Healthcare Compliance Resources

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

How Negligent Credentialing Increases Medical Malpractice Exposure

Negligent credentialing exposes healthcare organizations to direct legal liability beyond any individual physician's malpractice. When a facility fails to properly verify and monitor provider qualifications, it faces claims rooted in its own procedural failures rather...

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 is OIG Compliance?

OIG compliance refers to adherence to the guidelines and regulations set forth by the Office of Inspector General (OIG) of the U.S. Department of Health and Human Services. The OIG is responsible for combating fraud, waste, and abuse in health and human services...

An In-Depth Look at The OIG Exclusion List

The OIG Exclusion List is the Foundation of Provider Screening The Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) oversee the reimbursement of health care providers who serve beneficiaries of federally funded...

The Importance of Primary Source Verification for Practitioner Credentials

If there’s one thing healthcare organizations can count on, it’s changing regulations. Although credentialing and recredentialing standards were temporarily changed due to COVID, many regulations are returning to the former protocol. That’s why it’s important to...
An In-Depth Look at The OIG Exclusion List

An In-Depth Look at The OIG Exclusion List

The OIG Exclusion List is the Foundation of Provider Screening The Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) oversee the reimbursement of...

What Are DEA Numbers and What Are They Used For?

What Are DEA Numbers and What Are They Used For?

A DEA number is assigned by the Drug Enforcement Administration to many types of healthcare providers, including physicians, optometrists, dentists, veterinarians, physician assistants, and nurse...

Webinars & Compliance Updates

April 2024 Regulatory Compliance Updates

April 2024 Regulatory Compliance Updates

– 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...

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March 2024 Regulatory Compliance Updates

March 2024 Regulatory Compliance Updates

– 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...

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February 2024 Regulatory Compliance Updates

February 2024 Regulatory Compliance Updates

The best resource for monthly healthcare regulatory compliance updates. Compliance Updates: February 2024 Overlook: DEA Licensure Compacts Other Legislation Board Updates Nurse License Compact The Interstate Commission of Nurse Licensure Compact Administrators...

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