Healthcare Compliance Resources

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

How to Choose the Right Credentialing Vendor

Choosing the right credentialing verification vendor directly affects whether your healthcare organization can maintain compliance, protect patient safety, and operate efficiently. This is especially important when credentialing fails, organizations face delays in...

How Often Should You Check the OIG Exclusion List?

For healthcare organizations, exclusion screening is not a one-time task, it is an ongoing compliance obligation. The question is not whether you should screen against the OIG exclusion list, but how often you should do it to protect your organization, your patients,...

Credentialing Requirements by State: A Guide for Healthcare Providers

A healthcare provider’s credentials refer to their education, training, and the licenses or certifications they’ve earned before or during their career. ‘Credentialling’ is a little different, referring to the formal process—often conducted by a government agency or...

Ensuring Provider Directory Accuracy for Improved Patient Access

Patients normally research networks and providers before they enroll in a new healthcare plan or seek medical care from a new specialist. However, a 2023 study found over 80% of provider directory listings across five payers demonstrated inconsistencies or...

2026 Guide to Healthcare Background Checks

Although the overwhelming majority of healthcare professionals prioritize compliance, medical ethics, and patient safety, the unfortunate reality is that some do not. It's for this reason that healthcare background check requirements remain strict. However, regulatory...

Ensuring Provider Directory Accuracy for Improved Patient Access

Oct 17, 2025

Patients normally research networks and providers before they enroll in a new healthcare plan or seek medical care from a new specialist. However, a 2023 study found over 80% of provider directory...

2026 Guide to Healthcare Background Checks

Oct 17, 2025

Although the overwhelming majority of healthcare professionals prioritize compliance, medical ethics, and patient safety, the unfortunate reality is that some do not. It's for this reason that...

Trends in Healthcare Compliance Monitoring

Oct 16, 2025

As one of the most heavily regulated industries, healthcare compliance involves adhering to a number of regulations that are enforced at different jurisdictional levels. Laws and regulations range...

4 Must Know Healthcare Regulations

Jun 4, 2025

Healthcare regulations are a lot, but they don’t have to be overwhelming. Just when you think you’ve got HIPAA down,...

Uncovering Compliance Issues Across Healthcare Settings

Jun 4, 2025

For many healthcare organizations, “compliance” might mean endless paperwork, or stressful audits — and yes, sometimes...

How to Choose the Best Provider Credentialing Software

Jun 4, 2025

Given the critical nature of the healthcare industry, provider credentialing is non-negotiable. But the best...

Mastering NCQA Compliance: Credentialing & Monitoring Simplified

May 21, 2025

Navigating NCQA’s 2025 Credentialing & Monitoring Requirements What You Need to Know: The National Committee for...

How Healthcare Organizations Can Prepare for Upcoming Compliance Audits

May 15, 2025

If you’re responsible for compliance in your healthcare organization, you probably don’t need a reminder that...

Reducing Payment Integrity Issues in Health Plan Claims Processing

May 15, 2025

The complexity of the healthcare system and health plan claims processing leaves room for many errors. Unfortunately,...

Webinars & Compliance Updates

August 2024 Regulatory Compliance Updates

Aug 15, 2024 |

– The best resource for monthly healthcare regulatory compliance updates. Compliance Updates: August 2024 Overlook: Board Updates Alabama: The Alabama Board of Pharmacy has issued a policy outlining that pharmacist applicants are eligible for licensure by reciprocity...

July 2024 Regulatory Compliance Updates

Jul 23, 2024 |

– The best resource for monthly healthcare regulatory compliance updates. Compliance Updates: July 2024 Overlook: Federal Legislation DEA Licensure Compacts Other Legislation Board Updates Physician Assistant (PA) Licensure Compact: Colorado, Tennessee, and Minnesota...

Unmasking Hidden Risks: The Power of FACIS

Jul 19, 2024 |

The Challenge Healthcare organizations face the critical challenge of vetting potential hires not only for their qualifications but also for any legal and ethical discrepancies that could compromise patient safety and the institution's reputation. Given the complexity...