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. Spillin' Tea Across America: Idaho

    6D AGO

    Spillin' Tea Across America: Idaho

    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: Baton Health: Universal PSV in SecondsEliminate credentialing delays! Get 100% accurate, real-time license verification and monitoring.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...

    31 min
  2. Spillin' Tea Across America: Hawaii

    MAR 24

    Spillin' Tea Across America: Hawaii

    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: Baton Health: Universal PSV in SecondsEliminate credentialing delays! Get 100% accurate, real-time license verification and monitoring.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...

    25 min
  3. Spillin' Tea Across America: Georgia

    MAR 17

    Spillin' Tea Across America: Georgia

    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: Baton Health: Universal PSV in SecondsEliminate credentialing delays! Get 100% accurate, real-time license verification and monitoring.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...

    37 min
  4. Spillin' Tea Across America: Florida

    MAR 10

    Spillin' Tea Across America: Florida

    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: Baton Health: Universal PSV in SecondsEliminate credentialing delays! Get 100% accurate, real-time license verification and monitoring.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...

    38 min
  5. Spillin' Tea Across America: Delaware

    MAR 3

    Spillin' Tea Across America: Delaware

    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: Baton Health: Universal PSV in SecondsEliminate credentialing delays! Get 100% accurate, real-time license verification and monitoring.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...

    43 min
  6. Epstein

    FEB 24

    Epstein

    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: Baton Health: Universal PSV in SecondsEliminate credentialing delays! Get 100% accurate, real-time license verification and monitoring.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...

    41 min
  7. Spillin' Tea Across America: Connecticut

    FEB 17

    Spillin' Tea Across America: Connecticut

    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: Baton Health: Universal PSV in SecondsEliminate credentialing delays! Get 100% accurate, real-time license verification and monitoring.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...

    49 min
  8. Spillin' Tea Across America: Colorado

    FEB 10

    Spillin' Tea Across America: Colorado

    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:  Baton Health: Universal PSV in SecondsEliminate credentialing delays! Get 100% accurate, real-time license verification and monitoring.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...

    45 min

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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! 🎙️🔥