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PODCAST

Credentialing Chronicles

Shannen and Nyleen

"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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All Episodes

1:51

NAMSS 5 minute Tea Spillin' Session: Melissa and Tami

Credentialing Chronicles ·

2025/10/01

Send us a text Pour a quick cup—Shannen & Nyleen are spilling the NAMSS tea in under five minutes. ☕️🍵 In this lightning-round mini, we break down the hottest takeaways every medical staff pro should know right now ... Support the show Resources Mentioned: Verify your Nurses' Credentials: https://www.nursys.com/ 🔎 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/ ✔️

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2:01

NAMSS 5 min Tea Spillin' Session - Shannon and Elise

Credentialing Chronicles ·

2025/09/30

Send us a text Pour a quick cup—Shannen & Nyleen are spilling the NAMSS tea in under five minutes. ☕️🍵 In this lightning-round mini, we break down the hottest takeaways!! Support the show Resources Mentioned: Verify your Nurses' Credentials: https://www.nursys.com/ 🔎 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 yo...

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5:16

NAMSS 5 min Tea Spillin' Session : Anonymous 1 and...

Credentialing Chronicles ·

2025/09/30

Send us a text Pour a quick cup—Shannen & Nyleen are spilling the NAMSS tea in under five minutes. ☕️🍵 In this lightning-round mini, we break down the hottest takeaways every medical staff pro should know right now ! In this episode we break it down with Anonymous 1 and Anonymous 2 - as they spill some tea! Support the show Resources Mentioned: Verify your Nurses' Credentials: https://www.nursys.com/ 🔎 Verify Your Doctor’s Credentials ✔️ State-Specific Medical Board Lic...

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3:38

NAMSS 5 min Tea Spillin' Session - Samantha from...

Credentialing Chronicles ·

2025/09/30

Send us a text Pour a quick cup—Shannen & Nyleen are spilling the NAMSS tea in under five minutes. ☕️🍵 In this episode: RADIOLOGY! _ What does Samantha have to say?! Think of this as your NAMSS power-up: fast, punchy, and ruthlessly practical. We translate guidance into real-world red flags, receipts, and quick wins—so you can walk into your next meeting sounding like you’ve got an army of auditors in your pocket. No fluff, just facts…with a little side-eye. 😉 Support the show Resou...

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33:06

Ep 27: The Respect Gap

Credentialing Chronicles ·

2025/09/23

Send us a text What happens when the people who keep hospitals safe get treated like “paper pushers”? In this episode, Shannen and Nyleen sit down with Dr. Victor Vargas—Chief Medical Officer, Certified Physician Executive, and credentialing advocate—to talk about the respect gap between physicians and Medical Staff Professionals (MSPs). Dr. Vargas spills the tea on: Why MSPs are the first gate to patient safetyA real case where falsified case logs were caught before a surgeon touched a patie...

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41:57

Ep 26: Trusted, Titled and Toxic

Credentialing Chronicles ·

2025/09/16

Send us a text When “trusted” turns toxic. In this episode, Shannen and Nyleen dig into the Washington State case of an OB-GYN whose exam room conduct sparked years of complaints, multiple lawsuits, and a formal Statement of Charges by the Washington Department of Health. We unpack how warning signs were minimized as “just the doctor being the doctor,” what “Active – Pending Enforcement Action” really means for patients, and why credentialing must look beyond a license that appears “clean.” W...

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25:12

Episode 25: White Coats, Dark Crimes

Credentialing Chronicles ·

2025/09/09

Send us a text Doctors caught in the Worst Betrayal Two doctors. Two hospitals. Two of the darkest betrayals imaginable. In this episode, Shannen and Nyleen expose the chilling cases of: A world-renowned geneticist at Cincinnati Children’s Hospital accused of hoarding over 150,000 child abuse images.A VA physician in Massachusetts charged with downloading CSAM—from his office inside a federal medical center.These weren’t shadowy fraudsters. They were respected physicians—until law enforcement...

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26:01

Episode 24: Paperwork Meets Panic – Behavioral Health...

Credentialing Chronicles ·

2025/09/02

Send us a text Behavioral health is booming—but billing it wrong can break your practice. In this episode, Shannen and Nyleen unpack the growing wave of medical groups adding therapy, psychiatry, and counseling services—only to stumble into denials, audits, and compliance nightmares. From the basics of CPT codes and payer carve-outs, to the credentialing pitfalls that practices overlook, this episode digs into: What behavioral health billing really means (and why it isn’t just “a few extra co...

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7:58

Fireside Chat - Bonus Episode for Fans

Credentialing Chronicles ·

2025/08/28

Send us a text 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: more engagement, shares, and feedback to help this community grow. ✨ And...

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31:37

Episode 23: Charts to Cell Blocks

Credentialing Chronicles ·

2025/08/26

Send us a text 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 how the FBI, DEA, and Big Data brought them down. Plus, don’t miss ou...

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31:43

Episode 22 : No Class - All Access

Credentialing Chronicles ·

2025/08/19

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 unq...

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27:20

Episode 21: NCQA Said NOPE!

Credentialing Chronicles ·

2025/08/12

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 you...

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43:16

Episode 20: The Power of the MSP

Credentialing Chronicles ·

2025/08/05

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,

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25:25

Episode 19: Passed or Pulverized

Credentialing Chronicles ·

2025/07/29

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:

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41:58

Episode 18: Cut For Cash

Credentialing Chronicles ·

2025/07/22

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

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28:50

Episode 17: Prescription for Prison

Credentialing Chronicles ·

2025/07/15

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 e...

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32:26

🎙️ Episode 16 -Accredited to Annihilated: When an ASC...

Credentialing Chronicles ·

2025/07/08

Send us a text 🎧 “Accredited to Annihilated: When an ASC Loses Accreditation” What happens when the seal of approval meant to protect patients becomes a false promise? In our latest episode, we explore two real-world cases that expose serious cracks in the healthcare accreditation system: 🏥 A D.C. hospital passed its Joint Commission survey — only to spiral into collapse, leading to six preventable patient deaths. 💉 A California plastic surgery center retained its AAAHC accreditation ev...

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40:08

Cut for Cash

Credentialing Chronicles ·

2025/07/01

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

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41:13

Ep. 14 — SPEAK UP: Dr. Stephen Cohen on Silence,...

Credentialing Chronicles ·

2025/06/24

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...

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44:53

Episode 13- 🎙️ Protected & Dangerous: When the System...

Credentialing Chronicles ·

2025/06/17

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 th...

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