DiscoverCredentialing ChroniclesEpisode 18: Cut For Cash
Episode 18: Cut For Cash

Episode 18: Cut For Cash

Update: 2025-07-22
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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€”
โ€ฆand 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.

๐Ÿงพ Credentialing failures.
๐Ÿ’ฐ Kickback schemes.
๐Ÿ“‰ Compliance culture in flames.

This week on Credentialing Chronicles with Shannen and Nyleen, we unpack:
๐Ÿ”น A physician with prior felony convictionsโ€”and a 35-year credentialing pass
๐Ÿ”น A surgical side hustle that became a criminal enterprise
๐Ÿ”น $400M in illegal Medicaid referrals masked as โ€œcommunity outreachโ€
๐Ÿ”น And why the DOJ is done playing nice with hospitals who โ€œlook the other wayโ€

๐Ÿ’ก If you work in medical staff services, compliance, healthcare leadershipโ€”or if you just like the sound of court drama with clinical consequencesโ€”this oneโ€™s for you.

๐Ÿ›‘ Credentialing isnโ€™t just paperwork.
Itโ€™s your hospitalโ€™s first and last defense against a federal indictment.


#CredentialingChronicles #HealthcareFraud #MedicalStaffServices #ComplianceMatters #HospitalIndictment #MedicaidFraud #CredentialingFailures #MSPstrong #HealthcareLeadership

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Resources Mentioned:

Verify your Nurses' Credentials:

https://www.nursys.com/

๐Ÿ”Ž Verify Your Doctorโ€™s Credentials

โœ”๏ธ State-Specific Medical Board License Lookup:
Find your stateโ€™s board here:
https://www.fsmb.org/contact-a-state-medical-board/

โœ”๏ธ Medicare Exclusions List (LEIE) โ€“ Check if your provider is federally excluded:
https://oig.hhs.gov/exclusions/exclusions_list.asp

โœ”๏ธ Set Google Alerts on Your Doctorโ€™s Name:
Create your own Google Alert here:
https://www.google.com/alerts

For Medical Staff Professional:

โœ”๏ธ FSMB.org โ€“ Federation of State Medical Boards Physician Lookup:
https://www.fsmb.org/physician-license-lookup/

โœ”๏ธ Hospital Websites:
Many hospitals have public directories listing credentialed medical staff. Look for a โ€œFind a Doctorโ€ or โ€œMedical Staff Directoryโ€ page.

โœ”๏ธ Set Google Alerts on Your Doctorโ€™s Name:
Create your own Google Alert here:
https://www.google.com/alerts

๐Ÿ”Ž Wanna know if your doctor is actually board certified?
Check for yourself right here:
๐Ÿ‘‰ Verify a Plastic Surgeon

Because credentials do matter. ๐Ÿฉบโœจ

๐ŸŒ Connection Zone
Stay plugged in with your peers, share resources, and never miss an update....

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Episode 18: Cut For Cash

Episode 18: Cut For Cash

Shannen and Nyleen