Healthcare Compliance Resources
Single source for healthcare compliance best practices, regulatory updates, and industry news.
How Hospitals Can Reduce Credentialing Delays and Data Gaps
Hospital credentialing verifies a practitioner’s qualifications, including licensure, education, training, sanctions history, and other required information. Privileging is a separate process that...
Healthcare Credentialing API Integration Guide
Healthcare credentialing and compliance teams often rely on several systems to manage provider information. License data, verification results, and monitoring updates may be stored in different...
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...
How Health Plans Can Meet 2026 Network Adequacy Requirements
Medicaid certification for network adequacy is entering a new era of regulation. Beginning in 2026, health plans face...
FACIS vs Other Healthcare Exclusion Databases
For healthcare compliance leaders, exclusion screening is not a routine administrative task; it is one of the most...
The Importance of Exclusion Screening in Healthcare
Healthcare organizations that employ or contract with excluded individuals face severe civil monetary penalties,...
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...
Physician Onboarding Checklist
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?
Human Capital Management (HCM) in the healthcare industry is the strategic approach to recruiting, managing,...
Webinars & Compliance Updates
August 2025 Federal & State Policy Updates in Healthcare
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
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
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...
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