Credentialing Chronicles

Episode 23: Charts to Cell Blocks


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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 how the FBI, DEA, and Big Data brought them down.

Plus, don’t miss our PSA segment with warnings for patients, providers, and credentialing professionals.


Visit our website for more information: 

www.CredentialingChronicles.com

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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/

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Credentialing ChroniclesBy Shannen and Nyleen

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