When a staffing platform shows a clinician as “cleared” based on last quarter’s license data, a hospital can still schedule that clinician even if their status changed weeks ago....
Verisys Blog
Healthcare Credentialing Challenges for Staffing Agencies and Traveling Clinicians (and How to Solve Them)
Credentialing challenges for traveling clinicians and other contract healthcare staff often start small: a license is active, but the verification is outdated, or a required...
Healthcare Credentialing Workload Overwhelming Internal Teams: How to Regain Capacity
Another urgent hire lands in the queue. Recredentialing deadlines haven’t moved, files are backlogged, and your most experienced specialist is covering a vacancy. When...
How to Expedite Healthcare Credentialing for Telehealth Providers
When your newest telehealth clinician has signed the contract but the start date is still uncertain, one missing document or delayed committee review can force your team to...
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...
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...
The Healthcare Payment Integrity Process
Healthcare payment integrity depends on one thing above all else, and that’s trusted provider data. Health plans use analytics and audits to catch improper payments after the...
How Real-Time Provider Data Prevents Improper Claims Processing Before They’re Paid
Most claims errors trace back to outdated provider information: expired licenses, inaccurate network status, incomplete credentialing records, missed sanctions and exclusions....
Healthcare Credentialing Software vs. CVO Services: Which Does Your Organization Actually Need?
Healthcare organizations credential providers three ways: in-house, through a credentials verification organization (CVO), or a hybrid of both. The right choice depends on...
Closing the DMEPOS Screening Gap in Medicare Advantage: How FACIS Helps MAOs Stay Ahead of Fraud
A HHS Office of Inspector General issue brief (OEI-02-24-00310, September 2026) delivers a clear warning to Medicare Advantage organizations: the screening gaps that let...
