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,...

How To Strengthen Your Pharmacy Compliance and Reduce Risk

What Is Pharmacy Compliance? In essence, pharmacy compliance is an ongoing commitment to abide by all laws, regulations, and professional standards that guide how a pharmacy operates. The goal is to ensure that every prescription is filled accurately, every patient’s...

Mastering the Mental Health Credentialing Process

Credentialing is a crucial process for mental health providers. However, given the extensive amount of paperwork and proof required, credentialing can also feel overwhelming—especially for those who are just starting out. Fortunately, with a thorough understanding of...

Why Insurance Credentialing Matters

What Is Insurance Credentialing? Medical insurance credentialing is the process by which healthcare providers and organizations are verified and approved to participate in an insurance company’s network. It’s a formal process of verification to ensure that the...

Mastering the Mental Health Credentialing Process

Sep 15, 2025

Credentialing is a crucial process for mental health providers. However, given the extensive amount of paperwork and proof required, credentialing can also feel overwhelming—especially for those who...

Why Insurance Credentialing Matters

Sep 15, 2025

What Is Insurance Credentialing? Medical insurance credentialing is the process by which healthcare providers and organizations are verified and approved to participate in an insurance company’s...

Understanding the Difference Between Payer Enrollment and Credentialing

Aug 19, 2025

Payer enrollment and credentialing are two processes that determine whether a clinician can treat patients and receive payment. Though often confused, these are distinct workflows with different...

Understanding Delegated Credentialing

Apr 3, 2025

Imagine a relay race where passing the baton smoothly determines the outcome of the entire event. Now, think of...

How to License Your New Pharmacy

Apr 2, 2025

How to Acquire a Pharmacy License The process of becoming a licensed pharmacy can be complex even if you have...

7 Things You Need to Know About the CMS Preclusion List

Apr 1, 2025

When the Centers for Medicare and Medicaid Services’ (CMS) Medicare Preclusion List went into effect in 2019, it added...

What is Provider Recredentialing?

Mar 17, 2025

Provider Recredentialing is a critical process for healthcare organizations to provide high-quality patient care,...

The Role of AI in Healthcare Compliance

Mar 6, 2025

Technologies continue to transform the healthcare industry—the da Vinci® Surgical Robot performs precise movements...

Preventing Non-Compliance Consequences in Healthcare

Mar 6, 2025

In the healthcare industry, compliance with regulatory standards is not merely a requirement but a cornerstone of...

Webinars & Compliance Updates

May 2024 Regulatory Compliance Updates

May 13, 2024 |

– The best resource for monthly healthcare regulatory compliance updates. Compliance Updates: May 2024 Overlook: Board Updates Arizona: Legislation has been passed to update the requirements of Physician Assistants and supervision requirements. Physician...

April 2024 Regulatory Compliance Updates

Apr 15, 2024 |

– The best resource for monthly healthcare regulatory compliance updates. Compliance Updates: April 2024 Overlook: Licensure Compacts Other Legislation Board Updates Interstate Medical Licensure Compact (IMLCC): On March 21, 2024, Florida joined the...

March 2024 Regulatory Compliance Updates

Mar 12, 2024 |

– The best resource for monthly healthcare regulatory compliance updates. Compliance Updates: March 2024 Overlook: Board Updates Georgia: The Georgia Medical Board has extended tele-prescribing flexibility until May 1, 2024. The rules were eased in response to the...