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 When that information is incomplete or outdated, healthcare...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

A Strategic Guide to Modern Provider Network Monitoring

Provider network monitoring requires continuous oversight of every provider in an organization’s network to verify credentials, detect sanctions and exclusions, and confirm regulatory compliance across an increasingly complex healthcare environment. In many healthcare...

How OIG Monitoring Strengthens Patient Safety and Compliance

OIG monitoring is the recurring process of screening employees, contractors, providers, and vendors against the OIG List of Excluded Individuals and Entities (LEIE) to identify individuals or entities excluded from participation in federally funded healthcare...

Best Provider Network Management Solutions for Multi-State Healthcare Organizations

Managing provider networks across multiple states requires more than maintaining a provider roster. Health plans, managed care organizations, and other healthcare organizations must keep provider data accurate, verify eligibility, monitor sanctions and exclusions, and...

How OIG Monitoring Strengthens Patient Safety and Compliance

May 25, 2026

OIG monitoring is the recurring process of screening employees, contractors, providers, and vendors against the OIG List of Excluded Individuals and Entities (LEIE) to identify individuals or...

Best Provider Network Management Solutions for Multi-State Healthcare Organizations

May 25, 2026

Managing provider networks across multiple states requires more than maintaining a provider roster. Health plans, managed care organizations, and other healthcare organizations must keep provider...

Navigating Compliance Challenges for Healthcare Staffing Agencies

May 25, 2026

Healthcare staffing agencies are under pressure to place qualified providers quickly while maintaining compliance standards that can withstand client, regulatory, and audit scrutiny. Many compliance...

How to Choose the Right Credentialing Vendor

Jan 31, 2026

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

How Often Should You Check the OIG Exclusion List?

Jan 31, 2026

For healthcare organizations, exclusion screening is not a one-time task, it is an ongoing compliance obligation. The...

Nurse Recruiting Strategies: Intelligent Staffing for a Regulated Healthcare Environment

Jan 30, 2026

Across the healthcare industry, nurse recruiting has become both an operational and compliance challenge. Healthcare...

Behavioral Health Compliance: Best Practices to Implement and Ensure Regulatory Readiness

Jan 30, 2026

Behavioral health compliance has become a critical operational priority as mental health and substance treatment...

HIPAA Compliance for Telehealth

Jan 30, 2026

HIPAA compliance for telehealth is a growing operational challenge for healthcare organizations. As telehealth and...

Ensuring Health and Safety Compliance Across the Healthcare Supply Chain

Jan 30, 2026

Compliance in healthcare supply chain management is no longer a background operational concern. It sits at the center...

Webinars & Compliance Updates

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...

May 2025 Healthcare Compliance Updates

May 12, 2025 |

– 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...