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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
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 resources, and nev...
By Shannen and Nyleen4.9
1616 ratings
Send us Fan Mail
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
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 resources, and nev...