Credentialing Chronicles

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 unqualified “nurses” into hospitals across the U.S.

This isn’t just gossip—it’...

Duration: 00:31:43

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 your reputation. Whether you’re a credentialing pro, a health plan exec, or just curious about who’s veri...

Duration: 00:27:20

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, operational, and strategic
* The federal oversight com...

Duration: 00:43:16

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:
 💡 How to check the OIG Exclusions List and SAM.gov
💥 PSA...

Duration: 00:25:25

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 culture in flames.

This week on Credentialing Chronicles with Shannen and Nyleen, we unpack:
🔹 A...

Duration: 00:41:58

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 empire crumbling in Houston — we cover it all, Fraudpalooza-style.

🔥 Juicy stories.
⚠ Real consequences.
💡 Credentialing lessons you...

Duration: 00:28:50

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 backdoor deals, and credentialing departments caught in the middle...

Duration: 00:32:26

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: Clifton T. Perkins Hospital Center – Preliminary denial of accreditation after years of patient neglect, sexual assaults, and preventable deaths — all under the watch of failing leadership an...

Duration: 00:40:08

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 episode is bold.
Because the system is broken.
An...

Duration: 00:41:13

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 the police department’s horrifyingly slow responseThe “traveling cardiologist”, who left a trail of victims in multiple states — yet still has...

Duration: 00:44:53

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…

Shannen and Nyleen expose the truth...

Duration: 00:25:27

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
🧾 Sanctioned repeat offenders
…and all...

Duration: 00:36:15

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 one of medicine’s most unforgivable “never events”How credentialing failu...

Duration: 00:30:09

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:

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials:

https://www.nursys.com/

🔎 Verify Your Doctor’s Credentials

✔...

Duration: 00:24:53

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 away with it for so long?
•What were the credentialing and compliance gaps?
•What exactly is DEA registration a...

Duration: 00:28:01

Send us a text

DROPPING A full-blown surgical shocker.

Imagine going in for a routine operation… and waking up missing the wrong organ?!
Let’s just say—it’s worse than you think. 👀

🩺 Who’s checking the charts?
🩺 Who’s verifying the privileges?
🩺 And how do multiple organs get caught in the crossfire?

This is the episode where mistakes get messy, records get rewritten, and lives are changed forever.
Shannen and Nyleen are diving all the way in on one of the most egregious cases of medical mix-ups ever recorded. Duration: 00:31:32

Send us a text

Credentialing is not a formality — it's a lifeline.

In Episode 6 of Credentialing Chronicles, we break down:
🩺 A gynecologist accused of fraud, patient abuse, and unsafe practices.
🩺 A surgeon with a criminal past who harmed 299 children across hospitals.
🩺 A Texas transplant program where manipulation of waitlists cost lives.

When credentialing, privileging, and compliance systems fail — patients pay the ultimate price.

✅ For credentialing teams, medical staff pros, and healthcare leaders — this is your wake-up call. 

Follow Us, Share our podcast with someone you love!

Support the s...

Duration: 00:31:37

Send us a text

🚨 What really happens when a healthcare provider gets a DUI? In this episode of Credentialing Chronicles, we break down the ripple effects of driving under the influence when you have an MD, RN, or NP behind your name.

💥 From license reporting requirements to employment risk to state board consequences—we’re talking about the real, raw truth no one tells you.

🎙️ Plus, we share three jaw-dropping stories of medical professionals whose DUIs turned into credentialing nightmares.

Because patient safety matters. And what providers do outside the...

Duration: 00:27:12

Send us a text

Sometimes it’s not what’s said… it’s what’s left out 😶.
In this episode of Credentialing Chronicles, we’re diving into the red flags that went unnoticed—or were ignored completely 😳. Think: doctors who didn’t disclose their pasts, boards that didn’t investigate, and the quiet chaos that followed.

👀 Real cases
 🧨 Dangerous silence
 👩‍⚕️ Tips to protect your providers + patients

You’ll laugh. You’ll gasp. You’ll text your credentialing bestie.
 This one is tea ☕ with a side of “How did they miss that!?”

Hit play, hit follow, and don’t l...

Duration: 00:30:24

Send us a text

How is this even happening?! In this episode of Credentialing Chronicles, we uncover the shocking case of a doctor in Helena, Montana, with a history of serious allegations—still practicing, still seeing patients, and still flying under the radar.

From patient complaints to jaw-dropping board decisions (or lack thereof), this story will leave you questioning the very systems designed to protect us.

Join Shannen, Nyleen, and the team as they pull back the curtain on how credentialing loopholes, board inaction, and oversight failure can put real lives at risk.

...

Duration: 00:41:11

Send us a text

💥Episode Description:
A doctor. Arrested for child pornography. Sentenced to just four years. Still licensed in some databases.

In this explosive BONUS episode of Credentialing Chronicles, Shannen and Nyleen dive into one of the most gut-wrenching stories in modern medicine—and the massive failure of oversight that followed. How did this happen? Why wasn’t every board, hospital, and database alerted immediately? And most importantly, how many more are slipping through the cracks?

This episode is about more than just one case—it’s about a fla...

Duration: 00:24:46

Send us a text

In Episode 1 of Credentialing Chronicles, titled "Second Chances or Red Flags?", Shannen and Nyleen expose a jaw-dropping case that will make you question everything you thought you knew about doctor accountability.

An ER doctor convicted of brutal domestic violence… yet still holding an active, unrestricted medical license. How does this happen? Why aren’t patients warned? And who’s responsible for keeping tabs on the people we trust with our lives?

Join us as we peel back the layers of medical credentialing, revealing the loopholes, self-reporting gaps, and be...

Duration: 00:30:33

Send us a text

Credentialing Chronicles is here to expose the untold stories behind the stethoscope. From medical mishaps to administrative adventures, we're diving deep and taking names.​

**​🚨 Episode 1 drops at midnight! **​

Be there or hear about it in the break room.​

​Subscribe now at CredentialingChronicles.com and join the conversation.

Support the show

Resources Mentioned:

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials:

https://www.n...

Duration: 00:00:18

Send us a text

☕ TEASER 7 just dropped… and let’s just say, the scalpel cuts deep.

3 day countdown!! 

 We’re spilling more than tea—we’re exposing truths, calling out chaos, and getting real about what happens behind the scenes in healthcare.

🎙️ Credentialing Chronicles launches April 1st
👀 Get early access + stay in the loop: CredentialingChronicles.com
🚨 If you work in healthcare, you need to hear this.

#CredentialingChronicles #MedicalScandals #HealthcareTruths #PodcastTeaser #SpillTheTea #MedicalStaffMatters #April1Drop #PodcastLaunch #BehindTheScenes

Support the show

Resources M...

Duration: 00:00:14