Episode 22 : No Class - All Access

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 unqualified “nurses” into hospitals across the U.S.

This isn’t just gossip—it’s a wake-up call. Patient safety depends on rigorous credentialing, audits, and stopping “trust-the-badge” culture before it lands your organization in the headlines.

🔗 Receipts, sources, and resources are linked in the show notes.
 👂 Listen now and stay credentialed, not canceled.

Verify your Nurses' Credentials: 

https://www.nursys.com/

Operation Nightingale: 

https://oig.hhs.gov/newsroom/media-materials/nightingale/

Transcript

Transcript fake nurse - 22 

Shannen Reyes (00:01.889) 

It has flown all over our LinkedIn pages last week. A woman in Florida was arrested after treating over 4,400 patients in a hospital with no nursing license. Can you believe it? 

Nyleen (00:13.097) 

I can't turn on. 

Shannen Reyes (00:18.025) 

She used another nurse's number, she wore the scrubs and did the job and almost even got promoted. That's not a Netflix plot that we're talking about today. That's Advent Health Palm Coast. 

And this is all current from 2023 to 2025 because you know as we all know we've seen it all last week. Authorities say she failed the licensing exam but the system still let her touch thousands of patients. Before anyone noticed we're not guessing this is from the actual sheriff at ABC people and the nursing press. We'll link every source that we have below. 

Nyleen (01:00.775) 

Yes, so we're gonna get into some receipts and I just wanna be real about this because if you're in the credentialing world, you've seen it posted on LinkedIn, but for our patients out there, if you haven't listened to the news or if you're under a rock, we wanted to bring a current event to you guys to highlight the importance of, in this case, yes, it was HR, but it rolls into the idea of credentialing, right? 

because HR does not do credentialing, they do have their own verification process, but it's okay. Right, they still need to run verification. So we're gonna talk about the point of verification and how this can kind of like flip through the cracks and what we can do to make sure that we're not allowing this in our organization or to any of our higher level doctors. 

Shannen Reyes (01:33.475) 

They don't do that. They're not allowed to. 

Shannen Reyes (01:41.539) 

Mm-hmm. 

Shannen Reyes (01:46.297) 

Tell me. 

Shannen Reyes (01:53.155) 

But you know, this is one of the reasons why HRSA always tells the FQHCs to run everybody through credentialing. 

Nyleen (02:01.074) 

girl, don't open that can of worms. That's true. Yeah. 

Shannen Reyes (02:03.629) 

But I'm just saying, but I'm saying it is one because a lot of rural clinics and so they know that it's safer just running them all through credentialing because they're gonna get that monitoring aspect as well. 

Nyleen (02:14.768) 

Yes, yes. So let's get some timeline. Let's get some receipts. Let's see what actually happened. She was hired in July of 2023. 

Shannen Reyes (02:20.939) 

Yes. Okay. 

Shannen Reyes (02:29.558) 

Okay, okay. 

Nyleen (02:30.326) 

Fired January, 2025. Arrested in August. So we're talking, we're just a couple of days off of that. They calculated she treated over 4,000 patients. Allegedly. Okay. Because remember we're innocent and so proven guilty. And she was using somebody else's license number and then she was considered for a promotion before this whole discovery happened. 

Shannen Reyes (02:33.016) 

All right. 

Shannen Reyes (02:39.521) 

Yeah. 

Shannen Reyes (02:44.644) 

Mm. 

Shannen Reyes (03:00.259) 

Which is crazy. She was doing a good job, right? 

Nyleen (03:02.26) 

Yes. Well, right. And so just for a hot minute, I'm not saying you need a license to know how to do something. You just have to, you need a license to show that you studied and you did what you were supposed to do. Like there's something to be said for going to school and getting a license. And you pass the competency of it because I understand, like I know we can all learn anything, right? We know we're all capable of it, but you need a license. 

Shannen Reyes (03:17.155) 

You pass the competency of it, yeah. 

Shannen Reyes (03:25.188) 

Yeah. 

Nyleen (03:30.412) 

The practice medicine doesn't matter in any capacity. From an MA, to a CNA, to an LPN, to an RN, to a scrub tech. There's all these certifications and licenses out there for a reason because you need to study. And yes, I understand. A lot of it you learn hands on. Don't get me wrong. A lot of it you get hands on. And the thing is what's tricky with her is she did go to nursing school. 

Shannen Reyes (03:33.677) 

Any capacity. 

Shannen Reyes (03:57.505) 

Yeah, and what's tricky with her is that she was a CNA. And let's be honest about the CNAs because the CNAs, they go to school, they become certified, they get into their job. The job does not require them because it's not a state license. It's a, it's a like a, for lack of a better word, a board certification type of, you know, it's a certification that they get. And it's not a state license. No state license is a CNA. And so, you know, if you're not monitoring that, 

Nyleen (04:04.359) 

Yes. 

Nyleen (04:07.849) 

Mm-hmm. 

Nyleen (04:20.875) 

Okay. 

Nyleen (04:24.778) 

Right. 

Shannen Reyes (04:27.589) 

that certification, then you're not even knowing that that's expiring. 

Nyleen (04:32.291) 

Right. Well, and the CNAs do a lot of work. They help the nurses with so much, right? They're seeing the medications, even though they're not administering, they're seeing them. seeing how the nurses are handling the patients. A lot of the times they're the ones who clean the patients, who move the patients, who ambulate the patients, right? Yes, exactly. So they, she would have already not only the etiquette, right? Or the 

Shannen Reyes (04:35.041) 

a lot. Yes they do, yes. 

Shannen Reyes (04:43.727) 

you 

Shannen Reyes (04:48.569) 

shower the patients with. 

Nyleen (05:00.459) 

way of speaking or the medical terminology, right? So she's not just coming like cold off the grid. So she actually tried to take her nursing license exam and she failed it. Like she should have studied it a little bit harder. Right? Now what's interesting is she kept trying for the license and then she actually passed it, which makes me sad for her because 

Shannen Reyes (05:04.493) 

Yeah. 

Shannen Reyes (05:09.582) 

Yeah. 

Shannen Reyes (05:13.677) 

Yeah, she failed it, yeah. 

Shannen Reyes (05:21.966) 

Yeah. 

Nyleen (05:29.205) 

She passed and she did eventually get a real RN license, but for the last two years she'd be using a fake one. 

Shannen Reyes (05:35.897) 

so she couldn't even switch over once she had passed. 

Nyleen (05:38.778) 

No, because listen to the story. She lied to say that she had two years ago and she used, yes, used the license number belonging to another nurse that had the same first name. So she explained that the different last name was because, she got recently married, so she didn't get a chance to update her license. So HR kind of just said, she's going to. 

Shannen Reyes (05:41.184) 

okay. 

Shannen Reyes (05:46.433) 

Originally. 

Shannen Reyes (05:54.221) 

Okay. 

Shannen Reyes (06:03.247) 

Okay. 

Nyleen (06:08.139) 

I'm sure she'll get it to us. We're too busy. We have 5,000 nurses. We have 5,000 employees. We don't got time. she'll get it to us. No problem. She never provided the proof of that quote unquote marriage name change. 

Shannen Reyes (06:10.884) 

Yeah. 

Shannen Reyes (06:14.274) 

Yeah, yeah, yeah. 

Shannen Reyes (06:23.759) 

Mmm, okay. 

Nyleen (06:26.275) 

Right. And so what happened was she was up for a promotion. So they're pulling the file. They're like, Hey, let's check this out a minute 

Shannen Reyes (06:31.117) 

The record, yeah. 

Shannen Reyes (06:36.045) 

Because everybody gotta get called to the piper at some point, 

Nyleen (06:40.932) 

Yes. And then it turns out also that other person was hired as an advanced nurse technician and you know, using that other license or something like that, but she was working for the same company just at a different facility. So they were both working for Advent. Yes. So even within the Advent health system, like y'all need to update your like name changes or like. 

Shannen Reyes (06:58.455) 

No! 

Shannen Reyes (07:04.153) 

They're not talking. 

Nyleen (07:08.01) 

common names or something to make sure that we are doing an extra level of security and verifications for these. 

Shannen Reyes (07:10.479) 

YAY! 

Shannen Reyes (07:16.141) 

I gotta put my earrings on, because you know my headphones ain't working, so I figured I gotta look cute for everybody, I mean. But I cannot believe that. What is Advent doing? Accompanying? 

Nyleen (07:26.964) 

Well, obviously they fired her. Now they're, I'm sure they're blowing up everywhere. So everybody's talking about them. I'm sure they're changing policies, procedures. I'm sure people are getting fired. So it'd be interesting to watch the case and see what happens. But I think the rule is trust, but verify, period. 

Shannen Reyes (07:36.194) 

I'm sure. 

Shannen Reyes (07:43.297) 

Whoa! 

Well, when I seen it, I said, why are they putting this lady on the camera like this with her scrubs on? they made her look so bad. And we have seen so many doctors do worse. And what do they let them do quietly? 

you know, take their license away, quietly cancel their license, quietly leave the facility. And I thought, you know, where is the, that's not really equal, right? Because I understand she did something she did, you know, no class, all access, but we've had so many other people do no class, all access type of stuff too, right? Nily, we've seen it so many times. 

Nyleen (08:26.723) 

Mm-hmm. Yeah, no for sure and that's a good point. That's a good point. So let's talk a little bit about HR. Like what do you think about HR? 

Shannen Reyes (08:34.231) 

Okay. 

Well, know, HR doesn't do what credentialing does. You know, we're allowed to go a lot deeper. You know, we're allowed to ask things that credentialing people aren't allowed to ask. You know, so the question is, is where is their priority on the primary source verification? Where is the priority on the continually monitoring? You know, and making sure that the I's are dotted and the T's are crossed. 

Nyleen (09:07.891) 

She should never have been hired without that marriage certificate. You know how many doctors, I had one doctor, she had got married and divorced five times. They said, honey, I need all the trail, all the trail, all the name changes, all the stuff. You know, because, and that's why a lot of doctors choose not to change their names because they went to med school, they got their license and so hard to change all your legal documents, you know. 

Shannen Reyes (09:11.769) 

never. 

Shannen Reyes (09:21.977) 

Yeah. 

Shannen Reyes (09:32.162) 

So hard. 

Nyleen (09:34.6) 

So anyway, if your workflow is copy and paste from an old file and then the whole trust the badge culture, you're not protecting patients. You're protecting throughput. You're protecting money just flowing through, throughput, right? So that's going to be our word of the day. So in plain English, it's how much you can process in a given time, how fast you can just get things going. 

Shannen Reyes (09:40.974) 

Yeah. 

Shannen Reyes (09:53.421) 

Yes. 

Shannen Reyes (09:59.46) 

Yes. 

And you know, in credentialing, we want to say that we have 10 licenses. Well, let me run all the licenses at one time. Let me run all the DEAs at one time. And you can't do that. You have to, that one doctor, tell them, Nailene. 

Nyleen (10:16.073) 

Mm-hmm. Yeah, and in credentialing, that might even mean how many providers you onboard in a week. If you got those doctors that got 15, 20, 40 state licenses, 

Shannen Reyes (10:21.933) 

Yeah. 

Shannen Reyes (10:27.755) 

affiliations my god liabilities 

Nyleen (10:30.446) 

Mm-hmm. Yes. Yes, you've got to take the time. We know that hospitals and facilities and surgery centers, they love that high throughput. Like, push them through. Push them through. We don't care. It keeps schedules full, beds occupied, revenue flowing. But the dark side is when you make throughput the top priority, accuracy and safety is what slides to the bottom of the list. 

Shannen Reyes (10:48.227) 

Yeah, say it. 

Shannen Reyes (10:57.347) 

Yes. 

Nyleen (10:57.786) 

And that's when fake degrees and lapsed licenses and unchecked backgrounds sneak through. 

Shannen Reyes (11:06.583) 

And you know, like you said, you could tie it right back to the Florida nurse and say this is how she got through the system. I don't see any other way. 

Nyleen (11:17.108) 

Yep. Mm-hmm, mm-hmm. But you know, Shannon, we can't just stop it there. We can't have a 10-minute episode, because you know. 

Shannen Reyes (11:21.165) 

Nah. 

Well, I mean, it happens everywhere. Like, remember when we were talking? I mean, it happens everywhere, you know? And we need to let people know. 

Nyleen (11:31.074) 

Well, yeah, so let's talk about the 7,600 diploma scandal in 2018. So 2022 out of Florida. Yes, we had a huge memo go out. I was working in the medical lab when that happened in Florida. And we got a huge memo because it was right down the street from me. And so turns out 25 people ended up getting charged. 

Shannen Reyes (11:38.669) 

Yeah. Yeah. Yeah, I remember it. 

Shannen Reyes (11:54.646) 

Okay. 

Shannen Reyes (11:59.686) 

25. So this one's already been. We're going to see what the process did to this one. Okay. 

Nyleen (12:00.027) 

And we're going to say it was. 

Yes, yes. So it was the night school that never happened, girl. 

So this one's got it all, yes, fake diplomas, shady recruiters, and more than 7,000 people walking around in scrubs that didn't earn a diploma. 

Shannen Reyes (12:10.285) 

Bye! 

Shannen Reyes (12:21.499) 

Seven thousand you say? As in people who might be taking care of you in the hospital right now? 

Nyleen (12:24.164) 

Mm-hmm. 

Well, hopefully not, because they all got... 

Shannen Reyes (12:31.459) 

They found all the people? 

Nyleen (12:36.475) 

They direct as many as they could down. Yes. So here's the tea. It wasn't just one nursing school, which is like even the bigger problem. It was three of them, girl. 

Shannen Reyes (12:38.519) 

We hope they did. We hope they did, right? 

Shannen Reyes (12:46.487) 

Okay. That's huge. Connected. 

Nyleen (12:51.973) 

Well, Broward County, is, know, Miami area. Just be careful, Miami, just saying. Okay, so Sienna College, Palm Beach School of Nursing, Palm Beach, so we're talking East Coast, yeah. And then Sacred Heart International Institute. They were handing out diplomas like Oprah, Carr hands out. You got a life, you got a life, you got a life. 

Shannen Reyes (12:54.315) 

Okay. Miami, yeah Miami. 

Shannen Reyes (13:03.951) 

Okay. 

Shannen Reyes (13:18.357) 

that's crazy. Yeah, I mean that you get a diploma, you get a diploma, you everybody, right? 

Nyleen (13:24.922) 

Yep. The only problem is these graduates, never took a clinical shift. Like, they never passed a real class. They still got credentials. Saying that they were ready to be like RNs, LPNs, and all that stuff with some cash. And the right shady connections. Because you can, you know, pay for anything, quote unquote. 

Shannen Reyes (13:38.895) 

off 

Shannen Reyes (13:46.967) 

So hold on, how many of these fake diplomas are we talking about? 

Nyleen (13:51.109) 

So we've mentioned over 7,000, it like 7,600, which means according to the FBI, yes, yes, yes. So FBI got involved on this. 

Shannen Reyes (13:54.927) 

So that's actual diplomas. 

Shannen Reyes (14:02.579) 

Yeah, across the state lines. I'm sure people left Florida with those diplomas. mean, so basically instead of do no harm, this is please don't harm me. Maybe can I check your diploma, right? I mean. 

Nyleen (14:07.897) 

Mm-hmm. 

Nyleen (14:16.662) 

Yes. So in the first one, they had the school manager was like making it rain RNs and LPNs in Palm Beach, the owner who already pled guilty plus two employees had like recruiters all the way from Florida to New York to kind of just say, if you pay us and we'll get you, you know, expedite this. 

Shannen Reyes (14:23.426) 

Okay. 

Shannen Reyes (14:36.046) 

Okay. 

Shannen Reyes (14:44.781) 

that's crazy. 

Nyleen (14:46.318) 

And then Sacred Heart had an owner who was based out of Texas. So they had a lot of the US already covered and they had like a, you're a nurse now paper, you know, handing out service. 

Shannen Reyes (14:55.222) 

Yeah, it sounds like it. 

Shannen Reyes (15:02.263) 

Yeah, yeah. I mean, it just doesn't sound like higher education, you know, it sounds like fraudation. Everybody was learning how to commit fraud, you know? 

Nyleen (15:12.344) 

yeah, exactly, a perfect term, fraud education. So of course the feds are not going to be amused at this. Every single defendant was looking at 20 years in prison. 

Shannen Reyes (15:15.449) 

Yeah. 

Shannen Reyes (15:25.743) 

20? 

Nyleen (15:27.237) 

The US attorney called it a flat out. It was a public safety crisis. Like they were sending out bullets and memos, recheck everybody's licenses. 

Shannen Reyes (15:35.777) 

Yes. mean, if I'm in the ER, I want someone who's done more than just Venmo their way into a nursing license. I want somebody that's, you know, been tried, intruded, and tested. 

Nyleen (15:47.169) 

Exactly. The FBI said that they only discovered the full extent of the scam because of a massive investigation with the HHS and the OIG, know, that Office of Inspector General that we talked about before, Homeland Security, postal inspectors. So basically they created a team of Avengers for like federal fraud busting. 

Shannen Reyes (16:00.324) 

Yeah, yeah, yeah, yeah. 

Shannen Reyes (16:11.619) 

That's crazy. what happened here? Tell us what happened at the end. I want to know. I'm so interested. 

Nyleen (16:18.501) 

So the fallout is 20 years in prison. So they got convicted and the leaders got convicted. 

Shannen Reyes (16:23.064) 

Okay. 

Shannen Reyes (16:28.899) 

Can you still go and get a diploma from one of these places today? Okay. Okay. 

Nyleen (16:32.641) 

No, no, absolutely not. They got taken. No, got they got dealt with and it was. They and the entire state of Florida got an alert. Like, especially, I mean, obviously, we know it went from Texas all the way to New York, but. You know. They just handled it, government handled it. 

Shannen Reyes (16:39.362) 

Okay. 

They're officially closed for business. 

Shannen Reyes (16:49.195) 

okay. 

Shannen Reyes (17:00.847) 

Yeah, yeah. 

Nyleen (17:02.594) 

and these main people. Now, the people who used the fake licenses. 

Shannen Reyes (17:10.509) 

Okay. 

Nyleen (17:12.726) 

that I don't have a number on. And I don't know if they all got. 

in trouble or faced prison, they think they wanted the ringleaders to make it stop. And then they just said, you know, HR, do your due due diligence throughout the US. And hopefully everybody is verifying these licenses. 

Shannen Reyes (17:22.093) 

like bound. 

Shannen Reyes (17:33.209) 

find it. 

Shannen Reyes (17:37.005) 

So potentially there could still be some people out there. 

Nyleen (17:40.864) 

I guess so, potentially. I mean, if this girl just got caught and she was in hospital for two years, mean, alert, alert, alert, HR, credentialing departments, like, run your licenses along with your IDs. There's a reason why we collect IDs. 

Shannen Reyes (17:57.392) 

Yeah, I had seen, know, I'm in the state of Washington and the state of Washington Board of Nursing put out an alert too for implicated schools, know, and employers to screen everybody again. So, I mean, sometimes it's outright fraud, but sometimes it's credentialed chaos. I mean, when we really think about it either way though, the patient is literally always the collateral damage, right? 

Shannen Reyes (18:22.263) 

and they don't even realize it, you know? 

Nyleen (18:24.927) 

Mm-hmm. Mm-hmm. Exactly. So through this ring, they found guilty a bunch of different people, and some of them got 33 months in prison. We got people from New York, New Jersey, millions of dollars in fines, all over. They basically got real time. They got convicted, and of course, now they're going to be listed as... 

on the OIG and SAM as you can't deal with these people in healthcare. Right. 

Shannen Reyes (18:56.367) 

Yeah, you can't hire them. Yeah, yeah. Makes sense. Whew! 

So I guess, you know, let's talk about, you know, MSP, CBOs, you know, all of that. Because, you know, there's another, it's just really like about having a true PSV every time. I mean, that's what really matters. And so I think if people really understood that, you know, it needed to happen when you hire, when you want somebody wants to change a role, when somebody has a unit change or privilege expansion, you know, a name change like this lady, Gap in Practice. 

I think all of those should really trigger that PSV loop, you know, and we all know what that is, right? License, board, education, know, certification if it's a CNN, CNA. You know, if we have our NPDBs on continuous monitoring, that should, you know, alert you if anything. But if you're doing that one time NPDB query, then you have to kind of do that needs to be part of your loop as well because you're not catching anything on. 

Nyleen (20:01.069) 

Yeah. 

Shannen Reyes (20:03.121) 

continuous. 

Nyleen (20:04.543) 

Yeah, and for our patients out there, PSV means primary source verification. It's okay. Primary source verification, which means we're going to the actual state licensing board, which we have posted on our show notes. You can go and search on me. It is free. Okay. And search your doctor, search your nurse, please. also, MPDBs, while they are not required, 

Shannen Reyes (20:08.365) 

Yes, sorry. Yes. 

Shannen Reyes (20:24.161) 

smooth your doctor. 

Nyleen (20:34.568) 

You can run an NPDB on a registered nurse, on a scrub tech, on any healthcare worker. You can actually run an NPDB on them as well. So. 

Shannen Reyes (20:45.679) 

But like I said, the FQHCs, they run them on everybody and it's a great practice. 

Nyleen (20:52.093) 

Yep. So learn how to distinguish a fake diploma. you know, sometimes we don't want to be like bother people, but like we really need to look at what's going on. We want to have a photo ID, right? And a photo of the person in the credentialing file. I wish, you know what I wish we had? You know, when you like go to, 

Shannen Reyes (21:15.353) 

Definitely. 

Nyleen (21:21.45) 

a bar sometimes, or I've had it to buy alcohol here, to buy whatever that requires you to be over 18. At the counter when you're gonna go pay, they actually scan your license to like see if it's a real license. So I've been to places where they scan my license and I'm like, how do they know it's legit? You know? 

Shannen Reyes (21:36.183) 

Now they do, yeah. 

Nyleen (21:47.797) 

I even went out with some friends to a bar and they were like, after walking into the place, they were like, I your license and some guy has some phone thing. I said, Lord, they're tracking me. 

Shannen Reyes (21:48.335) 

you 

Shannen Reyes (22:00.068) 

They're scaring you everywhere, yeah, yeah. And you know, some providers don't even want to give you their driver's license, you know, to be able to verify identity, you know, and I'm always, that's always a red flag for me. I'm like, or when I meet a client and I'm like, you don't ask for people's driver's license? Like, that should be number one. How are you verifying identity, you know? And then like, we didn't even think of that. I'm like, yeah, we should do that. Let's add that as part of the practice. 

Nyleen (22:20.546) 

Mm-hmm. 

Nyleen (22:26.156) 

And then what do you think they should do with like direct to employer transcript? 

Shannen Reyes (22:33.069) 

Well, I mean, you know, when you're looking at the transcripts, you know, you don't want to accept any PDF version of transcripts. You don't want to say, these are the transcripts. I don't need to go and verify. You want to make sure that you go out there and get that primary source verified. And that is the process, is that you're looking at the transcripts they gave you, then you're looking at what you verify, and you're saying, do they match up? Is this correct? 

You know, you want to maintain also like a blocked school list. So things like the Nightingale related list, things like that. You know, you could see if there's flags. 

Nyleen (23:01.596) 

Mm-hmm. Mm-hmm. 

Nyleen (23:13.185) 

Good to know, good to know. We need to have an HR blast so they can listen to credentialing chronicles too, you know? 

Shannen Reyes (23:22.637) 

Yeah, we need to get into those networks, you're right. 

Nyleen (23:24.839) 

Yes. So what about escalation culture? Like, what should people feel like safe to do at their facilities to be able to if I find something, what should I do? What do you think? 

Shannen Reyes (23:37.882) 

Well, know, medical staff offices, usually they have like a green light, red light process. And so if there's one thing wrong with a file, that kind of throws the file into a red light. And then if the file's been nice and smooth, then that kind of keeps it with a green light. And so when you're looking at that, that's like, you know, maybe something that HR could adopt. Maybe it would help them. 

Nyleen (24:02.004) 

So what about audits? How often do you do audits? Because I know you've talking about your audits all the time. 

Shannen Reyes (24:07.791) 

We audit all the time. mean gosh, I we audit all the time You know and and you know while I throw my head back and say my god, we audit all the time it's we audit because We're trying to break our process. You know, we're trying to mock identify Failures that can happen and fix those, you know, and I mean now I mean when I first started the company it wasn't as 

Tight as it is now, you know around when I first started I didn't apply for NCQA. You know, we had to wait a couple years but 

Now it's more, you know, our process is so good and we want to still make sure every quarter that we're auditing the entire process. And so that's from the time that a client gives us the file, the new provider, all the way to the time that the file gets back to the client and they're taking it over to committee. And we're looking at that process and seeing where, you know, areas can be broken, you know, things could fall through the cracks. 

And on a monthly basis, we're just auditing files that have already gone out saying, are they all good? Is everything good? And so, you know, I'm always going to be the advocate to say auditing is going to be something that's going to save you 100 % of the time. 

Nyleen (25:32.746) 

Yep, and share your data. Share your data so that the board, know, so that your board, your hospital, your departments that are supposed to know know what's going on. Right? 

Shannen Reyes (25:46.072) 

Yeah, know, sometimes HR will say, no, we can't share anything with medical staff, and medical staff will say, we can't share anything with HR. And it's like, you guys are in the same hospital. Like, you have to share things. You know, if one person catches something and the other person doesn't know and they don't catch it, then now what, we're all at risk? You know, so really make sure you're writing policies so that you can share interdepartmentally. 

Nyleen (25:56.51) 

Mm hmm. Yep. 

Nyleen (26:02.784) 

Yep. 

Nyleen (26:09.796) 

Mm-hmm. Yep and have that rapid alert system so when something happens when you catch a fraud feel safe enough and have that system in place we Disaster drills all the time. Why can't we have a disaster drill for like a fake license? Like that is a really big problem, right? 

Shannen Reyes (26:17.625) 

Yes. 

Shannen Reyes (26:27.711) 

Exactly. You know, you either pay now in consistency and continued audits, or you pay later in lawsuits and headlines. I mean, how many times do we see that, Nailene? 

Nyleen (26:41.343) 

Mm-hmm. Mm-hmm. Yep. So it's crazy. So Shannon, yes, the Florida arrest situation isn't a glitch. Okay. I think it's a mirror. Fake degrees and all of this all access providers thrive where systems trust paperwork more than proof. If you work in medical staff services, if you work in HR, you guys are the last line, right? 

Shannen Reyes (26:46.433) 

It's What? 

Shannen Reyes (26:54.884) 

Yeah. 

Shannen Reyes (27:03.384) 

Yes. 

Shannen Reyes (27:11.108) 

Yeah. 

Nyleen (27:11.402) 

Today's show notes are going to have the receipts. We're gonna drop the links to the articles and stuff so you see the Florida arrests and kind of can follow along, see what's going on with her. We're gonna talk about Operation Nightingale, state board responses, tighten your primary source verification processes, keep on with your continuous checks, do your background checks, run your MPDBs, run the red team drills. 

Shannen Reyes (27:23.043) 

Yes. 

Nyleen (27:41.149) 

Like have a plan that is a disaster. So quiet rigor saves lives. Yes. 

Shannen Reyes (27:41.303) 

Yes. 

Shannen Reyes (27:45.731) 

Yeah. 

And honey. 

You can even have it where you're pulling a live board verification for every nurse on tonight's roster. I mean, if you have to take it to that level and do that, then you have proof that you are doing the hard work. Do you have that blocked school list? Get a blocked school list. You need to know what schools are no longer open, what schools have been considered fraud, and that should be a list that you guys are constantly checking and verifying against what's coming in as school. 

And then I'm always going to ask you what when was the last time you did your mock fraud audit? When's the last time you did a red alert like Nailene is saying we need to do some sort of red alert mock audits in our HR and medical staff departments constantly to ensure that you know people are not slipping through the system. 

Nyleen (28:43.934) 

Good call out, good call out. And you know, like you said, curious, you know, with NPDB, we get alerts if you're on continuous monitoring. The minute you hit something, hits it, we get an alert. I wonder, does HR get notified automatically if like a nurse fails or doesn't get their license renewed? 

Shannen Reyes (28:57.827) 

Yeah. No. 

Shannen Reyes (29:06.315) 

I mean the nursing board is not sending that out, nurses is not sending that out, so they are not getting that in a way that we are getting it with the NPDB. 

Nyleen (29:15.26) 

Would it be when it's work on that? That's a good one. 

Shannen Reyes (29:20.685) 

I mean, we really, and you know, again, that's why the NPDB makes it available for you to put all licenses in there. can physical therapist, registered nurse, LPN, CR, CNAs, CRNAs. I mean, every title can go into the NPDB for review and continuous monitoring. 

Nyleen (29:41.423) 

Yeah, yeah. So Shannon, we've got a lot more to talk about. We've got lots more to see. We have more fraud, more scandal. And we're to have a little love coming up because I just, I know it's not, you know, the love time, but it's okay. Cause I want to give love every time. So right now we're going to give a little love to our MSPs. We're going to give a little love to our doctors. 

Shannen Reyes (29:45.775) 

We have so much more to talk about you guys. 

Shannen Reyes (29:55.395) 

Yes, we're not alone. 

Shannen Reyes (30:03.599) 

Woo! 

Shannen Reyes (30:07.223) 

that just passed the email requesting. Yes. 

Nyleen (30:11.373) 

Make sure you've signed up to spill your tea. We're going to drop that in the show notes as well. We're to be sending out an email blast. If you signed up for the emails and you're not getting them, it's because they're going to your spam. We need your engagement. And if you get the emails, you can click on the bottom of the email and it'll take you to our, you know, LinkedIn, our Instagram, our crazy tick tock. Like we just want y'all to like give us a little heart, give us a little comment and give us your feedback. 

Shannen Reyes (30:23.961) 

Yeah. 

Nyleen (30:39.057) 

You want to hear something different? You want to hear more scandal? You want to hear, you know, more drama? Let us know. We're going to keep you informed. 

Shannen Reyes (30:44.537) 

More tips, more ways to handle things. mean, whatever it is, we're here for you. 

Nyleen (30:49.921) 

Yes, so we want to thank you for everything that you're doing with us so far. Thank you for support so so far and we are ready to spill the tea next week with some more crazy stories on credentialing Chronicles. 

Shannen Reyes (31:02.607) 

And then wait, we have to say we will see you NAMS 2025 Portland, Oregon. We will be there. You make sure that you look for booth 213, the big pink tent. That's what I'm calling it. The big pink tent. 

Nyleen (31:08.528) 

Yes. 

Nyleen (31:15.621) 

Okay, well don't give too much away because we do want them to be a little surprised. 

Shannen Reyes (31:20.942) 

It's going to be amazing. you guys ready? Are you guys ready? Because it's going to be amazing. All right. We'll see you next time. What is it? Stay credentialed, not canceled. 

Nyleen (31:26.095) 

I know. 

Nyleen (31:31.709) 

You