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🎙️ Hosts: Shannen & Nyleen

Buckle up Tea Sippers with your compliance crew, because we are spilling a whole nation's worth of tea on the state that’s always the butt of the joke in credentialing—Florida! In this episode, Shannen and Nyleen go deep into why the Sunshine State has long been the undisputed epicenter of healthcare fraud in the U.S. We’re talking about a landscape where fragmented payer oversight and massive spending create the perfect "opportunity" for fraudsters to run wild.

We’re taking a trip down memory lane to the "Pill Mill" era of the early 2000s, when clinics were pumping out Oxy like candy and patients were flying in from all over the country just to get their fix. You’ll hear how Florida finally reacted in 2011 with the E-FORSE monitoring program to stop "doctor shopping" in its tracks.

 Don't let your facility fall through the cracks of the "Medical Wild West." It’s time to listen to your gut, verify the verified, and make sure your providers are staying credentialed—but not canceled! 

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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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