Credentialing Chronicles
"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! 🎙️🔥
Credentialing Chronicles
Episode 18: Cut For Cash
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 culture in flames.
This week on Credentialing Chronicles with Shannen and Nyleen, we unpack:
🔹 A physician with prior felony convictions—and a 35-year credentialing pass
🔹 A surgical side hustle that became a criminal enterprise
🔹 $400M in illegal Medicaid referrals masked as “community outreach”
🔹 And why the DOJ is done playing nice with hospitals who “look the other way”
💡 If you work in medical staff services, compliance, healthcare leadership—or if you just like the sound of court drama with clinical consequences—this one’s for you.
🛑 Credentialing isn’t just paperwork.
It’s your hospital’s first and last defense against a federal indictment.
#CredentialingChronicles #HealthcareFraud #MedicalStaffServices #ComplianceMatters #HospitalIndictment #MedicaidFraud #CredentialingFailures #MSPstrong #HealthcareLeadership
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 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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