Credentialing Chronicles – Détails, épisodes et analyse

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Credentialing Chronicles

Shannen and Nyleen

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True Crime

Fréquence : 1 épisode/4j. Total Éps: 77

"Credentialing Chronicles" is the go-to podcast uncovering the hidden truths and scandals in healthcare credentialing, licensing, and compliance. Hosted by industry experts, we dive into real cases, juicy controversies, and insider knowledge that every persons needs to know! 🎙️🔥

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Données mises à jour le 04/07/2026

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Current Event Minisode Bonus: Adult Protective Services Called to Protect

lundi 3 novembre 2025 • Durée 05:12

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When nursing home residents die after being left in filth and pain, 18 staff members end up charged—felony neglect, falsified records, obstruction, and more. The Attorney General calls it elder abuse; the facility calls it a misunderstanding. Now, with charges “nolle prossed for now,” the case isn’t closed—it’s just waiting to explode.

Credentialing Chronicles brings you this bonus minisode: the red flags, the records, and the real fallout when care collapses and compliance fails.

Support the show

Resources Mentioned:

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials:

https://www.nursys.com/

🔎 Verify Your Doctor’s Credentials

✔️ State-Specific Medical Board License Lookup:
Find your state’s board here:
https://www.fsmb.org/contact-a-state-medical-board/

✔️ Medicare Exclusions List (LEIE) – Check if your provider is federally excluded:
https://oig.hhs.gov/exclusions/exclusions_list.asp

✔️ Set Google Alerts on Your Doctor’s Name:
Create your own Google Alert here:
https://www.google.com/alerts

For Medical Staff Professional:

✔️ FSMB.org – Federation of State Medical Boards Physician Lookup:
https://www.fsmb.org/physician-license-lookup/

✔️ Hospital Websites:
Many hospitals have public directories listing credentialed medical staff. Look for a “Find a Doctor” or “Medical Staff Directory” page.

✔️ Set Google Alerts on Your Doctor’s Name:
Create your own Google Alert here:
https://www.google.com/alerts

🔎 Wanna know if your doctor is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Because credentials do matter. 🩺✨

🌐 Connection Zone
Stay plugged in...

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Episode 30 : Paid to Prescribe?

Épisode 30

mardi 28 octobre 2025 • Durée 25:36

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Paid to Prescribe?

Following the Sunshine Money: The $13.18 Billion Transparency Act

THE RECEIPTS ARE PUBLIC! Every year, billions of dollars flow from pharmaceutical and medical device companies to doctors. Is your physician one of them?

Shannen and Nyleen crack open and expose the massive, $13.18 BILLION network of financial ties that are now public record. Prompted by a shocking personal story, the hosts guide you through the CMS Open Payments data (openpaymentsdata.cms.gov) —the ultimate tool for accountability.

We break down the three crucial categories of influence—from General Payments (free lunches and speaking fees) to Ownership Interests (stock in the company whose products they prescribe) —and discuss the ethics of these relationships.

Don't let what you don't know hurt you.

Listen now to learn how to search your doctor and take control of your healthcare decisions!

Support the show

Resources Mentioned:

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials:

https://www.nursys.com/

🔎 Verify Your Doctor’s Credentials

✔️ State-Specific Medical Board License Lookup:
Find your state’s board here:
https://www.fsmb.org/contact-a-state-medical-board/

✔️ Medicare Exclusions List (LEIE) – Check if your provider is federally excluded:
https://oig.hhs.gov/exclusions/exclusions_list.asp

✔️ Set Google Alerts on Your Doctor’s Name:Create your own Google Alert here:https://www.google.com/alerts

Episode 29 : Medicaid Manipulators

Épisode 29

mardi 21 octobre 2025 • Durée 26:56

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Fraud. Defendants... Shell companies. Federal crackdown.

This week on Credentialing Chronicles, Shannen & Nyleen go full investigative mode on the largest healthcare fraud takedown in U.S. history — Operation Gold Rush.

From catheters moved like burgers on a grill to braces billed for amputees, we’re exposing how Medicaid fraud has evolved into an industrialized business model. This isn’t fringe crime — it’s organized, automated, and devastating to the patients Medicaid was meant to protect.

🔥 In this episode:

Why the OIG is now posting fraud busts on LinkedIn (and what that says about public deterrence)
The infamous “1,000 leg braces” scheme — and how it slipped through the system
How Operation Gold Rush raked in billions through stolen identities and shell suppliers
What keeps DME fraud thriving (and why enforcement can’t keep up)
The tools compliance, billing, and credentialing pros can use to stop the next scam before it starts

🧾 With $1.4B recovered and $14.6B exposed, this isn’t just a headline — it’s a wake-up call.
If you touch Medicaid oversight, healthcare billing, or credentialing, this episode proves: you’re part of the fix.

🎧 Listen now — and don’t forget to share, tag your compliance crew, and make some noise.
Fraud doesn’t hide anymore — and neither should your defenses.

#CredentialingChronicles #HealthcareFraud #OperationGoldRush #OIG #Compliance #MedicaidFraud #Credentialing #FraudPrevention

Support the show

Resources Mentioned:

Open Payments

openpaymentsdata.cms.gov

Episode 28: FBI Knocks, Board Snoozes

Épisode 28

mardi 14 octobre 2025 • Durée 28:41

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When the FBI comes knocking… and the Board of Medicine hits snooze.

This week, Shannen and Nyleen dive into a gut-wrenching case out of Michigan that left them both sick to their stomachs. A family medicine doctor—trusted to care for entire families—was arrested in an FBI sting operation after allegedly trying to arrange a sexual encounter involving a child.

🚨 The twist? The sting started in June 2025, the arrest happened in September, and yet—the doctor’s medical license remains active and unrestricted.

Join the Credentialing Chronicles duo as they break down how this happened, where the oversight failed, and why federal agents seem to act faster than the boards that are supposed to protect patients.

This episode is heavy, disturbing, and not for minors—but it’s a story that has to be told.

💥 In this episode:

FBI vs. Medical Board: Who moves faster when danger’s involved?
The shocking details of Dr's arrest
How hospitals respond (or don’t) when a physician turns criminal
Why the “pause button” on medical licenses must be real and immediate
PSA for patients, physicians, and MSPs on staying alert and proactive

⚠️ Trigger Warning:

This episode contains discussions of child exploitation and criminal behavior that may be disturbing to listeners.

🗣️ PSA Takeaway:

“Innocent until proven guilty? Absolutely.
But licensed until proven dangerous? Nope.
The pause button on medical licenses has to be real—and immediate.”

Support the show

Resources Mentioned:

Open Payments

NAMSS Tea Spillin' Session: Kristin from Texas!

lundi 13 octobre 2025 • Durée 03:29

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Everything’s bigger in Texas — including the credentialing drama!

☕ Grab your coffee—or sweet tea if you’re feelin’ southern—and get ready for a Texas-sized laugh with a side of truth.

#CredentialingChronicles #TeaSpillinMSPs #TexasEdition #MedicalStaffProfessionals

Support the show

Resources Mentioned:

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials:

https://www.nursys.com/

🔎 Verify Your Doctor’s Credentials

✔️ State-Specific Medical Board License Lookup:
Find your state’s board here:
https://www.fsmb.org/contact-a-state-medical-board/

✔️ Medicare Exclusions List (LEIE) – Check if your provider is federally excluded:
https://oig.hhs.gov/exclusions/exclusions_list.asp

✔️ Set Google Alerts on Your Doctor’s Name:
Create your own Google Alert here:
https://www.google.com/alerts

For Medical Staff Professional:

✔️ FSMB.org – Federation of State Medical Boards Physician Lookup:
https://www.fsmb.org/physician-license-lookup/

✔️ Hospital Websites:
Many hospitals have public directories listing credentialed medical staff. Look for a “Find a Doctor” or “Medical Staff Directory” page.

✔️ Set Google Alerts on Your Doctor’s Name:
Create your own Google Alert here:
https://www.google.com/alerts

🔎 Wanna know if your doctor is actually board certified? Check for yourself right here: 👉

NAMSS Tea Spillin' Session : Jessica from Georgia!

lundi 13 octobre 2025 • Durée 04:27

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In this quick 5-minute sip, our MSP from sweet Georgia pours a little southern-style tea about what really goes down behind the scenes in credentialing. From lost paperwork to last-minute provider meltdowns—nothing’s off the record (except, of course, the actual records 😉).

Grab your sweet tea, sit back, and get ready for a dose of MSP reality—Georgia edition.

#CredentialingChronicles #TeaSpillinMSPs #GeorgiaMSP #MedicalStaffProfessionals

Support the show

Resources Mentioned:

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials:

https://www.nursys.com/

🔎 Verify Your Doctor’s Credentials

✔️ State-Specific Medical Board License Lookup:
Find your state’s board here:
https://www.fsmb.org/contact-a-state-medical-board/

✔️ Medicare Exclusions List (LEIE) – Check if your provider is federally excluded:
https://oig.hhs.gov/exclusions/exclusions_list.asp

✔️ Set Google Alerts on Your Doctor’s Name:
Create your own Google Alert here:
https://www.google.com/alerts

For Medical Staff Professional:

✔️ FSMB.org – Federation of State Medical Boards Physician Lookup:
https://www.fsmb.org/physician-license-lookup/

✔️ Hospital Websites:
Many hospitals have public directories listing credentialed medical staff. Look for a “Find a Doctor” or “Medical Staff Directory” page.

✔️ Set Google Alerts on Your Doctor’s Name: Create your own Google Alert here: https://www.google.com/alerts

NAMSS Tea Spillin' Session: Jodi from North Dakota

lundi 6 octobre 2025 • Durée 05:03

Send us a text

North Dakota is in the house spillin' some tea with the ladies! Listen in to see what being an MSP is like in this beautiful state.

Support the show

Resources Mentioned:

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials:

https://www.nursys.com/

🔎 Verify Your Doctor’s Credentials

✔️ State-Specific Medical Board License Lookup:
Find your state’s board here:
https://www.fsmb.org/contact-a-state-medical-board/

✔️ Medicare Exclusions List (LEIE) – Check if your provider is federally excluded:
https://oig.hhs.gov/exclusions/exclusions_list.asp

✔️ Set Google Alerts on Your Doctor’s Name:
Create your own Google Alert here:
https://www.google.com/alerts

For Medical Staff Professional:

✔️ FSMB.org – Federation of State Medical Boards Physician Lookup:
https://www.fsmb.org/physician-license-lookup/

✔️ Hospital Websites:
Many hospitals have public directories listing credentialed medical staff. Look for a “Find a Doctor” or “Medical Staff Directory” page.

✔️ Set Google Alerts on Your Doctor’s Name:
Create your own Google Alert here:
https://www.google.com/alerts

🔎 Wanna know if your doctor is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

NAMSS Tea Spillin' Session : Yesenia and the overnight room mystery

lundi 6 octobre 2025 • Durée 05:55

Send us a text

When a doctor asks you to find something he lost in the overnight resting room… you already know it’s about to get messy. 😳

In this quick Tea Spillin’ Session, Yesenia dishes the details on what really went down — and let’s just say, MSPs handle a whole lot more than credentialing. From unexpected “discoveries” to keeping your professionalism intact while holding back laughter (and judgment), this story proves MSPs are the real MVPs of hospital chaos. 🩺☕

#CredentialingChronicles #MSPTea #HealthcareStories #SpillinTea #MSPsDoItAll

Support the show

Resources Mentioned:

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials:

https://www.nursys.com/

🔎 Verify Your Doctor’s Credentials

✔️ State-Specific Medical Board License Lookup:
Find your state’s board here:
https://www.fsmb.org/contact-a-state-medical-board/

✔️ Medicare Exclusions List (LEIE) – Check if your provider is federally excluded:
https://oig.hhs.gov/exclusions/exclusions_list.asp

✔️ Set Google Alerts on Your Doctor’s Name:
Create your own Google Alert here:
https://www.google.com/alerts

For Medical Staff Professional:

✔️ FSMB.org – Federation of State Medical Boards Physician Lookup:
https://www.fsmb.org/physician-license-lookup/

✔️ Hospital Websites:
Many hospitals have public directories listing credentialed medical staff. Look for a “Find a Doctor” or “Medical Staff Directory” page.

NAMSS Tea Spillin' Session : Erica

lundi 6 octobre 2025 • Durée 03:10

Send us a text

In this 5-minute quick sip, Shannen and Nyleen sit down with Erica for a Tea Spillin’ Session you won’t forget. ☕

What’s the word of the day? “Bricks.”

Nope, not the kind you build a house with—

Short, sharp, and a little spicy—this one’s pure Credentialing Chronicles gold. 💅

#CredentialingChronicles #TeaSpillinSession #MSPTalk #NAMSS #Bricks

Support the show

Resources Mentioned:

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials:

https://www.nursys.com/

🔎 Verify Your Doctor’s Credentials

✔️ State-Specific Medical Board License Lookup:
Find your state’s board here:
https://www.fsmb.org/contact-a-state-medical-board/

✔️ Medicare Exclusions List (LEIE) – Check if your provider is federally excluded:
https://oig.hhs.gov/exclusions/exclusions_list.asp

✔️ Set Google Alerts on Your Doctor’s Name:
Create your own Google Alert here:
https://www.google.com/alerts

For Medical Staff Professional:

✔️ FSMB.org – Federation of State Medical Boards Physician Lookup:
https://www.fsmb.org/physician-license-lookup/

✔️ Hospital Websites:
Many hospitals have public directories listing credentialed medical staff. Look for a “Find a Doctor” or “Medical Staff Directory” page.

NAMSS Tea Spillin' Session : Ashley from Idaho!

dimanche 5 octobre 2025 • Durée 02:15

Send us a text

Are Email addresses telling?! What's the craziest email address you have seen?!

Ashley lets us know on this tea spillin' session!

Support the show

Resources Mentioned:

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials:

https://www.nursys.com/

🔎 Verify Your Doctor’s Credentials

✔️ State-Specific Medical Board License Lookup:
Find your state’s board here:
https://www.fsmb.org/contact-a-state-medical-board/

✔️ Medicare Exclusions List (LEIE) – Check if your provider is federally excluded:
https://oig.hhs.gov/exclusions/exclusions_list.asp

✔️ Set Google Alerts on Your Doctor’s Name:
Create your own Google Alert here:
https://www.google.com/alerts

For Medical Staff Professional:

✔️ FSMB.org – Federation of State Medical Boards Physician Lookup:
https://www.fsmb.org/physician-license-lookup/

✔️ Hospital Websites:
Many hospitals have public directories listing credentialed medical staff. Look for a “Find a Doctor” or “Medical Staff Directory” page.

✔️ Set Google Alerts on Your Doctor’s Name:
Create your own Google Alert here:
https://www.google.com/alerts

🔎 Wanna know if your doctor is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

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Credentialing Chronicles – Détails, épisodes et analyse

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Podcasts Similaires Basées sur le Contenu

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