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 announce our CEO Charlie Falcone, named "Best CEOs" by Comparably....

The Importance of NCQA Certification for CVOs

The Importance of NCQA Certification for CVOs Verifying credentials for practitioners and affiliated organizations is a key component of patient safety in healthcare. To perform thorough, efficient, and accurate credentialing, a credentials verification organization...

Healthcare Fraud Crackdown: Multi-Million Dollar Settlements & Compliance Solutions | 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: Entity Fraud Cardiac imaging company and founder to pay historic $85M settlement Full Story Genomic Health...

The Importance of NCQA Certification for CVOs

The Importance of NCQA Certification for CVOs

Dec 1, 2023

The Importance of NCQA Certification for CVOs Verifying credentials for practitioners and affiliated organizations is a key component of patient safety in healthcare. To perform thorough, efficient,...

Healthcare Fraud Crackdown: Multi-Million Dollar Settlements & Compliance Solutions | Verisys

Healthcare Fraud Crackdown: Multi-Million Dollar Settlements & Compliance Solutions | Verisys

Nov 3, 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: Entity Fraud Cardiac imaging company...

Everything You Need To Know About OFAC+ Compliance

Everything You Need To Know About OFAC+ Compliance

Nov 1, 2023

Everything You Need To Know About OFAC+ Compliance The U.S. Department of the Treasury's Office of Foreign Assets Control (OFAC) enforces economic and trade sanctions to protect against foreign...

Measure a Trainee’s Progress

Measure a Trainee’s Progress

Jul 6, 2016

Part 4 of 6 – Tips from Craig’s Verification Tips on Staffing for The Art and Science of Verifications. As a sailor,...

Training your Verification Staff

Training your Verification Staff

Jun 29, 2016

Part 3 of 6 – Tips from Craig’s Verification Tips on Staffing for The Art and Science of Verifications. After talking...

Qualifying and Training Staff Makes your Verification Department Effective

Qualifying and Training Staff Makes your Verification Department Effective

Jun 22, 2016

Part 2 of 6 – Tips from Craig’s Verification Tips on Staffing for The Art and Science of Verifications. Not every...

Webinars & Compliance Updates

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Verisys is your source for healthcare compliance best practices, news, and information.

Is Your Organization Ready for NCQA’s 2025 Compliance Changes?

Learn more about the updated July 1st NCQA requirements and how Verisys can help maintain your compliant status.

FACIS® Sanction & Exclusion Screening + Monitoring

Industry’s most accurate and trusted exclusion + sanction dataset.

Healthcare Credentialing

Optimize Cred processes to reduce cost, mitigate risk, and speed up time-to-network.

Decisional Data Verification

OFAC, DEA, Abuse Registry, & more: Confirm your organization makes decisions based on accurate, verified provider data.

Provider Data Management

Transform incomplete, flawed provider data into comprehensive, configurable directories.

Automated Licensure with LicenseCheck

Real-time verification and monitoring of providers’ licenses.

Continuous True Monitoring

Continuously monitor credentials, licenses, and regulatory statuses for real-time confirmation of good standing.

Credential & Certification Verification

Ensure regulatory statuses are always current with real-time alerts.

Pre-Hire & Workforce Compliance

Pre-screen medical credentials, sanctions, and licensure history for real-time workforce compliance.

FACIS

Comprehensive Coverage

Verisys supports all provider and taxonomy types across all jurisdictions, from surgeons to technicians.

Connect with us →

Is Your Organization Ready for NCQA’s 2025 Compliance Changes?

Learn more about the updated July 1st NCQA requirements and how Verisys can help maintain your compliant status.

FACIS® Sanction & Exclusion Screening + Monitoring

Industry’s most accurate and trusted exclusion + sanction dataset.

Healthcare Credentialing

Optimize Cred processes to reduce cost, mitigate risk, and speed up time-to-network.

Credential & Certification Verification

Ensure regulatory statuses are always current with real-time alerts.

Provider Data Management

Transform incomplete, flawed provider data into comprehensive, configurable directories.

License Verification

Verify and monitor licenses across all 56 U.S. jurisdictions and 800+ provider taxonomies.

Automated Licensure with LicenseCheck

Real-time verification and monitoring of providers’ licenses.

Continuous True Monitoring

Continuously monitor credentials, licenses, and regulatory statuses for real-time confirmation of good standing.

Decisional Data Verification

Confirm your organization makes decisions based on accurate, verified provider data.

Pre-Hire & Workforce Compliance

Pre-screen medical credentials, sanctions, & license history for real-time workforce compliance.

Payment Integrity

Identify ineligible providers and reduce improper payments with real-time compliance data.

FACIS

Comprehensive Coverage

Verisys supports all provider and taxonomy types across all jurisdictions, from surgeons to technicians.

Connect With Us