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! đď¸đĽ
Credentialing Chronicles
Spillin' Tea Across America: Florida
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đď¸ 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 thatâs always the butt of the joke in credentialingâFlorida! 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. Weâre talking about a landscape where fragmented payer oversight and massive spending create the perfect "opportunity" for fraudsters to run wild.
Weâre 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. Youâll 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." Itâs time to listen to your gut, verify the verified, and make sure your providers are staying credentialedâbut not canceled!
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Resources Mentioned:
đ Verify Your Doctorâs Credentials
âď¸ State-Specific Medical Board License Lookup:
Find your stateâs board here:
https://www.fsmb.org/contact-a-state-medical-board/
âď¸ Medicare Exclusions List (LEIE) â Check if your provider is federally excluded:
https://oig.hhs.gov/exclusions/exclusions_list.asp
âď¸ Set Google Alerts on Your Doctorâs Name:
Create your own Google Alert here:
https://www.google.com/alerts
For Medical Staff Professional:
âď¸ FSMB.org â Federation of State Medical Boards Physician Lookup:
https://www.fsmb.org/physician-license-lookup/
âď¸ Hospital Websites:
Many hospitals have public directories listing credentialed medical staff. Look for a âFind a Doctorâ or âMedical Staff Directoryâ page.
âď¸ Set Google Alerts on Your Doctorâs 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:
đ Verify a Plastic Surgeon
Open Payments
openpaymentsdata.cms.gov
Verify your Nurses' Credentials:
https://www.nursys.com/
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