Q1 - 2026 Credentialing & Compliance Checklist

1. CAQH Profile Review & Attestation 

Ensure your CAQH profile is: 

• Fully completed 

• Up to date with licenses, work history, and malpractice coverage 

• Re-attested within payer-required timelines 

2. License & Certification Renewals 

Confirm: 

• Active state licenses for all rendering providers 

• DEA registrations (if applicable) 

• Board certifications and specialty credentials 

Track expiration dates and set automated reminders at least 90 days in advance. 

3. Provider Directory Accuracy 

Audit your online provider directory listings for: 

• Practice addresses 

• Phone and fax numbers 

• Office hours 

• Participating provider status 

Payers are increasingly auditing directory accuracy and levying penalties for incorrect data. 

4. Prior Authorization Readiness 

With new utilization management models emerging, including heightened oversight of outpatient services, documentation readiness is critical. 

Ensure: 

• Clinical notes clearly justify medical necessity 

• Orders match documented diagnoses 

• Charting supports all requested services 

• Staff are trained on evolving authorization workflows 

5. Internal Documentation Audit 

Conduct a quarterly documentation audit that reviews: 

• Credentialing files 

• License verifications 

• Malpractice coverage verification 

• Enrollment confirmations 

Create a centralized, secure system for maintaining compliance documentation. 

Most Common Compliance Gaps 

Practices most often struggle with: 

• Outdated CAQH attestations 

• Inconsistent provider demographic data across platforms 

• Missed license renewal deadlines 

• Incomplete documentation for prior authorizations 

Early identification of these gaps prevents costly operational disruptions. 

How Honored Healthcare Systems Can Support Your Practice 

Honored Healthcare Systems specializes in: 

• Insurance credentialing 

• Recredentialing 

• Provider data maintenance 

• Compliance readiness audits 

We help practices build proactive, sustainable systems — not just reactive fixes. 

To support healthcare organizations, Honored Healthcare Systems is offering: 

> Free Q1 2026 Compliance Readiness Consultations 
> Custom Credentialing & Documentation Checklists 
> Risk Assessment Summaries 

Honored Healthcare Systems partners with healthcare practices to streamline credentialing, strengthen payer relationships, and protect revenue integrity through proactive compliance strategies.