Send us a text When “trusted” turns toxic. In this episode, Shannen and Nyleen dig into the Washington State case of an OB-GYN whose exam room conduct sparked years of complaints, multiple lawsuits, and a formal Statement of Charges by the Washington Department of Health. We unpack how warning signs were minimized as “just the doctor being the doctor,” what “Active – Pending Enforcement Action” really means for patients, and why credentialing must look beyond a license that appears “clean.” W...
Send us a text Doctors caught in the Worst Betrayal Two doctors. Two hospitals. Two of the darkest betrayals imaginable. In this episode, Shannen and Nyleen expose the chilling cases of: A world-renowned geneticist at Cincinnati Children’s Hospital accused of hoarding over 150,000 child abuse images.A VA physician in Massachusetts charged with downloading CSAM—from his office inside a federal medical center.These weren’t shadowy fraudsters. They were respected physicians—until law enforcement...
Send us a text Behavioral health is booming—but billing it wrong can break your practice. In this episode, Shannen and Nyleen unpack the growing wave of medical groups adding therapy, psychiatry, and counseling services—only to stumble into denials, audits, and compliance nightmares. From the basics of CPT codes and payer carve-outs, to the credentialing pitfalls that practices overlook, this episode digs into: What behavioral health billing really means (and why it isn’t just “a few extra co...
Send us a text Behind the Scenes at Credentialing Chronicles This week, we’re pulling back the curtain with a special retreat recap! Shannen and Nyleen sat down after their Credentialing Chronicles getaway to share: ✨ The big news — we’re headed to NAMSS in the big pink tent! ✨ How YOU can record live with us (no prep needed — just fun prompts). ✨ The power of MSP voices and why your stories matter. ✨ Our ask: more engagement, shares, and feedback to help this community grow. ✨ And...
Send us a text Charts to Cellblocks dives into the 2025 National Health Care Fraud Takedown: 324 defendants.$14.6 billion in fraud.And scams so wild, you’ll question if you’re watching Netflix or the nightly news.From international crime syndicates running billion-dollar ghost claims, to AI deepfake voice scams stealing Medicare millions, to opioid pill mills and fake wound care schemes — Shannen and Nyleen spill the tea on how the FBI, DEA, and Big Data brought them down. Plus, don’t miss ou...
Send us a text A Florida woman treated over 4,400 patients — all without a nursing license. How? She slipped through the cracks using someone else’s license number, blending in with scrubs, and almost got promoted before HR finally noticed. In this episode, Shannen and Nyleen spill the tea on how it happened, why credentialing and primary source verification (PSV) matter, and what hospitals and HR can learn from this scandal. They also revisit the fake diploma scheme that put thousands of unq...
Send us a text NCQA Said Nope – CVO Edition When NCQA says “no,” they mean no. In this brutally honest, laugh-out-loud episode, Shannen and Nyleen pull back the curtain on Credentialing Verification Organizations (CVOs) — the certified, the expired, the denied, and the ones hiding behind the term “NCQA aligned.” From decoding NCQA statuses to real-life horror stories of outsourcing gone wrong, they’ll give you the insider checklist to vet your vendors, avoid audit nightmares, and protect you...
Send us a text Hey Credentialing Fam 👋, This one? Whew. It's for you. The backbone. The gatekeepers. The spreadsheet warriors. The unsung compliance pros who hold entire healthcare systems together. It’s bold, real, and packed with truth bombs about what it actually means to be a Medical Staff Professional today. Shannen and Nyleen get real about: * The origin of MSPs as gatekeepers—why it mattered then, and still matters now * Why credentialing isn’t clerical—it’s clinical, legal, operat...
Send us a text When the auditors showed up… some healthcare facilities folded faster than a paper gown. In this no-chill episode of Credentialing Chronicles, Shannen and Nyleen take you inside real cases where audits uncovered: ✔️ $61 million in fake Medicare claims ✔️ Genetic testing schemes with global players ✔️ Patient safety disasters ✔️ HIPAA nightmares (we’re talking 300,000+ exposed records 😱) And yes—someone really tried to hide felony convictions with fake nominee owners. Plus: ...
Send us a text Cut for Cash – Hospital Indicted Scalpel. Silence. $400 Million Lies. What happens when a hospital knows a surgeon is performing unnecessary sterilizations, forging delivery dates, and submitting fake Medicaid paperwork— …and keeps renewing his privileges anyway? What happens when that same hospital is accused of profiting from it? Answer: A federal indictment. Yes. An entire hospital system criminally charged. 🧾 Credentialing failures. 💰 Kickback schemes. 📉 Compliance cult...
Send us a text Medicare & Medicaid Fraud Exposed When trusted credentials become criminal tools, the stakes are higher than malpractice insurance. In this episode, Shannen and Nyleen pull back the curtain on real-life cases where physicians and healthcare professionals used their white coats for cold cash — leaving Medicare, Medicaid, and patient trust in the dust. From a Texas doctor selling signatures for $30 a piece, to COVID-era cancer scams in New York, to a $160 million pharmacy e...
Send us a text What happens when hospitals stay silent, and the cost of that silence is $400 million—and patient lives? In this explosive episode of Credentialing Chronicles, we dissect one of the most disturbing patterns in healthcare: trusted doctors with dangerous secrets, protected by the very systems meant to keep patients safe. We’re talking about scandals so expensive, so brutal, so covered up—that it’ll leave you questioning who’s really watching over your care. From gag orders to bac...
Send us a text When the surveyors showed up… these hospitals crumbled. In this searing episode of Credentialing Chronicles, Shannen and Nyleen dive into two explosive cases where hospitals failed their accreditation surveys — and patients paid the price. From Maryland’s only maximum-security psychiatric hospital to a Florida hospital plagued by catastrophic surgical errors, we expose the dangerous cost of weak oversight, revolving-door leadership, and performative compliance. 💥 Case 1: Clifto...
Send us a text What happens when good doctors stay silent? What happens when hospitals protect patients… and get punished for it? In our very first guest episode, Dr. Stephen Cohen joins Credentialing Chronicles to talk about the cost of silence in medicine. As a colorectal surgeon, educator, and nationally recognized expert witness, Dr. Cohen has seen what really happens when peer review is ignored, when unsafe providers slip through the cracks, and when speaking up becomes a liability. This...
Send us a text How does a doctor rack up 100+ complaints and still stay licensed? In this jaw-dropping episode of Credentialing Chronicles, we pull back the curtain on the cover-up culture that shields dangerous doctors while patients suffer in silence. From ICE detainees subjected to horrific gynecological procedures, to anesthetized women assaulted in trusted hospitals — the system didn’t just fail. It protected the perpetrators. In This Episode: A Doctor has 100+ abuse reports and th...
Send us a text Credentialing Chronicles, Episode 12: “Unlicensed to Kill” How do you know your doctor is legit? What if they’re not?This episode dives into the chilling stories of real patients who were treated, touched, and even operated on by people with no license, no training, and no business wearing a white coat. 🚨 From a fake OB-GYN delivering babies in a hospital… 🏥 To a man running a gynecology clinic out of a storage unit… 🧪 To a teenage “doctor” with an online PhD...
Send us a text You’re not ready for this one… 😮💨 What do you call it when a woman sees 15,000 patients 👩⚕️📝 …without ever going to nursing school? 🚫🎓 Or when a PA hands out Ambien like Tic Tacs 💊🍬 …and microwaves their own urine to pass a drug screen? 🤯🔥🧪 Or a fake doctor treating real cancer patients 🧑🔬⚠️🎗 …with zero license and zero oversight? 🚫🩺📉 🎙 Join Shannen & Nyleen as they expose the real, documented, WILD stories of: 🔎 Medical impersonators 🚨 Credentialing breakdowns 🧾 S...
Send us a text Brain surgery. Wrong side. Total catastrophe. This isn’t an episode of Grey’s Anatomy—it’s a chilling true story of a credentialing collapse that led to one of the most devastating medical errors imaginable. In this jaw-dropping episode, Shannen and Nyleen dissect a real case where a neurosurgeon operated on the wrong side of a patient’s brain—leaving her permanently disabled and sparking outrage across the healthcare system. 🎙️ Inside this episode: The shocking truth behind on...
Send us a text 👶 He delivered their babies... 🩺 Then assaulted them as teens. 🏥 The hospitals knew. 🧾 No report. 🚫 No jail. 🤐 Just silence. This is the episode they don’t want you to hear. 🎧 Episode 9. Dropping at midnight. #DoctorFromHell #ScandalsAndScalpels #MedicalCoverUp #CredentialingChronicles #TrueCrimeInHealthcare #NPDB #HealthcareHorror Support the show Resources Mentioned: Verify your Nurses' Credentials: https://www.nursys.com/ 🔎 Verif...
Send us a text In Episode 8, Heels and Deals, your favorite credentialing duo, Shannen and Nyleen, dive into a real-life medical scandal involving a nurse practitioner and not one, but two podiatrists, all caught red-handed in a prescription drug ring that shook the East Coast. 💊 422,000 oxycodone pills 💰 $400 “cash visits” 🩺 No exams. No records. No shame. These licensed professionals turned their credentials into criminal enterprises—and now, we're breaking it all down: •How did they get aw...