Healthcare Compliance Resources

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

How Healthcare Platforms Embed Compliance Data to Reduce Risk

When a staffing platform shows a clinician as “cleared” based on last quarter’s license data, a hospital can still schedule that clinician even if their status changed weeks ago. For a platform, the green checkmark has to mean something at the moment someone acts on...

Healthcare Credentialing Challenges for Staffing Agencies and Traveling Clinicians (and How to Solve Them)

Credentialing challenges for traveling clinicians and other contract healthcare staff often start small: a license is active, but the verification is outdated, or a required document is missing. That kind of last-minute issue can cost a start date, strain a client...

Why Real-Time Provider Monitoring Is Essential Between Credentialing Cycles

Periodic credentialing is essential, but it confirms a provider's status at a specific moment. A license, sanction, exclusion, registration, or disciplinary record may change weeks or months before the next formal review, leaving teams to make decisions with outdated...

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,...

Automating Credential Expiration Tracking Across Large Teams

Jun 29, 2026

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...

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

Jun 29, 2026

Provider and entity credentialing verifies that healthcare practitioners, facilities, and business entities meet the qualifications, licensure, enrollment, certification, and compliance requirements...

Provider Eligibility Verification in Claims Processing Explained

Jun 29, 2026

Provider eligibility verification in claims processing confirms whether a healthcare provider is qualified, authorized, and free from disqualifying compliance issues before that provider is...

Market vs Verisys for Eligibility & Payment Integrity

Mar 12, 2026

Why Eligibility and Payment Integrity Matter More Than Ever Every improper payment tells a story, not just about a...

Physician Onboarding Checklist

Mar 8, 2026

Hiring a new practitioner is a complex process for many healthcare entities. A physician onboarding checklist can help...

What Is Human Capital Management As It Relates To Healthcare?

Feb 28, 2026

Human Capital Management (HCM) in the healthcare industry is the strategic approach to recruiting, managing,...

Healthcare Exclusion Monitoring – Why It Is So Important to Healthcare Compliance?

Feb 24, 2026

Healthcare exclusion monitoring is critical to healthcare compliance because employing or contracting with an excluded...

How To Strengthen Your Pharmacy Compliance and Reduce Risk

Feb 15, 2026

What Is Pharmacy Compliance? In essence, pharmacy compliance is an ongoing commitment to abide by all laws,...

How to Choose the Right Credentialing Vendor

Jan 31, 2026

Choosing the right credentialing verification vendor directly affects whether your healthcare organization can...

Webinars & Compliance Updates

August 2025 Federal & State Policy Updates in Healthcare

Sep 1, 2025 |

Federal Updates CONNECT for Health Act of 2025 (H.R. 4206) Representative Mike Thompson (D-CA) recently introduced the bipartisan CONNECT for Health Act of 2025 (H.R. 4206). This bill aims to permanently extend the telehealth flexibilities, which expire on September...

July 2025 Key Legislative Developments Impacting Healthcare

Aug 1, 2025 |

This month, we delve into federal legislative activities and state policy updates that significantly impact the healthcare sector. Notable highlights include H.R. 1 and the establishment of the Rural Health Transformation Fund, the reintroduction of the Resident...

NCQA Requirements | On Demand Webinar

Jun 13, 2025 |

Is Your Organization Ready for NCQA’s 2025 Compliance Changes?On July 1, 2025, NCQA will require real-time license monitoring, shortened credentialing timeframes, and new Medicare, Medicaid, and demographic data expectations. Join Verisys’ compliance and credentialing...