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The Iowa stage didn’t just hold a microphone—it held a mirror to the industry. 🚨

In this special live recording of Credentialing Chronicles, we took the stage in Iowa to pull back the curtain on the real-time pressures facing healthcare credentialing professionals today. This isn't your standard industry update; it’s a raw, high-stakes look at the decisions made in the trenches of Medical Staff Services.

From shocking application red flags to the "MSP confessions" that had the room buzzing, we explore the thin line between administrative process and patient protection. When staffing shortages collide with rigorous standards, something has to give. We’re discussing exactly what that looks like when the stakes are at their highest.

In this episode, we dive into:

• Real-World Breakdowns: The cases that triggered instant reactions from our live audience.
• The Shortage vs. Standard Tension: Navigating the pressure to onboard quickly without compromising safety.
• Application Red Flags: The "hidden" warnings that demand your immediate attention.
• MSP Confessions: Unpacking the true complexity of the modern credentialing landscape.

Behind every file is a decision. Behind every decision is a risk. If you’ve ever looked at a file and asked, "How did this get approved?"—this episode was recorded for you.

IOWA BOARD OF CERTIFICATION

Sponsored By:

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

🎙️ Hosts: Shannen & Nyleen

This episode is all about how to "get the bag and fix your teeth" with the legendary Dr. Catrise Austin. Known globally as the Queen of Smiles, Dr. Austin has spent nearly three decades revolutionizing the dental industry from her home base in the New York City streets. She takes us through her journey from starting her business in 1998 to becoming the premier "dentist to the stars," serving iconic A-listers like Missy Elliott, Toni Braxton, DJ Khaled, and the legendary Cardi B.

Dr. Austin dishes on the "secret sauce" behind her success, beginning with a daring cold call to Eddie Murphy’s publicist that provided the high-level PR needed to dominate the competitive New York market. She breaks down the viral moment when Cardi B’s lyric, "Got a bag and fixed my teeth," tripled her business overnight and turned her into a TMZ sensation. This conversation is a masterclass in building a powerhouse personal brand—one that allowed her to design a lifestyle working only three days a week and eventually sell her practice in 2017 to pivot into celebrity branding and coaching.

Podcast Mentioned:

Lets Talk Smiles Podcast 

Sponsored By:

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

🎙️ Hosts: Shannen & Nyleen

Ever wondered what happens when a doctor hits their "darkest hour"? Today, Shannen and Nyleen are joined by Amanda Olagon, Director of Communications at PBI Education, to discuss the fascinating world of remedial medical education. We’re moving past the "bad actor" headlines and getting into the heart of why good clinicians sometimes make very expensive mistakes.

In this episode, we break down:

• Restorative vs. Punitive Discipline
• The Doctor Typologies
• The "Sister State" Domino Effect
• Personalized Protection Plans

Whether you're an MSP looking to protect your facility or a provider feeling the weight of burnout, this episode is a masterclass in empathy, accountability, and the path back to safe practice.

Resources mentioned:

PBI Education: The go-to resource for behavioral-based remedial courses for clinicians. 

Dr. Lorna Breen Heroes Foundation: Leading the charge for physician mental health and suicide prevention. 

National Practitioner Data Bank (NPDB): The federal repository for adverse actions and medical malpractice payments.

Sponsored By:

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

🎙️ Hosts: Shannen & Nyleen

On this episode of Credentialing Chronicles: Spillin' Tea Across America, we’re heading to Illinois—a state that looks distinguished, established, and perfectly "elegante" on the surface. But as Shannen and Nyleen uncover, a polished reputation can be the most dangerous mask in healthcare.

We’re moving past the headlines to look at the "Quiet Risks"—the fractures in the system that occur when we prioritize prestige over protection. This isn’t about loud, obvious chaos; it’s about the danger that sits silently in a file while a lobby looks clean.

Themes explored in this session:

• The "Still Licensed" Trap: Why assuming "active" equals "unproblematic" is the biggest mistake a healthcare leader can make.
• Timely Truth vs. Stale Data: The reality of 50 states acting as 50 different countries, leaving patient safety at the mercy of a data lag.
• Clinical Violence: How documentation fraud and ignored patterns of misconduct escalate into irreversible harm.
• The MSP Checkpoint: A candid conversation on why the Medical Staff Professional is the essential line of defense, not a clerical obstacle.

If you’ve ever been told to "move it along" or "we’ve always done it this way," this episode is your reminder that silence inside an institution is a liability, not a strategy. It’s time to stop waiting for the board to act and start trusting the smoke signals right in front of you.

Grab your coffee and your compliance checklist—it’s time to go behind the facade.

Illinois Department of Financial and Professional Regulation

Sponsored By:

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

🎙️ Hosts: Shannen & Nyleen

We went from celebrating National Doctors’ Day straight into the wild, wild west of healthcare oversight — and baby, Idaho did not come to play. This week on Credentialing Chronicles, we’re heading into the Gem State where the mountains are high, the roads are long, and the credentialing mess can get real steep, real fast.

Because let’s be honest — it’s easy to talk about “honoring the calling” when you’re sitting in a big city hospital with layers of staff and resources. But out in the heart of the 208? That’s where the real grind shows up. We’re talking rugged terrain, thin margins, limited access, and the kind of compliance pressure that will make even the calmest MSP clutch their coffee a little tighter.

So no, we’re not just admiring Idaho’s pretty scenery. We’re digging into the real tea — the behind-the-scenes hustle, the red flags, the operational strain, and the hard truth about what it takes to keep healthcare facilities standing when everything feels a little off the beaten path.

Pour it hot and settle in, because this Idaho stop proves that some “gems” come with a whole lot of grit, a few cracks, and plenty to talk about.

Division of Occupational and Professional Licenses

Sponsored By:

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

🎙️ Hosts: Shannen & Nyleen

Aloha! Shannen and Nyleen are landing in a place where the vibes are tropical, but the administrative systems are anything but a vacation. This week, we’re looking into why one of the most beautiful places in America is also the most archaic when it comes to medical credentialing. From paper-based applications that slow everything down to significant infrastructure failures and public health emergencies, find out why this paradise is struggling to keep its healthcare system afloat. We’re also diving into a chilling legal scandal involving a local physician and a high-stakes manhunt— see for yourself how the system responded and why modern tools like Baton are the only way to survive the chaos. 

Hey, do you want exclusive premium and bonus episodes you won’t hear anywhere else?

Premium subscribers get extended interviews with MSPs, physicians, and healthcare leaders; bonus recordings diving deeper into real credentialing, privileging, and compliance challenges; and unfiltered conversations, practical insights, and behind-the-scenes stories. If you want the real stories — the ones that don’t make the main feed — this is where they live.

🎧 Subscribe for premium & bonus access here

Hawaii Medical Board

Request for a License Verification

Sponsored By:

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

🎙️ Hosts: Shannen & Nyleen

Welcome back to Credentialing Chronicles! We’re continuing our Spillin' Tea Across America tour, and honey, the Peach State is serving up a brew that is equal parts sweet and scandalous. In this episode, Shannen and Nyleen are peeling back the layers of Georgia’s healthcare scene—where high-society prestige collides with some of the messiest operational hurdles we’ve ever seen.

We’re dishing out a staggering DOJ investigation that proves fraud doesn't always hide in the shadows. 

From a clinical horror story from the 50s, to a multiple portal problem that is turning a to simple search an administrative scavenger hunt.

Bless your heart, but you better believe we’re verifying every single receipt!

Nursing Impostor Alerts

Podiatry + Nursing  

Physicians and PAs 

Dentist 

Sponsored By:

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

🎙️ Hosts: Shannen & Nyleen

Buckle up Tea Sippers with your compliance crew, because we are spilling a whole nation's worth of tea on the state that’s always the butt of the joke in credentialing—Florida! In this episode, Shannen and Nyleen go deep into why the Sunshine State has long been the undisputed epicenter of healthcare fraud in the U.S. We’re talking about a landscape where fragmented payer oversight and massive spending create the perfect "opportunity" for fraudsters to run wild.

We’re taking a trip down memory lane to the "Pill Mill" era of the early 2000s, when clinics were pumping out Oxy like candy and patients were flying in from all over the country just to get their fix. You’ll hear how Florida finally reacted in 2011 with the E-FORSE monitoring program to stop "doctor shopping" in its tracks.

 Don't let your facility fall through the cracks of the "Medical Wild West." It’s time to listen to your gut, verify the verified, and make sure your providers are staying credentialed—but not canceled! 

Sponsored By:

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

🎙️ Hosts: Shannen & Nyleen

We’re baaaack. 👀☕️

After a little break, Credentialing Chronicles is back to Spillin’ Tea Across America — and we’re kicking it off in none other than The First State.

Is Delaware too small for its own good?

In this episode, Shannen and Nyleen dive straight into the uniquely tight-knit healthcare ecosystem of Delaware. With nearly 100% provider participation in the Delaware Health Information Network (DHIN), it looks like a compliance dream. But does high-tech connectivity actually prevent fraud… or just give it a better place to hide?

We’re unpacking what happens when a “thin pipeline” of behavioral health and primary care providers turns into a full-blown pressure cooker for MSPs and compliance teams. From the overuse of “temporary privileges” to the reality of one person juggling 1,200 provider files, we’re talking about how “we’ll fix it later” quietly becomes permanent risk.

Delaware may be small — but the oversight stakes? Massive.

We’re back. We’re louder. And we’re spilling it all.

Stay Credentialed, Not Cancelled.

Sponsored  By:

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

🎙️ Hosts: Shannen & Nyleen

In this episode of Credentialing Chronicles, Shannon and Nyleen hit pause on their usual “tea across America” to unpack the newly released Jeffrey Epstein documents through a credentialing and ethics lens. Framing everything as alleged, they explore how emails, funding trails, and professional proximity to power expose deep gaps in our current systems: credentialing that only reacts to board actions and sanctions, weak oversight in cash-pay wellness and research spaces, and institutions that often protect prestige over transparency. Through case examples involving a neurologist, a longevity specialist, a research physician, and a prominent psychiatrist, they ask hard questions about boundaries, conflicts of interest, confidentiality, and mandated reporting—and argue that MSPs are ethical gatekeepers, not paperwork processors. If you care about how doctors get vetted, who funds the science, and what never makes it into the file, this is an episode you don’t want to miss.

Sponsored By:

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

🎙️ Hosts: Shannen & Nyleen

The tea in Connecticut is served in fine china — but don’t let the polish fool you. ☕🔥

Welcome to the Connecticut edition of Spillin’ Tea Across America.

Nyleen Flores and Shannen Reyes-Aguayo step into a state known for elite hospitals, Ivy-covered institutions, and reputations that look untouchable on paper. But beneath the prestige? A pattern of silence, slow enforcement, and consequences that didn’t surface until millions were already on the line.

This episode feels less like a compliance review and more like a courtroom drama where oversight took a back seat — and documentation became the only thing left standing.

We explore what happens when credentialing exists… but escalation doesn’t. When monitoring is assumed… but not verified. When institutions protect reputation longer than they protect patients.

And the questions get uncomfortable fast.

How long can a system whisper before a verdict forces it to speak?
How many red flags does it take before someone escalates?
And who is actually watching the watchers?

Connecticut didn’t lack policies.
It struggled with enforcement.

This is a masterclass in what happens when prestige, power, and delayed accountability collide inside healthcare systems that look pristine from the outside.

We don’t chase headlines.
We trace systems. ☕🔥

Connecticut Medical Examining Board

Sponsored By:

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

🎙️ Hosts: Shannen & Nyleen

The tea is steeped at 5,280 feet — and honey, it is scalding. ☕🔥 

Welcome to the Colorado edition of Spillin’ Tea Across America. 

Shannen Reyes-Aguayo and Nyleen Flores take the stage to unpack a series of medical failures that feel less like a routine day in healthcare and more like a dark Broadway tragedy — with real patients paying the price. 

In this episode, we pull back the curtain on the now-infamous “Music Bingo” scandal: a routine cataract surgery that turned fatal while an anesthesiologist was reportedly distracted by a game on his phone. We also dive into the decade-long masquerade of a “fake doctor” who operated body-scan clinics across Colorado for years — without a single valid credential. 

And that’s just the opening act. 

What’s behind the curtain:
• The Bingo Indictment: A 2026 update on felony charges shaking the OR
• The Legislative Trap: Why Colorado’s HB24-1004 means MSPs can no longer rely on a “clean” license alone
• The $556M Receipt: How alleged upcoding habits led to one of the largest healthcare settlements in state history
• The Non-Compete Death Knell: What SB25-083 means for provider contracts heading into 2026 

This episode is a masterclass in what happens when credentialing gaps, cultural rot, and weak oversight collide. 

Whether you’re an MSP trying to keep your binder from bursting into flames, or a provider determined to stay on the right side of the law, this is your survival guide to the Colorado medical landscape. 

We don’t do vibes.
 We do receipts. ☕🔥 

Colorado Medical Board License Check

Sponsored By: 

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
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🎙️ Hosts: Shannen & Nyleen

California has the thickest rulebook and the most medical oversight in the country.

So why are patients still getting hurt?

For the 5th stop of Spillin’ the Tea Across America, we expose a California healthcare system that looks credentialed on paper—but is collapsing in practice. From massive Medi-Cal mismanagement and DOJ lawsuits to non-clinical administrators managing complex patients, this episode reveals how red flags are ignored and accountability disappears.

We spill the tea on:

• The illusion of oversight and why licensing alone doesn’t protect patients
• Medi-Cal fraud, misuse of funds, and billing chaos
• Rural communities and caregivers being crushed by system failures
• Preventable infections, amputations, and patient deaths tied to administrative decision-making
• Why credentialing without audits leads to scandals, settlements—and real harm

This isn’t about one bad doctor or one bad hospital.
 It’s about a system that keeps failing vulnerable patients while calling itself “transparent.”

☕🔥 Credentialing Chronicles tells the stories compliance reports don’t.

Medical Board of California (MBC)

Osteopathic Medical Board of California (OMBC)

Sponsored By:

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

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🎙️ Hosts: Shannen & Nyleen

Grab your tea, because Arkansas is not light sipping.

In this episode of Credentialing Chronicles: Spillin' Tea Across America, we head to Arkansas — where medical board power, hospital politics, and Medicaid chaos collided in ways that harmed patients, professionals, and public trust.

We’re breaking down:
 • A $12 million TRICARE kickback scheme involving behavioral health services
• A Medical Board Chairman who abused authority and ultimately landed in federal prison
• Allegations of patients being unlawfully detained to inflate Medicaid billing
• Hospitals suing patients and employees — including during the COVID era
• A statewide Medicaid verification mess that exposed deep system failures
• How credentialing, contracting, and privileging became weapons instead of safeguards

This episode makes one thing painfully clear:
 When oversight protects reputations instead of people, abuse becomes systemic.

If you work in credentialing, compliance, medical staff governance, or healthcare leadership — Arkansas is a case study you can’t ignore.

☕ Pull up a chair.
 The tea is hot.
 And the receipts are real.

Arkansas State Medical Board

This Episode is sponsored by:

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

🎙️ Hosts: Shannen & Nyleen

Grab your tea — Arizona brought the heat.

This week on Credentialing Chronicles, our Spillin’ Tea Across America tour lands in Arizona, where explosive population growth, provider shortages, and sweeping regulatory changes are reshaping credentialing, payer enrollment, and patient safety in real time.

Arizona is moving fast — sometimes faster than its safeguards.

In this episode, Shannen and Nyleen break down:
 🌵 A new Arizona law promising 60-day credentialing timelines and retroactive payment — and what that actually means on the ground
🧾 Why practices keep confusing credentialing, contracting, and activation — and how that confusion costs real money
💻 Medicaid and payer enrollment finally entering the digital age (wet signatures, RIP)
🧠 Behavioral health stepping into credentialing, quality, and compliance conversations
🚩 Medical board “transparency” that looks clean on the surface — until you know where to look

And yes, the tea gets darker. The episode also explores disturbing misconduct cases where providers remained licensed and practicing for years while investigations quietly lingered behind the scenes — reminding us that “active and clear” does not always equal safe.

Arizona shows us what happens when healthcare grows faster than oversight — and why credentialing teams become the last real line of defense.

Arizona Medical Board

This show is sponsored by:

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

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🎙️ Hosts: Shannen & Nyleen

Grab your coffee (and maybe a parka… and yes, still a lawyer), because the tea doesn’t freeze in Alaska — it simmers quietly until it explodes.

This week on Credentialing Chronicles, our Spillin’ Tea Across America tour heads north to a state where healthcare looks calm on the surface but is stretched thin by extreme geography, remote access, and constant provider turnover.

We’re spilling on:
 ❄️ Alaska’s heavy reliance on locum tenens and massive credentialing files
 🧾 Remote-only verification, time zone chaos, and continuity-of-care gaps
 💸 A jaw-dropping $12.5 million healthcare fraud scheme hiding inside a “quiet” clinic
💊 Under-dosed patients, expired medications, pill mills, and drug diversion
📄 Multi-state licenses, fake billing, and why Alaska is not a shortcut state

Alaska proves that systems built for the lower 48 don’t always survive real-world extremes — and when they crack, patients and MSPs feel it first.

Pull up a chair. The tea is hot, the stakes are real, and this tour is just getting started.

Alaska Board of Health

This show is sponsored by:

HST Pathways

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

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🎙️ Hosts: Shannen & Nyleen

Grab your coffee (and maybe a lawyer, baby!), because Season 2 is officially LIVE! We’re kicking off our “Spillin' the Tea Across America” tour in the Heart of Dixie, and let’s just say Alabama has some secrets tucked away in those backwoods.

We’re diving deep into the "mystery novel" that is Alabama Medicaid—where the rules are made up and the timelines don't matter. We’re talking about the "Gotcha" rule that’s costing your practice cold, hard cash, and why a "Clear and Active" license on the board website doesn't mean what you think it means.

Plus, Nyleen brings the crime-girl energy with a scandal that’ll make your jaw drop: How did doctors with egregious sexual misconduct records end up with a multi-million dollar contract to treat the most vulnerable patients in the state? It’s messy, it’s opaque, and it’s exactly what they didn’t teach you in med school.

What’s in the cup today:

• The Medicaid Nightmare: Why you’re waiting 12 weeks for an appointment and still not getting paid.
• The "Gotcha" Trap: How prior auths and retro-eligibility are killing your bottom line.
• Board "Transparency": Why "no news" in Alabama usually means you just haven't dug deep enough yet.
• The Prison Files: The shocking truth about who’s really practicing behind bars.

Stay Credentialed, Not Canceled!

Alabama Medical Board - https://www.albme.gov/

This show is sponsored by:

HST Pathways

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

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🎙️ Hosts: Shannen & Nyleen

A 12-month-old infant suffers a catastrophic brain injury.
An on-call neurosurgeon is scrubbed in and ready.
An operating room is prepared for emergency surgery.

Then administration delivers the fatal message: “The patient was transferred.”

He wasn’t.

In this episode of Credentialing Chronicles, Shannen and Nyleen break down a devastating case involving a Michigan hospital that allegedly lost track of a critically injured infant, canceled life-saving surgery without verification, and then retaliated against the surgeon instead of addressing the systemic failure.

This wasn’t a clinical error.
 This was an administrative breakdown with lethal consequences.

We unpack patient safety failures, credentialing retaliation, EMTALA risk, and why “checking the box” is never a substitute for verifying reality.

🎧 Listen now — because the system is the story.

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

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🎙️ Hosts: Shannen & Nyleen

This episode is one of the most infuriating we’ve ever produced —
not because these stories are rare, but because they’re happening everywhere.

👩🏾‍🍼 Two Black mothers.
🏥 Two different hospitals.
⚠️ One devastating pattern: their pain dismissed, their labor ignored, and their safety treated as optional.

This wasn’t “unexpected progression.”
 This was neglect.

🔍 Inside the Episode:

📜 EMTALA 101: What federal law actually requires when a laboring patient comes to the ED
🚨 Compliance Red Flags: Triage failures, premature discharges, and catastrophic judgement calls
⚖️ Bias in Real Time: How racial disparities in maternal outcomes show up in moments like these
📝 Peer Review Essentials: What incident reporting and root cause analysis should look like
🛡️ Frontline Guidance: Practical tips for patients, clinicians, and MSPs

These aren’t sensational stories.
 They’re symptoms of a system that still does not take Black women’s pain seriously.

🎧 Listen to Episode 36: Denied While Dilating

Because when two women in one week give birth in places they were never supposed to…
 the problem isn’t them — it’s us.

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

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Hosted by: Shannen Reyes-Aguayo & Nyleen Flores
IG: @credentialingchronicles

In this explosive episode of Credentialing Chronicles, Shannen and Nyleen uncover one of the most disturbing oversight failures in modern military medicine.

A Major OB-GYN secretly filmed women during pelvic exams at military hospitals in Hawaii and Texas. But the real scandal?
Early warnings were reportedly dismissed, concerns were laughed off, and a federal credentialing loophole allowed him to keep practicing with a spotless record.

This episode breaks open:

• The federal license loophole that bypasses state verification
• How leadership protected the institution instead of the patients
• Why “unrestricted license” doesn’t always mean “safe provider”
• The dangerous pattern of transparency gaps in federal medical systems

If you work in credentialing, patient safety, compliance, or healthcare leadership, this episode will change how you view “clean paperwork.

🎙️ Catch Credentialing Chronicles wherever you listen to podcasts:
https://www.credentialingchronicles.com

💡 Episode Partner
Today’s episode is powered by Baton Health — the must have tool to make credentialing better, safer and more efficient.
Providers or facilities, see why everyone’s talking about Baton:

https://urldefense.proofpoint.com/v2/url?u=https-3A__www.batonhealth.com_-3Futm-5Fsource-3Dcredentialing-2Bchronicles-26utm-5Fmedium-3Dpodcast-26utm-5Fcampaign-3Dsponsor&d=DwMFaQ&c=euGZstcaTDllvimEN8b7jXrwqOf-v5A_CdpgnVfiiMM&r=89wLWzKXyyeKO-1acXgPDv9aOOsf-alfc8Rvw__kZVUoqaNoFuJwqADqyCxQaAbe&m=WeVl2F1jdEUGadXlcP6wAY47S47bE40PWJm5Qa9lVi8x4Dgzz46ZbSRn25cDAcWB&s=hUVGWVneHOKmVgUeaE12t_HWtP4xzQwMu9GP524GFNQ&e= 

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

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Hosted by: Shannen Reyes-Aguayo & Nyleen Flores
IG: @shannensunfloweraguayo | @nyleenfloresfam

Forget the bad actors; this episode is a pure shot of appreciation for the human heart of medicine.

Shannon and Nyleen pull back the curtain to share truly moving stories of physicians who refuse to let bureaucracy or system failures get in the way of providing life-changing care. This is a tribute to everyone in healthcare who treats the whole human, not just the symptom.

• 🩺 Beyond the Clipboard: From a spine surgeon who restores a patient's dignity to a doctor who literally refuses to charge the poorest in his community, these stories prove that compassion is the greatest cure.
• 👏 Standing Ovation: A heartfelt shout-out to the primary care providers, nephrologists, OR teams, and all the "common humans" doing the absolute most.
• 🧡 The Goodness Gap: In a system often loud about complaints and quiet about gratitude, we are here to make your "Thank You" loud and clear.

Grab your coffee and a tissue. We're celebrating the good ones.

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

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Hosted by: Shannen Reyes-Aguayo & Nyleen Flores
IG: @shannensunfloweraguayo | @nyleenfloresfam

Is UnitedHealthcare having the worst year in corporate history? 📉

From the tragic assassination of CEO Brian Thompson to a DOJ antitrust investigation and the massive Change Healthcare cyberattack, the spotlight is burning hot. But today, we are looking past the headlines to the systematic business practices sparking public outrage.

In this episode, Shannen & Nyleen break down the "Deny, Delay, Defend" strategy—now weaponized by AI. 

🔥 In this episode, we cover:

• 🤖 The Rise of AI: How UnitedHealthcare uses AI to deny.
• 🏥 The Human Cost: Why "Deny, Delay, Defend" isn't just about paperwork anymore; it’s about squeezing profits from Medicare Advantage patients who can't fight back.
• 👮 The Legal Storm: A look at the DOJ investigation and the class-action lawsuits piling up against the healthcare giant.

Tune in to understand exactly how the algorithm works against you. 🎧

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

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Guest: Emily Brinkman, Esq. – Healthcare Attorney
Hosted by: Shannen Reyes-Aguayo & Nyleen Flores
IG: @shannensunfloweraguayo | @nyleenfloresfam

What happens when the system built to protect patients… looks the other way?

In this episode of Credentialing Chronicles, Shannen and Nyleen sit down with powerhouse healthcare attorney Emily Brinkman to dissect how dangerous doctors slip through the cracks — and why the people who could stop them, often don’t.

From sealed investigations and “no comment” statements to hospitals paralyzed by politics, Emily pulls back the curtain on a culture that prizes silence over safety. With 20+ years in the trenches — representing hospitals, medical staffs, and even the boards themselves — she exposes the cracks that start small and end in catastrophe.

💥 Inside this episode:

• The red-flag silence that keeps patients in the dark
• Confidentiality laws that protect the wrong side
• How retaliation and reputation shape medical decisions
• What MSPs can actually do when leadership won’t listen
• Why transparency is healthcare’s most powerful disinfectant

🎧 “When the System Looks Away” is a gripping look at accountability gone missing — and a reminder that in healthcare, silence isn’t neutral. It’s dangerous.

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

Hosted by: Shannen Reyes-Aguayo & Nyleen Flores
IG: @shannensunfloweraguayo | @nyleenfloresfam

Malpractice. Disfigurement... A surgeon's dead wife. A state of emergency.

This week on Credentialing Chronicles, Shannen & Nyleen investigate the horrifying case of Dr. Ben Brown, a Florida plastic surgeon whose practice was declared an "immediate, serious danger to the public."

From a patient's post-surgical wound resembling a "ribeye laying on my stomach" to a "total collapse of judgment" that left his own 33-year-old wife dead after procedures in his clinic, this isn't just malpractice. It’s a terrifying, systemic failure of oversight, accountability, and basic medical ethics.

🔥 In this episode:

• What investigators found inside the "dirty, poorly maintained" and unregistered office.
• The chilling timeline of the surgeon's wife's death—from mixing her own anesthesia to the 20-minute delay in calling 911.
• How patients who explicitly declined procedures allegedly woke up with them anyway, leading to disfigurement and necrosis.
• Why "Hillary's Law," a bill filed to stop surgeons from operating on family in an office setting, died in subcommittee.
• The critical verification steps (ABPS, AAAASF, TJC) every patient and credentialing pro must use to spot the red flags.

🧾 With a surgeon still licensed to practice (under supervision) after being deemed an "immediate, serious danger," this isn’t just a headline—it’s a wake-up call.

If you work in credentialing, medical board oversight, risk management, or patient safety, this episode proves: you are the last line of defense.

🎧 Listen now — and don’t forget to share, tag your compliance crew, and make some noise.

An "absence of evidence is not evidence of absence" on a practitioner's record.

#CredentialingChronicles #PatientSafety #MedicalMalpractice #PlasticSurgery #DrBenBrown #Credentialing #BoardCertification #Oversight #HealthcarePodcast #Florida

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

Hosted by: Shannen Reyes-Aguayo & Nyleen Flores
IG: @shannensunfloweraguayo | @nyleenfloresfam

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:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

Hosted by: Shannen Reyes-Aguayo & Nyleen Flores
IG: @shannensunfloweraguayo | @nyleenfloresfam

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:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

Hosted by: Shannen Reyes-Aguayo & Nyleen Flores
IG: @shannensunfloweraguayo | @nyleenfloresfam

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:

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

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:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

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:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

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:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

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:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

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:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

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:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

Grab your badges and your mugs—because the MSPs are spilling the JUICIEST tea from NAMSS! From wild conference confessions to “did-they-really-say-that?!” moments, Shannen and Nyleen are serving laughs, lessons, and a whole lotta credentialing realness.

On this session: Ann Klinger, Conference Committee Chair for NAMSS. 

#CredentialingChronicles #NAMSS2025 #SpillinTea #MedicalStaffProfessionals

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

Ever opened a credentialing file and had to close it right back because of the doctor’s headshot? 😅

In this Tea Spillin’ Session, Allison joins Shannen and Nyleen to laugh (and cringe) through the unforgettable world of “professional” headshots — from glamour shots gone wrong to selfies that should’ve stayed in the camera roll. 📸

Because sometimes, before the verification even starts, the photo says everything. MSPs, you know the struggle!

#CredentialingChronicles #MSPTea #HeadshotHorrorStories #SpillinTea #HealthcareUnfiltered

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

Grab your badges and your mugs—because the MSPs are spilling the JUICIEST tea from NAMSS! From wild conference confessions to “did-they-really-say-that?!” moments, Shannen and Nyleen are serving laughs, lessons, and a whole lotta credentialing realness.  This time we welcome our lovely Debbie Kesselring from Alaska! 

We truly are covering all 50 states!

#CredentialingChronicles #NAMSS2025 #SpillinTea #MedicalStaffProfessionals

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

👀 They showed up. They sat down. They spilled.
 Anonymous 1 & 2 didn’t hold back at the Credentialing Chronicles tent—and why should they?

MSPs rarely get a safe space. Leadership says “just get it done.” Providers forget to sign their apps. Payers take months to respond. And when it all collapses? Guess who takes the blame.

That’s why Credentialing Chronicles exists.
 We give MSPs the mic. We expose the mess. And we remind everyone watching that behind every credentialing file is a human being fighting to keep healthcare safe.

🔥 If you’ve ever wanted to say the things you can’t put in an email, this one’s for you.

#CredentialingChronicles #NAMSS2025 #MSPStrong

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

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Shannen & Nyleen pour a quick sip with Divya Shroff, MD, FHM, as she spills the tea on what really happens when quality, the MSO, and the CMO collide. 🍵

Dr. Shroff dives into how the Medical Staff Office is the backbone of quality reporting, why the CMO’s relationship with MSO leaders can make or break culture, and what happens when communication breaks down at the top. 

Spoiler: it’s not just paperwork—it’s patient outcomes, boardroom credibility, and frontline trust on the line.

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

Pour a quick cup—Shannen & Nyleen are spilling the NAMSS tea in under five minutes. ☕️🍵 In this lightning-round mini, we break down the hottest takeaways every medical staff pro should know right now ...

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

 Pour a quick cup—Shannen & Nyleen are spilling the NAMSS tea in under five minutes. ☕️🍵 In this lightning-round mini, we break down the hottest takeaways!!

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

Pour a quick cup—Shannen & Nyleen are spilling the NAMSS tea in under five minutes. ☕️🍵 In this lightning-round mini, we break down the hottest takeaways every medical staff pro should know right now !

In this episode we break it down with Anonymous 1 and Anonymous 2  -  as they spill some tea!

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

Pour a quick cup—Shannen & Nyleen are spilling the NAMSS tea in under five minutes. ☕️🍵 

In this episode: RADIOLOGY! _ What does Samantha have to say?!

Think of this as your NAMSS power-up: fast, punchy, and ruthlessly practical. We translate guidance into real-world red flags, receipts, and quick wins—so you can walk into your next meeting sounding like you’ve got an army of auditors in your pocket. No fluff, just facts…with a little side-eye. 😉

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

What happens when the people who keep hospitals safe get treated like “paper pushers”? In this episode, Shannen and Nyleen sit down with Dr. Victor Vargas—Chief Medical Officer, Certified Physician Executive, and credentialing advocate—to talk about the respect gap between physicians and Medical Staff Professionals (MSPs).

Dr. Vargas spills the tea on:

• Why MSPs are the first gate to patient safety
• A real case where falsified case logs were caught before a surgeon touched a patient
• How culture and credentialing go hand-in-hand
• The right way to staff and empower your MSO/CVO
• Why MSPs belong at the table—not against the wall

From peer review to provider onboarding, this conversation shows how collaboration between physician leaders and MSPs saves patients, protects hospitals, and builds trust.

🎙️ Credentialing Chronicles is where compliance meets conversation—and where we call out what really happens behind hospital walls.

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

When “trusted” turns toxic. In this episode, Shannen and Nyleen dig into the Washington State case of an OB-GYN whose exam room conduct sparked years of complaints, multiple lawsuits, and a formal Statement of Charges by the Washington Department of Health. We unpack how warning signs were minimized as “just the doctor being the doctor,” what “Active – Pending Enforcement Action” really means for patients, and why credentialing must look beyond a license that appears “clean.”

What’s inside

• A timeline of red flags (2005–2024) and how institutional shrugging enabled harm
• Allegations outlined by the WA DOH Statement of Charges: boundary violations, sexualized comments, humiliation of patients, and staff concerns
• The credentialing view: why “Active” ≠ safe, and how MSPs should escalate “pending” cases
• Culture as a safety tool—and how to hold the line when pressure says “push the file”
• Patient/physician/MSP PSAs you can act on today

Important note: The conduct discussed consists of allegations drawn from public filings and reporting. The physician’s Washington license status at the time of recording is Active – Pending Enforcement Action. Everyone is entitled to due process; our focus is on systems, patient safety, and credentialing accountability.

PSA

• Patients: Check license status, ask questions, and report uncomfortable encounters.
• Physicians: Your loyalty is to patients—speak up, document, and support safe culture.
• MSPs/CVOs: Track “pending enforcement,” document patterns, and advocate for immediate safeguards.

Credentialing Chronicles—where compliance meets conversation, and receipts meet reform.

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

Doctors caught in the Worst Betrayal

Two doctors. Two hospitals. Two of the darkest betrayals imaginable.

In this episode, Shannen and Nyleen expose the chilling cases of:

• A world-renowned geneticist at Cincinnati Children’s Hospital accused of hoarding over 150,000 child abuse images.
• A VA physician in Massachusetts charged with downloading CSAM—from his office inside a federal medical center.

These weren’t shadowy fraudsters. They were respected physicians—until law enforcement pulled back the curtain.

⚠️ Content Warning: This episode covers crimes involving child sexual abuse material. Not for minors and may be triggering.

👉 Credentialing Chronicles shines a light on how systems failed, why licenses stayed active, and what patients, providers, and MSPs must do to close the gaps.

Because sometimes spilling the darkest tea saves lives.

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

Behavioral health is booming—but billing it wrong can break your practice. In this episode, Shannen and Nyleen unpack the growing wave of medical groups adding therapy, psychiatry, and counseling services—only to stumble into denials, audits, and compliance nightmares.

From the basics of CPT codes and payer carve-outs, to the credentialing pitfalls that practices overlook, this episode digs into:

• What behavioral health billing really means (and why it isn’t just “a few extra codes”).
• Why urgent cares, OB/GYNs, and pain clinics keep adding BH services—and the dangerous shortcuts they take.
• Red flags that trigger payer audits, clawbacks, and fraud allegations.
• Real-world mistakes: upcoding, wrong NPIs, and billing under the wrong taxonomy.
• A step-by-step breakdown of how to credential, enroll, and bill correctly.
• The compliance mindset that keeps paperwork from turning into panic.

💡 Whether you’re a provider, a biller, or a practice administrator, this episode is your survival guide to adding behavioral health services the right way—without setting off alarms.

Takeaway: Adding behavioral health can transform care, but if you cut corners, it will catch up to you. Audit early, credential properly, and protect your providers, your patients, and your practice.

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

Charts to Cellblocks dives into the 2025 National Health Care Fraud Takedown:

• 324 defendants.
• $14.6 billion in fraud.
• And scams so wild, you’ll question if you’re watching Netflix or the nightly news.

From international crime syndicates running billion-dollar ghost claims, to AI deepfake voice scams stealing Medicare millions, to opioid pill mills and fake wound care schemes — Shannen and Nyleen spill the tea on how the FBI, DEA, and Big Data brought them down.

Plus, don’t miss our PSA segment with warnings for patients, providers, and credentialing professionals.

Visit our website for more information: 

www.CredentialingChronicles.com

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

A Florida woman treated over 4,400 patients — all without a nursing license. How? She slipped through the cracks using someone else’s license number, blending in with scrubs, and almost got promoted before HR finally noticed.

In this episode, Shannen and Nyleen spill the tea on how it happened, why credentialing and primary source verification (PSV) matter, and what hospitals and HR can learn from this scandal. They also revisit the fake diploma scheme that put thousands of unqualified “nurses” into hospitals across the U.S.

This isn’t just gossip—it’s a wake-up call. Patient safety depends on rigorous credentialing, audits, and stopping “trust-the-badge” culture before it lands your organization in the headlines.

🔗 Receipts, sources, and resources are linked in the show notes.
 👂 Listen now and stay credentialed, not canceled.

Verify your Nurses' Credentials: 

https://www.nursys.com/

Operation Nightingale: 

https://oig.hhs.gov/newsroom/media-materials/nightingale/

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

NCQA Said Nope – CVO Edition
When NCQA says “no,” they mean no. In this brutally honest, laugh-out-loud episode, Shannen and Nyleen pull back the curtain on Credentialing Verification Organizations (CVOs) — the certified, the expired, the denied, and the ones hiding behind the term “NCQA aligned.”

From decoding NCQA statuses to real-life horror stories of outsourcing gone wrong, they’ll give you the insider checklist to vet your vendors, avoid audit nightmares, and protect your reputation. Whether you’re a credentialing pro, a health plan exec, or just curious about who’s verifying your providers, this episode is your wake-up call.

Edgy. Fun. Real. And yes, there’s plenty of tea.

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...

Send us Fan Mail

Hey Credentialing Fam 👋,

This one? Whew. It's for you. The backbone. The gatekeepers. The spreadsheet warriors. The unsung compliance pros who hold entire healthcare systems together.

It’s bold, real, and packed with truth bombs about what it actually means to be a Medical Staff Professional today.

Shannen and Nyleen get real about:

* The origin of MSPs as gatekeepers—why it mattered then, and still matters now
* Why credentialing isn’t clerical—it’s clinical, legal, operational, and strategic
* The federal oversight coming in 2028 (yep, the Death Master File is no joke)
* What leadership needs to hear about respecting the credentialing role
* Honest advice for every burned-out, overlooked, and underpaid MSP
* And a big reminder: *you’re not just pushing paper—you’re protecting lives*

*This episode is for the ones who:
   * Answer the call when an audit hits
   * Catch the expired license before it slips through
   * Are tired of being last to know, first to blame
   * Want change, recognition, and a seat at the table

Support the show

Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

 🌐 Connection Zone
Stay plugged in with your peers, share resources, and nev...