
Advertise on podcast: Credentialing Chronicles
Rating
4.9from
This podcast has
65 episodes
Language
EnglishPublisher
Shannen and NyleenExplicit
No
Date created
2025/03/11
Latest episode
2026/02/03
Average duration
34 min.
Release period
8 days
Description
"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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Check latest episodes from Credentialing Chronicles podcast
Spillin' Tea Across America: California
2026/02/03
Send us a text
🎙️ Hosts: Shannen & Nyleen
California has the thickest rulebook and the most medical oversight in the country.
So why are patients still getting hurt?
For the 5th stop of Spillin’ the Tea Across America, we expose a California healthcare system that looks credentialed on paper—but is collapsing in practice. From massive Medi-Cal mismanagement and DOJ lawsuits to non-clinical administrators managing complex patients, this episode reveals how red flags are ignored and accountability disappears.
We spill the tea on:
The illusion of oversight and why licensing alone doesn’t protect patientsMedi-Cal fraud, misuse of funds, and billing chaosRural communities and caregivers being crushed by system failuresPreventable infections, amputations, and patient deaths tied to administrative decision-makingWhy credentialing without audits leads to scandals, settlements—and real harmThis isn’t about one bad doctor or one bad hospital.
It’s about a system that keeps failing vulnerable patients while calling itself “transparent.”
☕🔥 Credentialing Chronicles tells the stories compliance reports don’t.
Medical Board of California (MBC)
Osteopathic Medical Board of California (OMBC)
Sponsored By:
Baton Health: Universal PSV in SecondsEliminate 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 res...
Spillin' Tea Across America: Arkansas
2026/01/27
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🎙️ Hosts: Shannen & Nyleen
Grab your tea, because Arkansas is not light sipping.
In this episode of Credentialing Chronicles: Spillin' Tea Across America, we head to Arkansas — where medical board power, hospital politics, and Medicaid chaos collided in ways that harmed patients, professionals, and public trust.
We’re breaking down:
• A $12 million TRICARE kickback scheme involving behavioral health services
• A Medical Board Chairman who abused authority and ultimately landed in federal prison
• Allegations of patients being unlawfully detained to inflate Medicaid billing
• Hospitals suing patients and employees — including during the COVID era
• A statewide Medicaid verification mess that exposed deep system failures
• How credentialing, contracting, and privileging became weapons instead of safeguards
This episode makes one thing painfully clear:
When oversight protects reputations instead of people, abuse becomes systemic.
If you work in credentialing, compliance, medical staff governance, or healthcare leadership — Arkansas is a case study you can’t ignore.
☕ Pull up a chair.
The tea is hot.
And the receipts are real.
Arkansas State Medical Board
This Episode is sponsored by:
Baton Health: Universal PSV in SecondsEliminate 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 res...
Spillin' Tea Across America: Arizona
2026/01/20
Send us a text
🎙️ Hosts: Shannen & Nyleen
Grab your tea — Arizona brought the heat.
This week on Credentialing Chronicles, our Spillin’ Tea Across America tour lands in Arizona, where explosive population growth, provider shortages, and sweeping regulatory changes are reshaping credentialing, payer enrollment, and patient safety in real time.
Arizona is moving fast — sometimes faster than its safeguards.
In this episode, Shannen and Nyleen break down:
🌵 A new Arizona law promising 60-day credentialing timelines and retroactive payment — and what that actually means on the ground
🧾 Why practices keep confusing credentialing, contracting, and activation — and how that confusion costs real money
💻 Medicaid and payer enrollment finally entering the digital age (wet signatures, RIP)
🧠 Behavioral health stepping into credentialing, quality, and compliance conversations
🚩 Medical board “transparency” that looks clean on the surface — until you know where to look
And yes, the tea gets darker. The episode also explores disturbing misconduct cases where providers remained licensed and practicing for years while investigations quietly lingered behind the scenes — reminding us that “active and clear” does not always equal safe.
Arizona shows us what happens when healthcare grows faster than oversight — and why credentialing teams become the last real line of defense.
Arizona Medical Board
This show is sponsored by:
Baton Health: Universal PSV in SecondsEliminate 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 res...
Spillin' Tea Across America: Alaska
2026/01/13
Send us a text
🎙️ Hosts: Shannen & Nyleen
Grab your coffee (and maybe a parka… and yes, still a lawyer), because the tea doesn’t freeze in Alaska — it simmers quietly until it explodes.
This week on Credentialing Chronicles, our Spillin’ Tea Across America tour heads north to a state where healthcare looks calm on the surface but is stretched thin by extreme geography, remote access, and constant provider turnover.
We’re spilling on:
❄️ Alaska’s heavy reliance on locum tenens and massive credentialing files
🧾 Remote-only verification, time zone chaos, and continuity-of-care gaps
💸 A jaw-dropping $12.5 million healthcare fraud scheme hiding inside a “quiet” clinic
💊 Under-dosed patients, expired medications, pill mills, and drug diversion
📄 Multi-state licenses, fake billing, and why Alaska is not a shortcut state
Alaska proves that systems built for the lower 48 don’t always survive real-world extremes — and when they crack, patients and MSPs feel it first.
Pull up a chair. The tea is hot, the stakes are real, and this tour is just getting started.
Alaska Board of Health
This show is sponsored by:
HST Pathways
Baton Health: Universal PSV in SecondsEliminate 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 res...
Spillin' Tea Across America: Alabama
2026/01/06
Send us a text
🎙️ Hosts: Shannen & Nyleen
Grab your coffee (and maybe a lawyer, baby!), because Season 2 is officially LIVE! We’re kicking off our “Spillin' the Tea Across America” tour in the Heart of Dixie, and let’s just say Alabama has some secrets tucked away in those backwoods.
We’re diving deep into the "mystery novel" that is Alabama Medicaid—where the rules are made up and the timelines don't matter. We’re talking about the "Gotcha" rule that’s costing your practice cold, hard cash, and why a "Clear and Active" license on the board website doesn't mean what you think it means.
Plus, Nyleen brings the crime-girl energy with a scandal that’ll make your jaw drop: How did doctors with egregious sexual misconduct records end up with a multi-million dollar contract to treat the most vulnerable patients in the state? It’s messy, it’s opaque, and it’s exactly what they didn’t teach you in med school.
What’s in the cup today:
The Medicaid Nightmare: Why you’re waiting 12 weeks for an appointment and still not getting paid.The "Gotcha" Trap: How prior auths and retro-eligibility are killing your bottom line.Board "Transparency": Why "no news" in Alabama usually means you just haven't dug deep enough yet.The Prison Files: The shocking truth about who’s really practicing behind bars.Stay Credentialed, Not Canceled!
Alabama Medical Board - https://www.albme.gov/
This show is sponsored by:
HST Pathways
Baton Health: Universal PSV in SecondsEliminate 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 res...
Episode 37: Track, Treat or Die
2025/12/16
Send us a text
🎙️ Hosts: Shannen & Nyleen
A 12-month-old infant suffers a catastrophic brain injury.
An on-call neurosurgeon is scrubbed in and ready.
An operating room is prepared for emergency surgery.
Then administration delivers the fatal message: “The patient was transferred.”
He wasn’t.
In this episode of Credentialing Chronicles, Shannen and Nyleen break down a devastating case involving a Michigan hospital that allegedly lost track of a critically injured infant, canceled life-saving surgery without verification, and then retaliated against the surgeon instead of addressing the systemic failure.
This wasn’t a clinical error.
This was an administrative breakdown with lethal consequences.
We unpack patient safety failures, credentialing retaliation, EMTALA risk, and why “checking the box” is never a substitute for verifying reality.
🎧 Listen now — because the system is the story.
Baton Health: Universal PSV in SecondsEliminate 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 res...
Episode 36: Denied While Dilating
2025/12/09
Send us a text
🎙️ Hosts: Shannen & Nyleen
This episode is one of the most infuriating we’ve ever produced —
not because these stories are rare, but because they’re happening everywhere.
👩🏾🍼 Two Black mothers.
🏥 Two different hospitals.
⚠️ One devastating pattern: their pain dismissed, their labor ignored, and their safety treated as optional.
This wasn’t “unexpected progression.”
This was neglect.
🔍 Inside the Episode:
📜 EMTALA 101: What federal law actually requires when a laboring patient comes to the ED
🚨 Compliance Red Flags: Triage failures, premature discharges, and catastrophic judgement calls
⚖️ Bias in Real Time: How racial disparities in maternal outcomes show up in moments like these
📝 Peer Review Essentials: What incident reporting and root cause analysis should look like
🛡️ Frontline Guidance: Practical tips for patients, clinicians, and MSPs
These aren’t sensational stories.
They’re symptoms of a system that still does not take Black women’s pain seriously.
🎧 Listen to Episode 36: Denied While Dilating
Because when two women in one week give birth in places they were never supposed to…
the problem isn’t them — it’s us.
Baton Health: Universal PSV in SecondsEliminate 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 res...
Episode 35: Hawaii To Hood: Under The Drapes
2025/12/02
Send us a text
Hosted by: Shannen Reyes-Aguayo & Nyleen Flores
IG: @credentialingchronicles
In this explosive episode of Credentialing Chronicles, Shannen and Nyleen uncover one of the most disturbing oversight failures in modern military medicine.
A Major OB-GYN secretly filmed women during pelvic exams at military hospitals in Hawaii and Texas. But the real scandal?
Early warnings were reportedly dismissed, concerns were laughed off, and a federal credentialing loophole allowed him to keep practicing with a spotless record.
This episode breaks open:
The federal license loophole that bypasses state verificationHow leadership protected the institution instead of the patientsWhy “unrestricted license” doesn’t always mean “safe provider”The dangerous pattern of transparency gaps in federal medical systemsIf you work in credentialing, patient safety, compliance, or healthcare leadership, this episode will change how you view “clean paperwork.
🎙️ Catch Credentialing Chronicles wherever you listen to podcasts:
https://www.credentialingchronicles.com
💡 Episode Partner
Today’s episode is powered by Baton Health — the must have tool to make credentialing better, safer and more efficient.
Providers or facilities, see why everyone’s talking about Baton:
https://urldefense.proofpoint.com/v2/url?u=https-3A__www.batonhealth.com_-3Futm-5Fsource-3Dcredentialing-2Bchronicles-26utm-5Fmedium-3Dpodcast-26utm-5Fcampaign-3Dsponsor&d=DwMFaQ&c=euGZstcaTDllvimEN8b7jXrwqOf-v5A_CdpgnVfiiMM&r=89wLWzKXyyeKO-1acXgPDv9aOOsf-alfc8Rvw__kZVUoqaNoFuJwqADqyCxQaAbe&m=WeVl2F1jdEUGadXlcP6wAY47S47bE40PWJm5Qa9lVi8x4Dgzz46ZbSRn25cDAcWB&s=hUVGWVneHOKmVgUeaE12t_HWtP4xzQwMu9GP524GFNQ&e=
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 res...
Episode 34: For The Love of Good Doctors - When Doctors Do It Right
2025/11/25
Send us a text
Hosted by: Shannen Reyes-Aguayo & Nyleen Flores
IG: @shannensunfloweraguayo | @nyleenfloresfam
Forget the bad actors; this episode is a pure shot of appreciation for the human heart of medicine.
Shannon and Nyleen pull back the curtain to share truly moving stories of physicians who refuse to let bureaucracy or system failures get in the way of providing life-changing care. This is a tribute to everyone in healthcare who treats the whole human, not just the symptom.
🩺 Beyond the Clipboard: From a spine surgeon who restores a patient's dignity to a doctor who literally refuses to charge the poorest in his community, these stories prove that compassion is the greatest cure.👏 Standing Ovation: A heartfelt shout-out to the primary care providers, nephrologists, OR teams, and all the "common humans" doing the absolute most.🧡 The Goodness Gap: In a system often loud about complaints and quiet about gratitude, we are here to make your "Thank You" loud and clear.Grab your coffee and a tissue. We're celebrating the good ones.
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 res...
Episode 33: Deny, Delay, Defend - The United Health Fallout
2025/11/18
Send us a text
Hosted by: Shannen Reyes-Aguayo & Nyleen Flores
IG: @shannensunfloweraguayo | @nyleenfloresfam
Is UnitedHealthcare having the worst year in corporate history? 📉
From the tragic assassination of CEO Brian Thompson to a DOJ antitrust investigation and the massive Change Healthcare cyberattack, the spotlight is burning hot. But today, we are looking past the headlines to the systematic business practices sparking public outrage.
In this episode, Shannen & Nyleen break down the "Deny, Delay, Defend" strategy—now weaponized by AI.
🔥 In this episode, we cover:
🤖 The Rise of AI: How UnitedHealthcare uses AI to deny.🏥 The Human Cost: Why "Deny, Delay, Defend" isn't just about paperwork anymore; it’s about squeezing profits from Medicare Advantage patients who can't fight back.👮 The Legal Storm: A look at the DOJ investigation and the class-action lawsuits piling up against the healthcare giant.Tune in to understand exactly how the algorithm works against 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 res...
Episode 32: When the System Looks Away — Doctors, Boards & the Broken Chain of Accountability
2025/11/11
Send us a text
Guest: Emily Brinkman, Esq. – Healthcare Attorney
Hosted by: Shannen Reyes-Aguayo & Nyleen Flores
IG: @shannensunfloweraguayo | @nyleenfloresfam
What happens when the system built to protect patients… looks the other way?
In this episode of Credentialing Chronicles, Shannen and Nyleen sit down with powerhouse healthcare attorney Emily Brinkman to dissect how dangerous doctors slip through the cracks — and why the people who could stop them, often don’t.
From sealed investigations and “no comment” statements to hospitals paralyzed by politics, Emily pulls back the curtain on a culture that prizes silence over safety. With 20+ years in the trenches — representing hospitals, medical staffs, and even the boards themselves — she exposes the cracks that start small and end in catastrophe.
💥 Inside this episode:
The red-flag silence that keeps patients in the darkConfidentiality laws that protect the wrong sideHow retaliation and reputation shape medical decisionsWhat MSPs can actually do when leadership won’t listenWhy transparency is healthcare’s most powerful disinfectant🎧 “When the System Looks Away” is a gripping look at accountability gone missing — and a reminder that in healthcare, silence isn’t neutral. It’s dangerous.
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 res...
Episode 31: Pretty Hurts - Beauty Betrayal and Bloodlines
2025/11/04
Send us a text
Hosted by: Shannen Reyes-Aguayo & Nyleen Flores
IG: @shannensunfloweraguayo | @nyleenfloresfam
Malpractice. Disfigurement... A surgeon's dead wife. A state of emergency.
This week on Credentialing Chronicles, Shannen & Nyleen investigate the horrifying case of Dr. Ben Brown, a Florida plastic surgeon whose practice was declared an "immediate, serious danger to the public."
From a patient's post-surgical wound resembling a "ribeye laying on my stomach" to a "total collapse of judgment" that left his own 33-year-old wife dead after procedures in his clinic, this isn't just malpractice. It’s a terrifying, systemic failure of oversight, accountability, and basic medical ethics.
🔥 In this episode:
What investigators found inside the "dirty, poorly maintained" and unregistered office.The chilling timeline of the surgeon's wife's death—from mixing her own anesthesia to the 20-minute delay in calling 911.How patients who explicitly declined procedures allegedly woke up with them anyway, leading to disfigurement and necrosis.Why "Hillary's Law," a bill filed to stop surgeons from operating on family in an office setting, died in subcommittee.The critical verification steps (ABPS, AAAASF, TJC) every patient and credentialing pro must use to spot the red flags.🧾 With a surgeon still licensed to practice (under supervision) after being deemed an "immediate, serious danger," this isn’t just a headline—it’s a wake-up call.
If you work in credentialing, medical board oversight, risk management, or patient safety, this episode proves: you are the last line of defense.
🎧 Listen now — and don’t forget to share, tag your compliance crew, and make some noise.
An "absence of evidence is not evidence of absence" on a practitioner's record.
#CredentialingChronicles #PatientSafety #MedicalMalpractice #PlasticSurgery #DrBenBrown #Credentialing #BoardCertification #Oversight #HealthcarePodcast #Florida
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 res...
Episode 30 : Paid to Prescribe?
2025/10/28
Send us a text
Hosted by: Shannen Reyes-Aguayo & Nyleen Flores
IG: @shannensunfloweraguayo | @nyleenfloresfam
Paid to Prescribe?
Following the Sunshine Money: The $13.18 Billion Transparency Act
THE RECEIPTS ARE PUBLIC! Every year, billions of dollars flow from pharmaceutical and medical device companies to doctors. Is your physician one of them?
Shannen and Nyleen crack open and expose the massive, $13.18 BILLION network of financial ties that are now public record. Prompted by a shocking personal story, the hosts guide you through the CMS Open Payments data (openpaymentsdata.cms.gov) —the ultimate tool for accountability.
We break down the three crucial categories of influence—from General Payments (free lunches and speaking fees) to Ownership Interests (stock in the company whose products they prescribe) —and discuss the ethics of these relationships.
Don't let what you don't know hurt you.
Listen now to learn how to search your doctor and take control of your healthcare decisions!
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 res...
Episode 29 : Medicaid Manipulators
2025/10/21
Send us a text
Hosted by: Shannen Reyes-Aguayo & Nyleen Flores
IG: @shannensunfloweraguayo | @nyleenfloresfam
Fraud. Defendants... Shell companies. Federal crackdown.
This week on Credentialing Chronicles, Shannen & Nyleen go full investigative mode on the largest healthcare fraud takedown in U.S. history — Operation Gold Rush.
From catheters moved like burgers on a grill to braces billed for amputees, we’re exposing how Medicaid fraud has evolved into an industrialized business model. This isn’t fringe crime — it’s organized, automated, and devastating to the patients Medicaid was meant to protect.
🔥 In this episode:
Why the OIG is now posting fraud busts on LinkedIn (and what that says about public deterrence)The infamous “1,000 leg braces” scheme — and how it slipped through the systemHow Operation Gold Rush raked in billions through stolen identities and shell suppliersWhat keeps DME fraud thriving (and why enforcement can’t keep up)The tools compliance, billing, and credentialing pros can use to stop the next scam before it starts🧾 With $1.4B recovered and $14.6B exposed, this isn’t just a headline — it’s a wake-up call.
If you touch Medicaid oversight, healthcare billing, or credentialing, this episode proves: you’re part of the fix.
🎧 Listen now — and don’t forget to share, tag your compliance crew, and make some noise.
Fraud doesn’t hide anymore — and neither should your defenses.
#CredentialingChronicles #HealthcareFraud #OperationGoldRush #OIG #Compliance #MedicaidFraud #Credentialing #FraudPrevention
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 res...
Episode 28: FBI Knocks, Board Snoozes
2025/10/14
Send us a text
Hosted by: Shannen Reyes-Aguayo & Nyleen Flores
IG: @shannensunfloweraguayo | @nyleenfloresfam
When the FBI comes knocking… and the Board of Medicine hits snooze.
This week, Shannen and Nyleen dive into a gut-wrenching case out of Michigan that left them both sick to their stomachs. A family medicine doctor—trusted to care for entire families—was arrested in an FBI sting operation after allegedly trying to arrange a sexual encounter involving a child.
🚨 The twist? The sting started in June 2025, the arrest happened in September, and yet—the doctor’s medical license remains active and unrestricted.
Join the Credentialing Chronicles duo as they break down how this happened, where the oversight failed, and why federal agents seem to act faster than the boards that are supposed to protect patients.
This episode is heavy, disturbing, and not for minors—but it’s a story that has to be told.
💥 In this episode:
FBI vs. Medical Board: Who moves faster when danger’s involved?The shocking details of Dr's arrestHow hospitals respond (or don’t) when a physician turns criminalWhy the “pause button” on medical licenses must be real and immediatePSA for patients, physicians, and MSPs on staying alert and proactive⚠️ Trigger Warning:
This episode contains discussions of child exploitation and criminal behavior that may be disturbing to listeners.
🗣️ PSA Takeaway:
“Innocent until proven guilty? Absolutely.
But licensed until proven dangerous? Nope.
The pause button on medical licenses has to be real—and immediate.”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 res...
Podcast reviews
Read Credentialing Chronicles podcast reviews
Hardworker245 2025/12/05
Absolutely a must hear
This is absolutely needed in the healthcare world—— and full transparency ! I love the tea you ladies are spilling every episode!!!
Pearl6464 2025/11/22
Amazing! This is what the industry needs!
I love the content of podcasts! Breaking down the doors we wouldn’t even know about ! This is awesome, can’t wait for more ☺️
Seijar1986 2025/04/01
Excited for More!
Love! Love! Love this content! Excited for the inside scoop on the medical industry and looking forward to more interesting cases!
tparentmd 2025/04/01
Insightful
Good to know _ Need to highlight our amazing doctors vs. bad actors in medicine
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