Credentialing Chronicles

Shannen and Nyleen
  • 4.9 (18)
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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! 🎙️🔥 

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  1. 5d ago

    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

  2. Oct 13

    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

  3. Oct 6

    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

  4. Sep 29

    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.

  5. Sep 23

    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!

  6. Sep 15

    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

  7. Sep 8

    100th Episode - Temptation Island Star Faked PA School for 2 years?! Full Story Exposed!

    Send us Fan Mail The internet saw the posts. The screenshots went viral. But we wanted to know: what actually happened — and how did so many red flags seemingly go unnoticed for so long? 👀☕️ In this episode of Credentialing Chronicles, Shannen and Nyleen go beyond the viral headlines and take a deeper look at the story involving Angel Murdock and claims surrounding Duke University’s Physician Assistant program. We’re breaking down the timeline, the online presence, the claims that captured people’s attention, the questions that followed, and the details that turned this into a viral conversation. But this episode isn’t just about internet drama. It raises a much bigger question. We dig into the backend of the story and examine it through the lens of credentialing and verification — including the potential warning signs, inconsistencies, and opportunities for questions that may have warranted a closer look. We’re talking about: * The timeline behind the viral story and how it unfolded * The Duke University PA program claims at the center of the controversy * The public-facing information and representations that fueled the story * The red flags and inconsistencies that raised questions * Why assumptions are NOT verification * The difference between someone saying something and independently confirming it * What credentialing professionals can learn from situations like this * Why dates, education history, professional titles, documentation, and source verification matter * How social media can make an unverified claim feel legitimate simply because it has been repeated enough times * The bigger patient-safety and healthcare implications behind proper verification Because in credentialing, “it looks right” is never the same thing as “it was verified.” This is exactly why Medical Staff Professionals, credentialing professionals, employers, healthcare organizations — and even patients — should understand the importance of asking the next question. Where did the information come from? Can it be independently verified? Do the dates make sense? Does the source support the claim? And when something doesn’t add up… who is responsible for stopping and looking closer? This episode takes the viral conversation and turns it into a real-world credentialing lesson about verification, accountability, documentation, and the red flags that can be missed when people assume instead of verify. 🎙️ Credentialing Chronicles Podcast Spillin’ the tea on the doctors — and healthcare stories — you see. Stay Credentialed, Not Cancelled.™ Listen, follow, rate, and share Credentialing Chronicles on your favorite podcast platform. ⚠️ Episode Note: This episode discusses publicly available information, online claims, reporting, and commentary surrounding a viral story. Allegations, disputed claims, and unverified statements are discussed as such. Our discussion and analysis are for educational and commentary purposes and should not be interpreted as findings of wrongdoing by any individual or institution. 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...

    100th Episode - Temptation Island Star Faked PA School for 2 years?! Full Story Exposed!

  8. Sep 1

    Spillin' Tea Across America: Missouri

    Send us Fan Mail MISSOURI: SHOW ME THE CREDENTIALS, THE AUTHORIZATION—AND THE MONEY  The Show-Me State came with RECEIPTS.  This week on Credentialing Chronicles, Shannen & Nyleen are spillin’ the Missouri tea—from alleged fake nursing credentials and the importance of primary-source verification to prior authorization chaos, rural hospitals under pressure, patient portal privacy concerns, and major healthcare changes MSPs need to have on their radar. We’re asking the questions every healthcare organization should be able to answer: ☕ Did you verify it from the SOURCE? ☕ Is the provider actually enrolled? ☕ Does an authorization guarantee payment? ☕ Who knows what your patient portal is sharing? ☕ And when staffing gets desperate… are your credentialing standards holding strong? Missouri said SHOW ME—and we’re showing the receipts. 🎙️ Credentialing Chronicles: Spillin’ the Tea Across America Educational commentary only. Allegations discussed remain allegations unless otherwise established through final legal proceedings. 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. 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: Missouri
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4.9
out of 5
18 Ratings

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! 🎙️🔥 

Information

  • Creator
    Shannen and Nyleen
  • Years Active
    2025 - 2026
  • Episodes
    103
  • Rating
    Explicit
  • Copyright
    © 2026 Credentialing Chronicles
  • Show Website
    Credentialing Chronicles
  • Provider
    Shannen Reyes-Aguayo

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