Healthcare Compliance Resources
Single source for healthcare compliance best practices, regulatory updates, and industry news.
FACIS vs Other Healthcare Exclusion Databases
For healthcare compliance leaders, exclusion screening is not a routine administrative task; it is one of the most scrutinized elements of regulatory oversight. Civil monetary penalties, repayment...
The Importance of Exclusion Screening in Healthcare
Healthcare organizations that employ or contract with excluded individuals face severe civil monetary penalties, repayment of all associated claims, and potential loss of Medicare and Medicaid...
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 claim, but about the controls behind it. For health plans, eligibility and payment...
A Guide to OPPE and FPPE
Healthcare organizations are under increasing pressure to demonstrate that provider performance is evaluated...
PECOS Enrollment: What Healthcare Organizations Need to Know
PECOS enrollment determines whether your organization can participate in Medicare, receive reimbursement for services,...
Healthcare Identity Verification: Why It Matters More Than Ever
Healthcare-related identity fraud is on the rise in the United States. The 2025 National Health Care Fraud Takedown...
Provider Onboarding: Best Practices for Healthcare Organizations
Imagine a new provider is scheduled to start on Monday at your healthcare organization. Patients are booked weeks out,...
Why Provider Data Validation Is Critical to Reducing Risk in Healthcare
To expedite clinical progress and maximize the chances of positive outcomes, patients need to match with suitable,...
Credentialing KPIs Every Healthcare Executive Should Track
It usually starts with a message no healthcare executive wants to see: “We can’t move this provider through...
Webinars & Compliance Updates
September 2024 Regulatory Compliance Updates
– The best resource for monthly healthcare regulatory compliance updates. Compliance Updates: September 2024 Overlook: NABP Board Updates Licensure Compacts Other Legislation National Association of Boards of Pharmacy (NABP): The NABP’s 2024 annual update of the Model...
August 2024 Regulatory Compliance Updates
– 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
– 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...
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