Credentialing Chronicles

Credentialing Chronicles

"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! 🎙️🔥

Episodes

August 28, 2025 7 mins

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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: mor...

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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 ...

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August 19, 2025 31 mins

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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 al...

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August 12, 2025 27 mins

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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 checkl...

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August 5, 2025 43 mins

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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 m...

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July 29, 2025 25 mins

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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—some...

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July 22, 2025 41 mins

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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 hos...

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July 15, 2025 28 mins

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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...

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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 w...

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July 1, 2025 40 mins

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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-do...

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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 th...

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 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.

...

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June 10, 2025 25 mins

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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 gynecolog...
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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,...

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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 s...

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May 20, 2025 24 mins

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👶 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 Nurs...

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May 12, 2025 28 mins

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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 int...

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May 5, 2025 31 mins

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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 ...

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April 28, 2025 31 mins

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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 system...

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🚨 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 pr...

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