Episode 19: Passed or Pulverized

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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—someone really tried to hide felony convictions with fake nominee owners.

Plus:
 💡 How to check the OIG Exclusions List and SAM.gov
💥 PSA tips for patients, providers, and credentialing pros
📢 “Trust is earned. Licensure is verified.”

FOR OIG VERIFICATIONS: 

https://exclusions.oig.hhs.gov/

FOR SAM VERIFICATIONS: 

https://sam.gov/search/?index=_all&page=1&sort=modifiedDate&pageSize=25&sfm%5Bstatus%5D%5Bis_active%5D=true&sfm%5BsimpleSearch%5D%5BkeywordRadio%5D=ALL

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Resources Mentioned:

Verify your Nurses' Credentials:

https://www.nursys.com/

Operation Nightingale:

https://oig.hhs.gov/newsroom/media-materials/nightingale/

🔎 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 doctor is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Because credentials do matter. 🩺✨

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