Credentialing Chronicles

Shannen and Nyleen
  • 5,0 (16)
  • НОВОСТИ ИНДУСТРИИ РАЗВЛЕЧЕНИЙ

"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: Connecticut

    -3 ДН.

    Spillin' Tea Across America: Connecticut

    Send a text 🎙️ 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 res...

    49 мин.
  2. Spillin' Tea Across America: Colorado

    10 ФЕВР.

    Spillin' Tea Across America: Colorado

    Send a text 🎙️ 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 Sponso 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 res...

    45 мин.
  3. Spillin' Tea Across America: California

    3 ФЕВР.

    Spillin' Tea Across America: California

    Send us a text 🎙️ 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 patientsMedi-Cal fraud, misuse of funds, and billing chaosRural communities and caregivers being crushed by system failuresPreventable infections, amputations, and patient deaths tied to administrative decision-makingWhy credentialing without audits leads to scandals, settlements—and real harmThis 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: 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 res...

    30 мин.
  4. Spillin' Tea Across America: Arkansas

    27 ЯНВ.

    Spillin' Tea Across America: Arkansas

    Send us a text 🎙️ 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: 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 res...

    39 мин.
  5. Spillin' Tea Across America: Arizona

    20 ЯНВ.

    Spillin' Tea Across America: Arizona

    Send us a text 🎙️ 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: 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 res...

    42 мин.
  6. Spillin' Tea Across America: Alaska

    13 ЯНВ.

    Spillin' Tea Across America: Alaska

    Send us a text 🎙️ 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 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 res...

    34 мин.
  7. Spillin' Tea Across America: Alabama

    6 ЯНВ.

    Spillin' Tea Across America: Alabama

    Send us a text 🎙️ 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 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 res...

    41 мин.
  8. Episode 37: Track, Treat or Die

    16.12.2025

    Episode 37: Track, Treat or Die

    Send us a text 🎙️ 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. 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 res...

    22 мин.
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"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! 🎙️🔥 

Информация

  • Автор
    Shannen and Nyleen
  • Годы выхода
    2025 - 2026
  • Выпуски
    67
  • Ограничения
    Без ненормативной лексики
  • Авторские права
    © 2026 Credentialing Chronicles
  • Сайт подкаста
    Credentialing Chronicles