Credentialing Chronicles

Shannen and Nyleen

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

  1. 7 hr ago

    Live at NAMSS 2026 (50th Anniversary)

    Send us Fan Mail Tea dresses, tiny microphones, and a little NAMSS chaos! 🫖🎙️ We’re taking you inside our pink booth at NAMSS’s 50th anniversary conference in New Orleans! This short episode is full of live conversations, laughs, and the wonderfully chaotic energy that comes with recording in the middle of it all. If you’ve ever wondered what NAMSS is like, here’s your little peek—familiar faces, new connections, and MSPs coming together to celebrate what we do. Was it perfectly polished? Absolutely not. Did we have a blast? Absolutely. 😂 A HUGE shoutout to Credential Network, our exclusive NAMSS sponsor, for helping us bring the tea party to New Orleans! And a special shoutout to Baton Health, our very first sponsor, for believing in Credentialing Chronicles and supporting us along the way. We appreciate you both! 🩷 Press play, soak up the experience, and make plans to attend NAMSS in 2027. Come for the connections, stay for the tea! Stay credentialed, not cancelled. 💖 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...

    Live at NAMSS 2026 (50th Anniversary)
  2. 3 Nov

    The Exam Room Should Be Safe! "I am Jane Doe"

    Send us Fan Mail ⚠️ *TRIGGER WARNING:* This episode discusses sexual assault, sexual abuse by healthcare professionals, and child sexual abuse. Although the discussion is non-graphic, these topics may be distressing. Please pause, skip, or listen when you feel ready. Your well-being comes first. You go to the doctor for care. You deserve to leave with your dignity and safety intact. In this powerful episode of Credentialing Chronicles, Shannen Reyes-Aguayo and Nyleen Flores address a difficult reality: what happens when the people trusted to provide care abuse that trust—and what responsibility do healthcare institutions have to respond? Through three cases involving James Heaps, Zhi Alan Cheng, and Darius Paduch, the hosts examine the questions that reach far beyond the headlines. Speaking as credentialing professionals, women, and mothers, Shannen and Nyleen bring compassion and urgency to a conversation healthcare cannot afford to avoid. In this episode: * Consent, boundaries, and what patients should understand before a sensitive examination.   * The role of trained chaperones—and why their presence needs to mean more than a person in the room.   * Protecting children while respecting age-appropriate privacy.   * What happens when concerns are dismissed, complaints become disconnected, or reputation carries too much weight.   * Why credentialing, ongoing oversight, and clear reporting pathways must work together.   * Why more headlines do not automatically prove a national increase—and why patient safety cannot wait for one. At the heart of this discussion is a message worth repeating: abuse is never the patient’s fault. Freezing, staying silent, trusting a professional, or not knowing what an examination should involve does not make someone responsible for being harmed. Patients deserve to be heard. Survivors deserve dignity. Professional titles must come with accountability. Join the conversation: Which policy should healthcare organizations explain more clearly—consent, chaperones, or reporting concerns? Please protect everyone’s privacy and avoid sharing identifying details or unverified accusations in public comments. For sexual assault support resources, visit [RAINN.org](https://rainn.org). Learn more and follow the show at credentialingchronicles.com (https://credentialingchronicles.com). Subscribe and share this episode with someone who cares for patients, trains staff, or helps shape healthcare policies. Thank you to our sponsors: Credential Network (CredNet), Baton Health, and HST Pathways. This episode is for education and discussion and does not provide individual medical or legal advice. Stay credentialed, not cancelled. 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...

    The Exam Room Should Be Safe! "I am Jane Doe"
  3. 27 Oct

    Spillin’ Tea Across America: New Jersey

    Send us Fan Mail SOMEBODY ELSE'S DEA NUMBER?! $172 MILLION IN MEDICARE FRAUD?! NEW JERSEY, WE NEED TO TALK! 👀☕️ The Garden State is serving up some SERIOUS healthcare tea, and trust us… this episode is WILD! 🔥 This week on Credentialing Chronicles, hosts Shannen Aguayo-Reyes and Nyleen Flores are taking Spillin’ Tea Across America straight to NEW JERSEY, where questionable prescriptions, alleged kickback schemes, Medicaid revalidation headaches, and major healthcare fraud cases are putting the entire industry under the microscope. We're talking about an alleged $20 MILLION healthcare fraud and controlled-substance scheme, a guilty plea involving the use of someone else's DEA registration number, and a separate $172 MILLION Medicare fraud case that ended in a federal prison sentence. And that's only part of the tea! 😳 But here's the REAL question: How do these things happen, who's watching, and what happens when the people responsible for protecting provider information miss the warning signs? From hospital licensing surprises to NJ FamilyCare changes and provider enrollment nightmares, we're connecting the headlines to the REAL consequences for healthcare organizations, medical staff professionals, providers, and patients. 💗 The receipts are coming out, the compliance red flags are flying, and the Garden State has some explaining to do! 🎧 Grab your tea, turn up the volume, and get ready for another jaw-dropping stop across America. FOLLOW • LIKE • SHARE • SUBSCRIBE to Credentialing Chronicles on your favorite podcast platform! ☕️ Stay Credentialed, Not Cancelled! Disclaimer: This episode discusses reported enforcement actions, allegations, guilty pleas, settlements, and sentencing. Criminal charges do not establish guilt, and settlements do not necessarily constitute admissions of wrongdoing. Content is educational and reflects research available as of September 8, 2026. 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...

    Spillin’ Tea Across America: New Jersey
  4. 13 Oct

    Spillin Tea Across America: New Hampshire

    Send us Fan Mail New Hampshire’s Healthcare Wake-Up Call A provider can be qualified, credentialed—and still out of reach. A provider’s identity can be legitimate—and still be used to submit fraudulent claims. Who is checking what happens next? In this New Hampshire edition of Credentialing Chronicles, Shannen Reyes-Aguayo and Nyleen Flores connect the headlines to the provider files, payer decisions, and patients caught in the middle. We examine the state’s 30-day mental-health credentialing reform and ask the question behind the deadline: Does faster approval actually lead to timely care and payment? From application completeness to effective dates and denied claims, we unpack where a promising policy can stumble in practice. Then we turn to rural clinic closures, Medicaid coverage challenges, and a federal prosecution tied to an alleged healthcare fraud scheme involving stolen patient and provider identities and nearly $3 billion in intended losses. Inside this episode: The 30-day credentialing clock: What teams need to track beyond an approval.Rural healthcare under pressure: What happens when a community loses a place to receive care.Provider identity theft: Why a valid license and NPI do not tell the whole story.The screening gaps: How owners, billing vendors, and other people outside the clinical roster can affect compliance.Practical incident drills: Questions to ask when claims deny—or unfamiliar claims appear under your name.For credentialing professionals, healthcare leaders, providers, and compliance teams, this episode asks what it takes to make access faster while keeping verification, accountability, and patient protection strong. Listen, share it with your team, and tell us: where does your process stop—at approval, or when the provider is truly ready to deliver care? Follow Credentialing Chronicles, leave a review, and send us the healthcare tea from your state. Stay credentialed, not cancelled. This episode provides education and commentary based on sources available through September 8, 2026. Criminal allegations are not findings of guilt. Verify current requirements before making operational decisions. Baton Health: Universal PSV in SecondsEliminate credentialing delays! Get 100% accurate, real-time license verification and monitoring.Credential NetworkCredNet is the AI-native credentialing and payer enrollment platform built for credentialing serviceDisclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to 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...

    Spillin Tea Across America: New Hampshire
  5. 6 Oct

    When Healers Become Killers: Inside the Investigation with Bruce Sackman

    Send us Fan Mail What happens when the person trusted to heal the patient… is the person harming them? This week on Credentialing Chronicles, Shannen Aguayo-Reyes and Nyleen Flores sit down with Bruce Sackman, renowned healthcare fraud investigator, author, and former Special Agent in Charge with the U.S. Department of Veterans Affairs Office of Inspector General. For more than three decades, Bruce stepped into healthcare environments after something had gone terribly wrong—investigating fraud, corruption, false claims, theft, patient assault, drug diversion, suspicious hospital deaths, and some of the most disturbing cases involving medical professionals. But this conversation isn't just about the cases. It's about the warning signs before the investigation ever begins. Bruce takes us behind the investigation: what his instincts noticed before the evidence caught up, the case that permanently changed the way he viewed healthcare, the responsibility investigators carry long after a case closes, and what the public may never fully understand about investigating someone entrusted with patients' lives. And we ask the question healthcare can't afford to ignore: Have we actually gotten better at recognizing dangerous providers—or have technology, fragmented systems, staffing pressures, and endless box-checking simply created new places for the warning signs to hide? This is more than true crime. It's healthcare. It's patient safety. And it's a conversation every medical staff professional, healthcare leader, provider—and patient—needs to hear. 🎙️ Credentialing Chronicles Stay credentialed, not cancelled. Credential NetworkCredNet is the AI-native credentialing and payer enrollment platform built for credentialing serviceBaton Health: Universal PSV in SecondsEliminate credentialing delays! Get 100% accurate, real-time license verification and monitoring.HST PathwaysOne Complete Solution for Your Surgery Center’s Success From scheduling to billing, manage your entDisclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to 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...

    When Healers Become Killers: Inside the Investigation with Bruce Sackman
  6. 29 Sept

    THE DEMO WAS BEAUTIFUL. THEN IMPLEMENTATION STARTED.

    Send us Fan Mail This week, Credentialing Chronicles sits down with Matthew Jansen, President & CEO of Acorn Credentialing Solutions, for an exclusive conversation about the side of healthcare credentialing most people never hear about. Acorn works across credentialing, enrollment, provider data, automation, and provider operations—connecting pieces of the process that healthcare organizations have historically managed across separate systems and workflows. Acorn But we're not here for the sales pitch. Shannen and Nyleen put Matthew behind the mic for a real conversation about credentialing, technology, the problems our industry keeps running into, and where healthcare is actually headed. What happens when credentialing doesn't work the way it's supposed to? Where does technology really help—and where does the human side still matter? And when you put two credentialing professionals across from the President & CEO of a credentialing technology company... what gets said when nobody is reading from a script? 👀 Some questions were expected. Some answers weren't. No rehearsed corporate talking points. No fluff. Just credentialing professionals talking credentialing — real talk, real experience, and no filter. ☕️ You'll have to press play for the rest. Credentialing Chronicles x Acorn Credentialing Solutions 🎙️ Stay Credentialed, Not Cancelled. The tea is officially on the table. Learn more about Acorn Credentialing Solutions --https://acorncredentialing.com/ Acorn CredentialingAutomated tasks, streamlined digital workflows, advanced data management. Simple integration with leDisclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to 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...

    THE DEMO WAS BEAUTIFUL. THEN IMPLEMENTATION STARTED.
  7. 23 Sept

    Road to NAMSS 2026 Starts Now!

    Send us Fan Mail The wait is over! 🎙️ We’re officially kicking off the road to NAMSS 2026, and this episode is one you do NOT want to miss. In this special announcement episode, we’re pulling back the curtain on what’s ahead for NAMSS 2026 — the excitement, the vision, the opportunities, and what you can expect as we get closer to this year’s biggest moments in the medical staff services community. Whether you’re a seasoned MSP, new to the profession, preparing for NAMSS 2026, or simply passionate about the future of medical staff services, this episode is your official starting point. The countdown starts NOW. ⏰ 🎧 Press play, turn it up, and join us as we kick off the journey to NAMSS 2026! NAMSS 2026 is coming — and we’re ready. Are you? 🚀 Baton Health: Universal PSV in SecondsEliminate credentialing delays! Get 100% accurate, real-time license verification and monitoring.Advanced Quality Compliance & CVOCredentialing. Contracting. Compliance. Handled. Completely. Concierge-level credentialing, payer eMedElevate SolutionsBridging the Gap Between Software and Clinical Reality E.L.E.V.A.T.E.™ your healthcare experience. Credential NetworkCredNet is the AI-native credentialing and payer enrollment platform built for credentialing serviceDisclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to 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...

    Road to NAMSS 2026 Starts Now!
  8. 15 Sept

    Spillin' Tea Across America: Montana

    Send us Fan Mail Big Sky. Big money. BIG oversight questions. ☕🔥 Credentialing Chronicles is Spillin’ the tea across America—and this stop takes us to MONTANA. From Medicaid changes and millions in rural health funding to provider mobility, hospital oversight, a story update and a licensing case that raises serious questions about how critical information moves through the system. Because a clean license is only the beginning. 🎙️ Grab your tea. Montana has receipts. Stay credentialed, not cancelled. 💗🖤 Baton Health: Universal PSV in SecondsEliminate credentialing delays! Get 100% accurate, real-time license verification and monitoring.Nimble:Surgical Revenue cycle ManagementAccelerate growth. Leverage intelligent analytics. Achieve powerful financial results.HST PathwaysOne Complete Solution for Your Surgery Center’s Success From scheduling to billing, manage your entAdvanced Quality Compliance & CVOCredentialing. Contracting. Compliance. Handled. Completely. Concierge-level credentialing, payer eMedElevate SolutionsBridging the Gap Between Software and Clinical Reality E.L.E.V.A.T.E.™ your healthcare experience. Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to 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...

    Spillin' Tea Across America: Montana

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About

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