Healthcare Compliance Resources

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

Creating a Single Source of Truth for Provider Data

Healthcare organizations often manage provider information across credentialing platforms, HR systems, provider directories, compliance tools, committees, enrollment systems, and claims workflows. When those systems maintain different versions of the same record,...

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 authorizes the practitioner to perform specific services at the...

Why Provider Eligibility Matters in Workers’ Compensation Claims

Provider eligibility in workers’ compensation is not just a credentialing requirement. It directly determines whether a claim can be paid. When eligibility is not verified accurately and continuously, organizations risk reimbursing ineligible providers, triggering...

What Healthcare Organizations Look for in a Compliance Data Provider

Healthcare organizations face many complexities in compliance monitoring: more regulations, more provider types, more data sources, and higher consequences for gaps in verification. Selecting the right compliance data provider directly affects patient safety,...

The Benefits of Continuous Background Checks in Healthcare Staffing

A background check confirms who a provider is at the moment of hire, but it does not confirm who they remain over time. In the healthcare industry, that gap creates measurable risk. A provider’s license can lapse, a sanction can be issued, or a criminal background...

What Healthcare Organizations Look for in a Compliance Data Provider

Apr 2, 2026

Healthcare organizations face many complexities in compliance monitoring: more regulations, more provider types, more data sources, and higher consequences for gaps in verification. Selecting the...

The Benefits of Continuous Background Checks in Healthcare Staffing

Apr 2, 2026

A background check confirms who a provider is at the moment of hire, but it does not confirm who they remain over time. In the healthcare industry, that gap creates measurable risk. A provider’s...

How Health Plans Can Meet 2026 Network Adequacy Requirements

Mar 12, 2026

Medicaid certification for network adequacy is entering a new era of regulation. Beginning in 2026, health plans face stricter federal standards, independent validation requirements, and continuous...

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...

Everything You Need To Know About NPI Numbers

Jan 29, 2026

What Are NPI Numbers? NPI (National Provider Identifier) numbers are 10-digit numerical identifiers that uniquely...

Physician and Surgeon License Verification in California

Jan 28, 2026

Physician License Verification in California – The New Letters of Good Standing If your hospital or medical clinic is...

A Beginner’s Guide to CVO Credentialing

Jan 26, 2026

Proper credentialing keeps healthcare organizations running smoothly. Without continuous, verifiable credentialing,...

What Is a PTAN Number and Why Is It Important for Healthcare Providers?

Jan 26, 2026

Because Medicare’s expansive system can be susceptible to fraud, it’s critical to identify and authenticate providers...

What is Data Governance in Healthcare and Why Is It So Crucial?

Jan 22, 2026

Data governance in healthcare is the framework of policies, processes, and technologies used to manage, protect, and...

Webinars & Compliance Updates

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...

February 2025 Healthcare Compliance Updates

Feb 7, 2025 |

– 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...