Healthcare Compliance Resources

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

Healthcare Fraud in the Digital Age: New Challenges and Solutions

Healthcare fraud prevention is paramount. It’s crucial for regulatory compliance, it promotes patient safety, and it supports organizational success.  But healthcare is evolving: As new technologies enter the market, so are new fraud risks. Fraud, waste, and abuse...

Why Risk Management is Critical in Healthcare: Protecting Patients and Providers

Risk management in healthcare is about more than just preventing potential consequences—to effectively mitigate risks, healthcare organizations need proactive, data-driven approaches that protect patients, employees, and the bottom line.  This is why patients,...

Understanding the Difference Between Payer Enrollment and Credentialing

Payer enrollment and credentialing are two processes that determine whether a clinician can treat patients and receive payment.  Though often confused, these are distinct workflows with different objectives, timelines, and requirements. Misunderstanding them may lead...

Navigating Today’s Biggest Legal Issues in Healthcare

Patients want optimum healthcare and are willing to sue if they get anything short of that. Regulatory bodies also have a high standard for healthcare providers and professionals. Digital healthcare and telemedicine have brought even more risk to the picture. The...

What Is Payer Contracting in Healthcare?

Receiving fair payment from insurance companies depends on one critical process: payer contracting. These agreements specify reimbursement terms, which directly impacts your hospital’s revenue cycle performance. But managing payer contracts can be overwhelming,...
What Is Payer Contracting in Healthcare?

What Is Payer Contracting in Healthcare?

Receiving fair payment from insurance companies depends on one critical process: payer contracting. These agreements specify reimbursement terms, which directly impacts your hospital’s revenue cycle...

Rising Importance of Healthcare Governance in 2025

Rising Importance of Healthcare Governance in 2025

Governance in healthcare exists to keep the patient safe. It is the glue that keeps the different departments of the healthcare organization working correctly for the greater good of the patient....

Webinars & Compliance Updates

September 2024 Regulatory Compliance Updates

September 2024 Regulatory Compliance Updates

– The best resource for monthly healthcare regulatory compliance updates. Compliance Updates: September 2024 Overlook: NABP Board Updates Licensure Compacts Other Legislation National Association of Boards of Pharmacy (NABP): The NABP’s 2024 annual update of the Model...

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August 2024 Regulatory Compliance Updates

August 2024 Regulatory Compliance Updates

– The best resource for monthly healthcare regulatory compliance updates. Compliance Updates: August 2024 Overlook: Board Updates Alabama: The Alabama Board of Pharmacy has issued a policy outlining that pharmacist applicants are eligible for licensure by reciprocity...

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July 2024 Regulatory Compliance Updates

July 2024 Regulatory Compliance Updates

– The best resource for monthly healthcare regulatory compliance updates. Compliance Updates: July 2024 Overlook: Federal Legislation DEA Licensure Compacts Other Legislation Board Updates Physician Assistant (PA) Licensure Compact: Colorado, Tennessee, and Minnesota...

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