Episode 18: Cut For Cash
Description
Cut for Cash โ 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 paperworkโ
โฆand 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.
๐งพ Credentialing failures.
๐ฐ Kickback schemes.
๐ Compliance culture in flames.
This week on Credentialing Chronicles with Shannen and Nyleen, we unpack:
๐น A physician with prior felony convictionsโand a 35-year credentialing pass
๐น A surgical side hustle that became a criminal enterprise
๐น $400M in illegal Medicaid referrals masked as โcommunity outreachโ
๐น And why the DOJ is done playing nice with hospitals who โlook the other wayโ
๐ก If you work in medical staff services, compliance, healthcare leadershipโor if you just like the sound of court drama with clinical consequencesโthis oneโs for you.
๐ Credentialing isnโt just paperwork.
Itโs your hospitalโs first and last defense against a federal indictment.
#CredentialingChronicles #HealthcareFraud #MedicalStaffServices #ComplianceMatters #HospitalIndictment #MedicaidFraud #CredentialingFailures #MSPstrong #HealthcareLeadership
Resources Mentioned:
Verify your Nurses' Credentials:
https://www.nursys.com/
๐ Verify Your Doctorโs Credentials
โ๏ธ State-Specific Medical Board License Lookup:
Find your stateโs board here:
https://www.fsmb.org/contact-a-state-medical-board/
โ๏ธ Medicare Exclusions List (LEIE) โ Check if your provider is federally excluded:
https://oig.hhs.gov/exclusions/exclusions_list.asp
โ๏ธ Set Google Alerts on Your Doctorโs Name:
Create your own Google Alert here:
https://www.google.com/alerts
For Medical Staff Professional:
โ๏ธ FSMB.org โ Federation of State Medical Boards Physician Lookup:
https://www.fsmb.org/physician-license-lookup/
โ๏ธ Hospital Websites:
Many hospitals have public directories listing credentialed medical staff. Look for a โFind a Doctorโ or โMedical Staff Directoryโ page.
โ๏ธ Set Google Alerts on Your Doctorโs Name:
Create your own Google Alert here:
https://www.google.com/alerts
๐ Wanna know if your doctor is actually board certified?
Check for yourself right here:
๐ Verify a Plastic Surgeon
Because credentials do matter. ๐ฉบโจ
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