Healthcare Compliance Resources

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

Automating Credential Expiration Tracking Across Large Teams

Healthcare organizations discover credential lapses in a similar way: A compliance leader pulls a report and realizes a provider's license expired weeks ago, even though the tracking spreadsheet showed a renewal date months away. The data was wrong, and the provider...

Enterprise Provider and Entity Credentialing Challenges (and How to Solve Them)

Provider and entity credentialing verifies that healthcare practitioners, facilities, and business entities meet the qualifications, licensure, enrollment, certification, and compliance requirements needed to participate in patient care, network, employment,...

FACIS vs Other Healthcare Exclusion Databases

For healthcare compliance leaders, exclusion screening is not a routine administrative task; it is one of the most scrutinized elements of regulatory oversight. Civil monetary penalties, repayment exposure, audit findings, and reputational risk often trace back to one...

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...
The Importance of Exclusion Screening in 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...

Market vs Verisys for Eligibility & Payment Integrity

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...

Physician Onboarding Checklist

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...

What is OIG Compliance?

What is OIG Compliance?

OIG compliance refers to adherence to the guidelines and regulations set forth by the Office of Inspector General...

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Webinars & Compliance Updates

May 2025 Healthcare Compliance Updates

May 2025 Healthcare Compliance Updates

– 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...

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February 2025 Healthcare Compliance Updates

February 2025 Healthcare Compliance Updates

– 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...

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January 2025 Healthcare Compliance Updates

January 2025 Healthcare Compliance Updates

– The best resource for monthly healthcare regulatory compliance updates. Monthly Healthcare Compliance News: January 2025   Overlook: Federal Legislation Licensure Compacts Other Legislation Board Updates US Department of Health and Human Services:  The...

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