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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! 🎙️🔥

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24 episodes
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Avg 40 min
English

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S2 · E40
Tuesday · 1 hr 5 min
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 Credentialing Automated tasks, streamlined digital workflows, advanced data management. Simple integration with le 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...
S2 · E39
September 23 · 9 min
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 Seconds Eliminate credentialing delays! Get 100% accurate, real-time license verification and monitoring. Advanced Quality Compliance & CVO Credentialing. Contracting. Compliance. Handled. Completely. Concierge-level credentialing, payer e MedElevate Solutions Bridging the Gap Between Software and Clinical Reality E.L.E.V.A.T.E.™ your healthcare experience. Credential Network CredNet is the AI-native credentialing and payer enrollment platform built for credentialing service 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...
S2 · E37
September 15 · 40 min
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 Seconds Eliminate credentialing delays! Get 100% accurate, real-time license verification and monitoring. Nimble:Surgical Revenue cycle Management Accelerate growth. Leverage intelligent analytics. Achieve powerful financial results. HST Pathways One Complete Solution for Your Surgery Center’s Success From scheduling to billing, manage your ent Advanced Quality Compliance & CVO Credentialing. Contracting. Compliance. Handled. Completely. Concierge-level credentialing, payer e MedElevate Solutions Bridging 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...
S2 · E36
September 8 · 31 min
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...
S2 · E34
September 1 · 44 min
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 Seconds Eliminate credentialing delays! Get 100% accurate, real-time license verification and monitoring. Advanced Quality Compliance & CVO Credentialing. Contracting. Compliance. Handled. Completely. Concierge-level credentialing, payer e MedElevate Solutions Bridging 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...
S2 · E33
August 25 · 43 min
Spillin' Tea Across America: Mississippi
Send us Fan Mail What if the credential checked out… but the story behind it didn’t? Mississippi takes us into one of the wildest intersections of healthcare fraud, patient safety, licensed professionals, and credentialing gaps we’ve covered yet. What starts with a seemingly legitimate corner of healthcare quickly opens the door to something much bigger. Follow the trail long enough and physicians, nurses, nurse practitioners, pharmacies, federal healthcare programs, correctional healthcare, and millions upon millions of dollars begin crossing paths. But this episode isn’t just about fraud. It’s about "what the credential allows someone to do once we’ve verified it." When does a provider’s signature stop being clinical judgment and become something else? What happens when a license looks clean, but the complete story is far more complicated? Who is responsible when healthcare professionals are technically credentialed—but the systems surrounding them fail to communicate? And how many warning signs can exist in separate systems before someone finally puts them together? Then the episode takes a turn. We move from following the money to a case where the stakes become devastatingly human—and suddenly the conversation about scope, supervision, staffing, oversight, and credentialing isn’t theoretical anymore. And just when it feels like we’ve reached the end of Mississippi’s story… another layer appears. We’re breaking down the cases, the credentialing implications, the regulatory gaps, and the Mississippi-specific rules every credentialing professional should have on their radar. Because sometimes the most dangerous file isn’t the one covered in red flags. It’s the one that looks clean enough to close. Stay credentialed, not cancelled. 🎙️☕ In This Episode: 💰 When a legitimate healthcare service becomes the vehicle for something much bigger — and the reimbursement structure that helped make it possible. ✍️ The power behind a provider's signature — and why “I only signed it” may carry far more weight than it sounds. 🚩 The warning signs that can exist before criminal charges — and the uncomfortable question of who should be connecting those dots. 🏥 A devastating correctional healthcare case that shifts the conversation from money to patient safety, raising serious questions about staffing, supervision, scope, and accountability. 🔍 The “active license” problem — why an active, unrestricted license doesn't necessarily tell you the complete story behind a provider. 🔗 What happens when credentialing, claims, quality, compliance, and fraud teams operate in silos — and what organizations may miss when nobody is looking at the full picture. 📋 Mississippi-specific credentialing and regulatory considerations — including disciplinary history, telehealth requirements, reinstatement, and documented gaps within the state's fraud-reporting infrastructure. Baton Health: Universal PSV in Seconds Eliminate credentialing delays! Get 100% accurate, real-time license verification and monitoring. Advanced Quality Compliance & CVO Credentialing. Contracting. Compliance. Handled. Completely. Concierge-level credentialing, payer e MedElevate Solutions Bridging 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...
S2 · E32
August 19 · 20 min
Fake Doctor Twice?! Arrested. Released. Arrested Again.
Send us Fan Mail Arrested. Released. Arrested Again. — The Nitun Ahir Story What happens when someone allegedly practices medicine without a license, gets arrested, is ordered to stop — and somehow ends up facing allegations of doing it again? This week on Credentialing Chronicles, Shannen and Nyleen unpack the shocking Nitun Ahir case out of California and the questions it raises about healthcare credentialing, verification, oversight, and patient safety. We’re looking beyond the headline to discuss how alleged credential discrepancies can go unnoticed, why ongoing verification matters, the warning signs healthcare organizations can’t afford to overlook, and what can happen when the systems designed to protect patients have gaps. It’s a case filled with questionable credentials, serious allegations, multiple arrests, and one major credentialing question: how did it get this far? You’ll have to press play for the full story. 🎙️ Credentialing Chronicles — Spilling the Tea, One Credential at a Time. This episode discusses allegations based on publicly available court records and law enforcement information. Allegations are not findings of guilt unless otherwise stated. This content is for informational purposes only and does not constitute legal advice. 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...
S2 · E31
August 11 · 37 min
Denied. Pending. More Paperwork: What Insurance Companies Are REALLY Telling Doctors
Send us Fan Mail What Insurance Companies Are Really Telling Doctors Prior authorization is supposed to help manage healthcare costs and ensure appropriate care. But what happens when the process becomes a barrier between doctors and their patients? In this episode of Credentialing Chronicles, Shannen and Nyleen take a closer look at what the newly published data is revealing about prior authorization — including denial rates, appeals, retrospective denials, and the administrative burden placed on physicians and their teams. We’re looking at the numbers coming out of Georgia, what they mean for providers and patients, and why transparency may be changing the conversation around insurance denials. And there’s one statistic you’ll want to hear: 82% of appealed prior authorization denials are overturned. So why are so few denials actually appealed? 🎧 Listen to this week’s episode of Credentialing Chronicles and hear what the data is really telling doctors. If this episode makes you think of a provider, credentialing professional, or healthcare colleague who needs to hear it, share it with them — and don’t forget to follow Credentialing Chronicles for more healthcare tea. ☕️ Baton Health: Universal PSV in Seconds Eliminate credentialing delays! Get 100% accurate, real-time license verification and monitoring. Nimble:Surgical Revenue cycle Management Accelerate growth. Leverage intelligent analytics. Achieve powerful financial results. Advanced Quality Compliance & CVO Credentialing. Contracting. Compliance. Handled. Completely. Concierge-level credentialing, payer e MedElevate Solutions Bridging 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...
S2 · E30
August 4 · 33 min
Special Series | Who Audits the Auditor?
Send us Fan Mail Special Series | Who Audits the Auditor? We've sat behind these microphones breaking down healthcare fraud, credentialing failures, compliance mistakes, and the lessons organizations can learn from them. This time... the file is ours. In this special series, the roles are reversed as AQC President Shannen opens the door to one of the hardest conversations of her career following an NCQA survey that changed everything. What happens when the person who audits everyone else has to sit in the hot seat? How do you tell your clients? Your staff? Yourself? And what's the difference between knowing something happened... and actually being able to prove it? This isn't a redemption story. It's a real-time look at leadership, accountability, credentialing, documentation, and what it takes to rebuild when every decision is under a microscope. Along the way, we unpack: ☕ The four findings that changed everything. ☕ Why documentation—not assumptions—can make or break an accreditation. ☕ The cost of one missed submission. ☕ Leadership, transparency, and what happens after the audit ends. No client files. No sugarcoating. No edited version of the truth. Just one organization choosing to share the journey while it's still unfolding. This is only the beginning. The outcome hasn't been written yet... and neither has the next chapter. 🎧 Listen now, and follow along as this story continues to unfold—because sometimes the biggest lesson isn't in the audit itself... it's in what happens next. Baton Health: Universal PSV in Seconds Eliminate credentialing delays! Get 100% accurate, real-time license verification and monitoring. Nimble:Surgical Revenue cycle Management Accelerate growth. Leverage intelligent analytics. Achieve powerful financial results. MedElevate Solutions Bridging the Gap Between Software and Clinical Reality E.L.E.V.A.T.E.™ your healthcare experience. Advanced Quality Compliance & CVO Credentialing. Contracting. Compliance. Handled. Completely. Concierge-level credentialing, payer e 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...
S2 · E29
July 28 · 48 min
Spillin' Tea Across America: Minnesota
Send us Fan Mail Murder. Medicaid fraud. A $250 million pandemic scam. Federal investigations. Thousands of providers removed from Medicaid. No... this isn't the plot of a Netflix series. It's Minnesota. This week on Credentialing Chronicles: Spillin' Tea Across America, we're uncovering one of the most shocking collections of healthcare scandals we've seen in a single state. From an emergency room nurse practitioner convicted of murdering his secret girlfriend after allegedly abusing his prescribing authority... to one of the largest COVID-era fraud schemes in U.S. history... to sweeping Medicaid investigations that forced Minnesota to completely overhaul its provider enrollment process—this episode is packed with stories that will leave you asking, "How did this happen?" In this episode, we spill the tea on: ☕ The disturbing murder case involving a nurse practitioner, an extramarital affair, ethical violations, and questions surrounding professional boundaries in healthcare. ☕ How prescribing medications to someone with whom you have a personal relationship can quickly become a credentialing and licensing issue. ☕ The infamous Feeding Our Future scandal, where more than $250 million intended to feed children during the COVID-19 pandemic was allegedly stolen through fake meal sites, fraudulent enrollment, and fabricated documentation. ☕ Massive Medicaid fraud involving Personal Care Attendant (PCA) agencies, phantom services, fake billing, and millions of taxpayer dollars. ☕ Why the federal government threatened Minnesota's Medicaid funding and demanded immediate corrective action. ☕ Minnesota's unprecedented provider revalidation initiative that resulted in more than 18,000 providers being removed from Medicaid enrollment while thousands more underwent enhanced screening, background checks, and site visits. ☕ The credentialing, provider enrollment, compliance, and patient safety lessons every healthcare organization should take away from these cases. As always, Shannon and Nyleen break down each case through the lens of credentialing, provider enrollment, compliance, peer review, patient safety, and healthcare operations, explaining not only what happened, but how stronger credentialing practices may have helped detect warning signs sooner. Whether you're a credentialing professional, medical staff leader, healthcare executive, compliance specialist, provider enrollment expert, or simply fascinated by unbelievable true healthcare stories, this is one episode you won't want to miss. Because sometimes the biggest threats to patient safety don't begin in the exam room... They begin long before a provider ever treats a patient. Grab your favorite drink, settle in, and join us as we spill the tea across Minnesota. 🎙️ Stay credentialed, not cancelled. ☕💗 Baton Health: Universal PSV in Seconds Eliminate credentialing delays! Get 100% accurate, real-time license verification and monitoring. Nimble:Surgical Revenue cycle Management Accelerate growth. Leverage intelligent analytics. Achieve powerful financial results. MedElevate Solutions Bridging the Gap Between Software and Clinical Reality E.L.E.V.A.T.E.™ your healthcare experience. Advanced Quality Compliance & CVO Credentialing. Contracting. Compliance. Handled. Completely. Concierge-level credentialing, payer e 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...
S2 · E28
July 21 · 44 min
Best of 2026 Mid Year Recap
Send us Fan Mail Missed an episode? Need to catch up? Or just want to relive the wildest moments of the year so far? This one's for you. Welcome to our Spillin' Tea Across America: Summer Rewind—a special compilation episode featuring the biggest moments, most unbelievable cases, hottest healthcare headlines, funniest conversations, listener favorites, and unforgettable lessons from our journey across America... all in one episode. After covering 23 states across America so far, we're hitting rewind on the cases, conversations, breaking news, and biggest moments you won't want to miss , our all in one special. Along the way, we'll revisit: ☕ The healthcare scandals everyone was talking about. ☕ Patient safety stories that left us speechless. ☕ Medical fraud, fake diagnoses, unnecessary treatments, kickback schemes, and physician misconduct. ☕ Credentialing updates, industry news, and healthcare headlines. ☕ Some of our favorite educational moments and credentialing tips. ☕ Behind-the-scenes laughs and unforgettable reactions. ☕ Highlights from our LIVE Spillin' Tea Across America shows in Iowa/Nebraska and Oklahoma. ☕ And the stories that had thousands of listeners saying, "There's NO way that's real." Whether you've listened to every episode or you're brand new to Credentialing Chronicles, this Summer Rewind is the perfect place to jump in. Think of it as your greatest hits album—the best stories, biggest lessons, and hottest tea we've spilled so far, all wrapped into one binge-worthy episode. So pour yourself your favorite drink, turn us on during your road trip, while you're cleaning, meal prepping, working out, folding laundry, or just relaxing in the sun, and catch up on everything that's made Spillin' Tea Across America one of our favorite series yet. Because if we've learned anything this year... Truth is stranger than fiction. And we're just getting started. 🎙️ Stay credentialed, not cancelled. ☕💗 Baton Health: Universal PSV in Seconds Eliminate credentialing delays! Get 100% accurate, real-time license verification and monitoring. Nimble:Surgical Revenue cycle Management Accelerate growth. Leverage intelligent analytics. Achieve powerful financial results. HST Pathways One Complete Solution for Your Surgery Center’s Success From scheduling to billing, manage your ent Advanced Quality Compliance & CVO Credentialing. Contracting. Compliance. Handled. Completely. Concierge-level credentialing, payer e MedElevate Solutions Bridging 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...
S2 · E27
July 14 · 44 min
Spillin' Tea Across America: Michigan
Send us Fan Mail Spillin' Tea Across America: Michigan | When the System Looks the Other Way What happens when warning signs are ignored... When trusted physicians abuse that trust... And when the very systems designed to protect patients fail? This week on Credentialing Chronicles: Spillin' Tea Across America, we're heading to Michigan—a state with a healthcare history that will leave you questioning how some of these cases were ever allowed to happen. From one of the largest healthcare fraud schemes in American history to institutional failures that lasted for decades, and a massive opioid operation hidden behind legitimate credentials, this episode uncovers real cases that changed lives forever—and exposes the lessons healthcare can never afford to forget. But this episode isn't just for Medical Services Professionals. If you're a patient, parent, caregiver, healthcare worker, provider, hospital leader, compliance professional, or simply someone who trusts the healthcare system, this conversation is for you. We'll discuss: ☑️ The real-world consequences of missed red flags ☑️ Why credentialing is so much more than checking a license ☑️ Michigan's credentialing and regulatory landscape ☑️ Recent legislative and compliance updates affecting providers ☑️ The critical role of verification, oversight, and ongoing monitoring in protecting patients Because patient safety doesn't begin in the exam room. It begins long before an appointment is ever scheduled. Whether you work behind the scenes in healthcare or you're simply choosing a doctor for yourself or your family, this episode will change the way you think about trust, verification, and the people responsible for protecting the public. 🎙️ Grab your tea... because Michigan's story is one every healthcare professional—and every patient—needs to hear. Stay credentialed... not cancelled. Baton Health: Universal PSV in Seconds Eliminate credentialing delays! Get 100% accurate, real-time license verification and monitoring. Nimble:Surgical Revenue cycle Management Accelerate growth. Leverage intelligent analytics. Achieve powerful financial results. Advanced Quality Compliance & CVO Credentialing. Contracting. Compliance. Handled. Completely. Concierge-level credentialing, payer e MedElevate Solutions Bridging 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...
S2 · E26
July 7 · 41 min
Spillin' Tea Across America: Massachusetts
Send us Fan Mail Massachusetts may be known for world-renowned hospitals, prestigious medical schools, and groundbreaking healthcare innovation—but behind the scenes, the Commonwealth has also experienced some unforgettable lessons in patient safety, healthcare fraud, credentialing failures, and accountability. In this episode of Credentialing Chronicles: Spillin' the Tea Across America, hosts Shannen Reyes-Aguayo and Nyleen Flores dive into publicly reported cases involving a VA nurse whose crimes forever changed healthcare, a nationally recognized urologist whose career unraveled following billing fraud and a criminal conviction, a psychiatrist involved in a multimillion-dollar Medicare fraud scheme, and a physician who falsely represented his board certification for years. Every story leads back to the same question: Is a valid license enough? Together, they explore why credentialing doesn't end after initial approval, why primary source verification and ongoing monitoring are essential, and how Medical Services Professionals (MSPs), healthcare leaders, and providers all play a critical role in protecting patients. The hosts also discuss Massachusetts' evolving healthcare laws, including standardized credentialing timelines, expanded healthcare oversight, and new physician licensing pathways that are shaping the future of credentialing. Whether you're a credentialing professional, provider, compliance expert, healthcare executive, or simply fascinated by real healthcare cases, this episode offers valuable insight into the systems designed to keep patients safe—and what happens when those systems fail. The receipts are public. The lessons are real. The tea is hot. ☕🩷 Disclaimer: This episode is intended for educational purposes only. The hosts and Credentialing Chronicles have not credentialed, employed, contracted with, or otherwise vetted any of the providers or organizations discussed. All information presented is based on publicly available records, regulatory actions, court documents, board orders, and news reports. Advanced Quality Compliance & CVO Credentialing. Contracting. Compliance. Handled. Completely. Concierge-level credentialing, payer e MedElevate Solutions Bridging the Gap Between Software and Clinical Reality E.L.E.V.A.T.E.™ your healthcare experience. Baton Health: Universal PSV in Seconds Eliminate credentialing delays! Get 100% accurate, real-time license verification and monitoring. Nimble:Surgical Revenue cycle Management Accelerate growth. Leverage intelligent analytics. Achieve powerful financial results. 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...
S2 · E25
June 30 · 28 min
Spillin' Tea Across America: Maryland
Send us Fan Mail Maryland: Crab Cakes, Credentials & Criminal Conduct | Credentialing Chronicles: Spillin' the Tea Across America Maryland may be known for blue crabs, historic waterfronts, and charming coastal towns—but behind the scenes, this state's healthcare system has served up some unforgettable lessons in fraud, oversight, patient safety, and accountability. In this episode of Credentialing Chronicles: Spillin' the Tea Across America, hosts Shannen Reyes-Aguayo and Nyleen Flores dive into publicly reported cases involving multimillion-dollar COVID-19 healthcare fraud, a pain management clinic that drew federal attention, controversial medical practices that resulted in disciplinary action, and an oversight failure that raised serious concerns about public trust. Every story leads back to the same question: Who was paying attention? Together, they explore why credentialing doesn't end after initial approval, why ongoing monitoring and compliance matter, and how Medical Services Professionals (MSPs), healthcare leaders, and providers all play a critical role in protecting patients. Whether you're a credentialing professional, provider, compliance expert, healthcare executive, or simply fascinated by real healthcare cases, this episode offers valuable insight into the systems designed to keep patients safe—and what happens when those systems fail. A special thank you to Nimble, our newest podcast sponsor! We're excited to welcome Nimble to the Credentialing Chronicles family alongside our amazing sponsors who continue to support our mission of educating, empowering, and advancing the healthcare credentialing community. The receipts are public. The lessons are real. The tea is hot. ☕🩷 Disclaimer: This episode is intended for educational purposes only. The hosts and Credentialing Chronicles have not credentialed, employed, contracted with, or otherwise vetted any of the providers or organizations discussed. All information presented is based on publicly available records, regulatory actions, court documents, and news reports. Baton Health: Universal PSV in Seconds Eliminate credentialing delays! Get 100% accurate, real-time license verification and monitoring. Nimble:Surgical Revenue cycle Management Accelerate growth. Leverage intelligent analytics. Achieve powerful financial results. Advanced Quality Compliance & CVO Credentialing. Contracting. Compliance. Handled. Completely. Concierge-level credentialing, payer e MedElevate Solutions Bridging 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...
S2 · E24
June 23 · 27 min
Spillin' Tea Across America: Maine
Send us Fan Mail The tea is officially served, Maine. And Tea Sippers... this state's tea is HOT. This week, Shannen and Nyleen head to the Pine Tree State to unpack a series of healthcare stories that will have you saying: "Wait... WHAT?!" From a heartbreaking case that sparked serious questions about patient safety, to a multimillion-dollar settlement proving paperwork can carry a hefty price tag, to a trusted healthcare provider whose actions shocked an entire community—Maine delivers twists that are difficult to forget. We'll be discussing: ☕ The case that left people asking: How was this missed? ☕ Why a single decision can change everything ☕ The shocking cost of paperwork gone wrong ☕ What happens when warning signs don't get connected ☕ The uncomfortable truth about trust in healthcare ☕ When systems designed to protect patients fail ☕ The red flags nobody wants to talk about ☕ Why some of the biggest healthcare scandals start with something seemingly small ☕ The question every healthcare organization should be asking ☕ Lessons that could impact providers, patients, healthcare leaders, and MSPs alike Whether you're in healthcare or simply someone who trusts the healthcare system, this episode will leave you asking the same question we did: How did this happen? 👀☕🔥 Because one thing became crystal clear: The most dangerous risks in healthcare aren't always the ones you can see coming. And Maine? Let's just say the receipts were public. 👀 ⚠️ Disclaimer: This episode discusses publicly available information and healthcare industry topics for educational and discussion purposes only. Allegations discussed are based on public records and reporting. References to settlements do not necessarily indicate admissions of wrongdoing. 🎙️ Subscribe for more Credentialing Chronicles: https://www.buzzsprout.com/2460053/support Healthcare stories. Credentialing challenges. Compliance conversations. Patient safety lessons. And the real-world issues shaping healthcare across America. Baton Health: Universal PSV in Seconds Eliminate credentialing delays! Get 100% accurate, real-time license verification and monitoring. Advanced Quality Compliance & CVO Credentialing. Contracting. Compliance. Handled. Completely. Concierge-level credentialing, payer e MedElevate Solutions Bridging 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...
S2 · E23
June 16 · 40 min
Spillin' Tea Across America: Kentucky
Send us Fan Mail The tea is officially served, Kentucky. In this episode of Credentialing Chronicles with Shannen and Nyleen, we're heading to the Bluegrass State to unpack a case that reminds us healthcare isn't just about clinical skills—it's also about trust, accountability, and the systems designed to protect patients. What happens when concerns outside the exam room raise questions inside it? From provider oversight and ongoing monitoring to patient safety, professional accountability, and credentialing challenges, this conversation explores how healthcare organizations respond when personal actions and professional responsibilities collide. We'll be discussing: ☕ Why credentialing is more than a one-time event ☕ The role of ongoing provider monitoring ☕ Patient safety and organizational responsibility ☕ Behavioral red flags and reporting considerations ☕ Trust, transparency, and public perception ☕ Compliance challenges and oversight gaps ☕ The difficult balance between privacy and accountability ☕ What healthcare leaders, providers, and patients can learn from high-profile cases Whether you're a patient curious about how healthcare organizations keep communities safe, a provider navigating today's complex healthcare environment, or a Medical Staff Professional working behind the scenes, this episode offers meaningful insights into the processes that help protect both patients and providers. Because one thing became clear: Trust in healthcare is built long before a patient walks through the door—and protecting that trust is everyone's responsibility. ⚠️ Disclaimer: This episode discusses publicly available information and healthcare industry topics for educational and discussion purposes only. 🎙️ Subscribe for more Credentialing Chronicles: https://www.buzzsprout.com/2460053/support Healthcare stories. Credentialing challenges. Compliance conversations. Patient safety lessons. And the real-world issues shaping healthcare across America. Baton Health: Universal PSV in Seconds Eliminate credentialing delays! Get 100% accurate, real-time license verification and monitoring. Advanced Quality Compliance & CVO Credentialing. Contracting. Compliance. Handled. Completely. Concierge-level credentialing, payer e MedElevate Solutions Bridging 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...
S2 · E22
June 9 · 40 min
Spillin' Tea Across America: Kansas
Send us Fan Mail 🌻⚕️ Credentialing Chronicles: Kansas Edition — Quiet State, National Lessons ⚕️🌻 The tea is officially served, Kansas! In this episode of Credentialing Chronicles with Shannen and Nyleen, we're heading to the Sunflower State to explore the healthcare challenges, credentialing lessons, and oversight conversations shaping organizations across America. From telemedicine and provider monitoring to patient safety, healthcare fraud, compliance, and medical staff oversight, this episode examines how healthcare systems balance access, accountability, innovation, and trust in an increasingly complex environment. We'll be discussing: ☕ Telemedicine and the future of healthcare oversight ☕ Provider monitoring and ongoing surveillance ☕ Credentialing blind spots and compliance challenges ☕ Multi-state licensure and operational complexity ☕ Patient safety and quality improvement ☕ Healthcare fraud and system vulnerabilities ☕ Rural healthcare pressures and access-to-care challenges ☕ Why credentialing is more than a one-time event As always, Nyleen is spilling the tea while Shannen asks the questions we're all thinking. Plus: ✅ MSP Corner ✅ Credentialing Insights & Lessons Learned ✅ Healthcare Compliance Conversations ✅ PSA for Patients ✅ PSA for Providers ✅ Takeaways for MSPs, Healthcare Leaders, and Organizations Whether you're in Medical Staff Services, credentialing, provider enrollment, compliance, quality, risk management, administration, or simply interested in how healthcare systems operate behind the scenes, this episode delivers education, conversation, and plenty of thought-provoking moments. Because one thing became clear: Healthcare risk isn't regional. It's national. ⚠️ Disclaimer: This episode discusses healthcare topics, publicly available information, and industry trends for educational and discussion purposes only. 🎙️ Subscribe for more Credentialing Chronicles: Healthcare scandals. Credentialing challenges. Compliance conversations. Patient safety lessons. And the stories shaping healthcare across America. Baton Health: Universal PSV in Seconds Eliminate credentialing delays! Get 100% accurate, real-time license verification and monitoring. Advanced Quality Compliance & CVO Credentialing. Contracting. Compliance. Handled. Completely. Concierge-level credentialing, payer e MedElevate Solutions Bridging 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...
S2 · E21
June 2 · 2 hr 5 min
Spillin' Tea LIVE Show: Oklahoma
Send us Fan Mail 🤠🌪️ Credentialing Chronicles LIVE: Oklahoma Edition 🌪️🤠 The tea is officially served, Oklahoma! In this LIVE episode of Credentialing Chronicles with Shannen and Nyleen, we're heading to the Sooner State to uncover the stories that left us speechless. From shocking physician misconduct cases and credentialing failures to negligent privileging allegations, criminal investigations, and patient safety disasters, this episode is packed with the real-life stories that every Medical Staff Professional, credentialer, compliance leader, healthcare executive, and healthcare consumer should hear. 💀 A surgeon accused of operating beyond competency. 💰 Multi-million-dollar negligent credentialing verdicts. 🚨 Physicians facing disciplinary actions, criminal charges, and investigations. 📋 Credentialing lessons learned from some of Oklahoma's most talked-about healthcare cases. As always, Nyleen is spilling the tea while Shannen asks the questions we're all thinking. Plus: ✅ MSP Confession Session ✅ Pass the File or Fail the File ✅ Audience Polling ✅ PSA for Patients ✅ PSA for Providers ✅ Credentialing Takeaways for MSPs Whether you're in credentialing, medical staff services, quality, compliance, risk management, administration, or simply fascinated by healthcare's most unbelievable true stories, this episode delivers education, entertainment, and plenty of jaw-dropping moments. ⚠️ Disclaimer: This episode discusses publicly reported cases, disciplinary actions, court filings, and regulatory matters. Information is presented for educational and discussion purposes only. 🎙️ Subscribe for more Credentialing Chronicles: Healthcare scandals. Credentialing disasters. Fraud. Privileging failures. Compliance chaos. And the lessons every healthcare organization should learn. Baton Health: Universal PSV in Seconds Eliminate credentialing delays! Get 100% accurate, real-time license verification and monitoring. Advanced Quality Compliance & CVO Credentialing. Contracting. Compliance. Handled. Completely. Concierge-level credentialing, payer e MedElevate Solutions Bridging 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...
S2 · E20
May 26 · 49 min
Nebraska LIVE Show: Credentialing & Confessions
Send us Fan Mail Nebraska… y’all brought the TEA. ☕️🌽🔥 In this LIVE episode of Spillin’ Tea Across America, we take you inside our Nebraska live show filled with shocking healthcare conversations, MSP realities, audience reactions, credentialing chaos, patient safety discussions, and moments that had the entire room reacting in real time. 👀 From funny moments to serious industry conversations, this episode captures the energy, honesty, and unfiltered discussions that made Nebraska one of our favorite stops yet. If you’ve ever wondered what REALLY happens behind the scenes in healthcare oversight, credentialing, provider monitoring, and compliance conversations… this live show is for you. Thank you to Baton Health for sponsoring this episode and supporting conversations that continue pushing awareness and transparency across healthcare. 🎙️ Listen now everywhere 🎙️ www.credentialingchronicles.com Disclaimer: We didn’t want our live shows delayed from being released in a timely manner, so live show episodes are currently being released in alphabetical order by state. Regular episode/state order will resume after the live show releases conclude. Baton Health: Universal PSV in Seconds Eliminate 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...
S2 · E19
May 19 · 11 min
Live Shows Debrief with us
Send us Fan Mail The newest episode of Credentialing Chronicles is officially OUT NOW — and trust us… this one is SO our energy. 🎤🔥 We’re spilling ALL the tea from our Oklahoma, Iowa, and Nebraska live shows — the laughs, the confessions, the behind-the-scenes moments, the audience reactions, and everything in between. If you came to see us live… you might just hear yourself mentioned. 👀 This episode is quick, simple, chaotic in the best way, and truly feels like sitting down with us after the shows to debrief everything together. To everyone who came out to support us at our live shows: THANK YOU. 💕 The love, feedback, energy, and interactions meant more to us than you know. Watching the Certified Tea Sipper community grow in real life has honestly been one of the coolest experiences ever. From the confession sessions… to the tea… to the nonstop laughs… Y’all made these shows unforgettable. And don’t forget - If you know, you know. ☕👀 Support the show Resources Mentioned: 🔎 Verify Your Doctor’s Credentials ✔️ State-Specific Medical Board License Lookup: Find your state’s board here: https://www.fsmb.org/contact-a-state-medical-board/ ✔️ Medicare Exclusions List (LEIE) – Check if your provider is federally excluded: https://oig.hhs.gov/exclusions/exclusions_list.asp ✔️ Set Google Alerts on Your Doctor’s Name: Create your own Google Alert here: https://www.google.com/alerts For Medical Staff Professional: ✔️ FSMB.org – Federation of State Medical Boards Physician Lookup: https://www.fsmb.org/physician-license-lookup/ ✔️ Hospital Websites: Many hospitals have public directories listing credentialed medical staff. Look for a “Find a Doctor” or “Medical Staff Directory” page. ✔️ Set Google Alerts on Your Doctor’s Name: Create your own Google Alert here: https://www.google.com/alerts Wanna know if your plastic surgeon is actually board certified? Check for yourself right here: 👉 Verify a Plastic Surgeon Open Payments openpaymentsdata.cms.gov Verify your Nurses' Credentials: https://www.nursys.com/ 🌐 Connection Zone Stay plugged in with your peers, share resources, and nev...

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