Healthcare Compliance Resources

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

CMS Cracks Down on Federal Marketplace Fraud: What it Means for Program Integrity and How Verisys Helps Protect Your Bottom Line

The $2.2 Billion Shift in Federal Marketplace Integrity The Centers for Medicare & Medicaid Services (CMS) recently announced sweeping actions to eliminate fraud, waste, and abuse across the Federal Health Insurance Marketplace®. Backed by the White House Task...

The Role of Credentialing Data in Payment Integrity: What Healthcare Plans Miss

Credentialing is the foundation of payment integrity. Every reimbursement decision depends on accurate provider data, from licensure and enrollment to sanctions screening and credentialing status. When that information is incomplete or outdated, healthcare...

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 integrity are no longer back-office functions. They are board-level...

Physician Onboarding Checklist

Hiring a new practitioner is a complex process for many healthcare entities. A physician onboarding checklist can help guide this process by clearly outlining the key steps required to onboard a new provider. For a physician or nurse signing on as a new provider,...

What Is Human Capital Management As It Relates To Healthcare?

Human Capital Management (HCM) in the healthcare industry is the strategic approach to recruiting, managing, developing, and retaining healthcare professionals to support high-quality patient care, operational efficiency, and organizational performance. In a complex...

Physician Onboarding Checklist

Mar 8, 2026

Hiring a new practitioner is a complex process for many healthcare entities. A physician onboarding checklist can help guide this process by clearly outlining the key steps required to onboard a new...

What Is Human Capital Management As It Relates To Healthcare?

Feb 28, 2026

Human Capital Management (HCM) in the healthcare industry is the strategic approach to recruiting, managing, developing, and retaining healthcare professionals to support high-quality patient care,...

Healthcare Exclusion Monitoring – Why It Is So Important to Healthcare Compliance?

Feb 24, 2026

Healthcare exclusion monitoring is critical to healthcare compliance because employing or contracting with an excluded provider can result in severe financial penalties, loss of federal program...

Healthcare Fraud in the Digital Age: New Challenges and Solutions

Nov 16, 2025

Healthcare fraud prevention is paramount. It’s crucial for regulatory compliance, it promotes patient safety, and it...

Why Risk Management is Critical in Healthcare: Protecting Patients and Providers

Nov 16, 2025

Risk management in healthcare is about more than just preventing potential consequences—to effectively mitigate risks,...

Top 5 Technology Trends Driving the Future of Healthcare Compliance

Nov 16, 2025

Healthcare compliance technology has reached new heights: From AI to blockchain and cloud-based platforms, healthcare...

The Importance of Healthcare Sanction Screening for Workforce Integrity

Nov 16, 2025

The healthcare sanctions background check process remains one of the most critical operations for direct care...

Credentialing Requirements by State: A Guide for Healthcare Providers

Oct 17, 2025

A healthcare provider’s credentials refer to their education, training, and the licenses or certifications they’ve...

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...

Webinars & Compliance Updates

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...

Webinar: DSCSA – Know Your Trading Partner

Jul 11, 2024 |

DSCSA: Know Your Trading Partner Join Verisys compliance experts as we dive deeper into DSCSA changes and explore best practices from industry experts. Whether you’re well-versed in compliance or just getting started, this webinar is an essential resource for...

June 2024 Regulatory Compliance Updates

Jun 17, 2024 |

– The best resource for monthly healthcare regulatory compliance updates. Compliance Updates: June 2024 Overlook: Federal Legislation DEA Licensure Compacts Other Legislation Board Updates Alabama: Veterinarians do not have NPI Numbers: The Board of...