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Grab your coffee (and maybe a lawyer, baby!), because Season 2 is officially LIVE! We’re kicking off our “Spillin' the Tea Across America” tour in the Heart of Dixie, and let’s just say Alabama has some secrets tucked away in those backwoods.

We’re diving deep into the "mystery novel" that is Alabama Medicaid—where the rules are made up and the timelines don't matter. We’re talking about the "Gotcha" rule that’s costing your practice cold, hard cash, and why a "Clear and Active" license on the board website doesn't mean what you think it means.

Plus, Nyleen brings the crime-girl energy with a scandal that’ll make your jaw drop: How did doctors with egregious sexual misconduct records end up with a multi-million dollar contract to treat the most vulnerable patients in the state? It’s messy, it’s opaque, and it’s exactly what they didn’t teach you in med school.

What’s in the cup today:

• The Medicaid Nightmare: Why you’re waiting 12 weeks for an appointment and still not getting paid.
• The "Gotcha" Trap: How prior auths and retro-eligibility are killing your bottom line.
• Board "Transparency": Why "no news" in Alabama usually means you just haven't dug deep enough yet.
• The Prison Files: The shocking truth about who’s really practicing behind bars.

Stay Credentialed, Not Canceled!

Alabama Medical Board - https://www.albme.gov/

This show is sponsored by:

HST Pathways

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✔️ Medicare Exclusions List (LEIE) – Check if your provider is federally excluded:
https://oig.hhs.gov/exclusions/exclusions_list.asp

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For Medical Staff Professional:

✔️ FSMB.org – Federation of State Medical Boards Physician Lookup:
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Many hospitals have public directories listing credentialed medical staff. Look for a “Find a Doctor” or “Medical Staff Directory” page.

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🎙️ Hosts: Shannen & Nyleen

A 12-month-old infant suffers a catastrophic brain injury.
An on-call neurosurgeon is scrubbed in and ready.
An operating room is prepared for emergency surgery.

Then administration delivers the fatal message: “The patient was transferred.”

He wasn’t.

In this episode of Credentialing Chronicles, Shannen and Nyleen break down a devastating case involving a Michigan hospital that allegedly lost track of a critically injured infant, canceled life-saving surgery without verification, and then retaliated against the surgeon instead of addressing the systemic failure.

This wasn’t a clinical error.
This was an administrative breakdown with lethal consequences.

We unpack patient safety failures, credentialing retaliation, EMTALA risk, and why “checking the box” is never a substitute for verifying reality.

🎧 Listen now — because the system is the story.

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Resources Mentioned:

Open Payments

openpaymentsdata.cms.gov

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:
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🎙️ Hosts: Shannen & Nyleen

This episode is one of the most infuriating we’ve ever produced —
not because these stories are rare, but because they’re happening everywhere.

👩🏾‍🍼 Two Black mothers.
🏥 Two different hospitals.
⚠️ One devastating pattern: their pain dismissed, their labor ignored, and their safety treated as optional.

This wasn’t “unexpected progression.”
This was neglect.

🔍 Inside the Episode:

📜 EMTALA 101: What federal law actually requires when a laboring patient comes to the ED
🚨 Compliance Red Flags: Triage failures, premature discharges, and catastrophic judgement calls
⚖️ Bias in Real Time: How racial disparities in maternal outcomes show up in moments like these
📝 Peer Review Essentials: What incident reporting and root cause analysis should look like
🛡️ Frontline Guidance: Practical tips for patients, clinicians, and MSPs

These aren’t sensational stories.
They’re symptoms of a system that still does not take Black women’s pain seriously.

🎧 Listen to Episode 36: Denied While Dilating

Because when two women in one week give birth in places they were never supposed to…
the problem isn’t them — it’s us.

Support the show

Resources Mentioned:

Open Payments

openpaymentsdata.cms.gov

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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Hosted by: Shannen Reyes-Aguayo & Nyleen Flores
IG: @credentialingchronicles

🔥 SPICY TEA ALERT! Shannen and Nyleen have front-row seats to the most devastating policy threat to advanced practice nursing in decades!

The U.S. Department of Education (DOE) has proposed new rules that are set to eliminate the Grad PLUS Loan Program for future Nurse Practitioners (NPs), CRNAs, and Physician Assistants (PAs) starting in July 2026.

In this "earth-shattering" mini-sode, we spill the tea on the shocking truth behind the DOE's new definition of a "Professional Degree" and the huge financial cost to those excluded:

• The Funding Cliff: The new rules will cap borrowing for APRNs and PAs at just $100,000 total, while their programs often cost up to $200,000. We break down the $100k gap and explain who is left to pay the difference.
• The Professional Paradox: We analyze why professions like Optometry and Podiatry were included in the higher loan bracket, but critical fields like Nurse Practitioners and CRNAs were excluded.
• The Real-World Crisis: Find out how this policy will worsen primary care shortages, threaten mental health services (PMHNPs), and create a burnout catastrophe for current nurses who will be left to shoulder the patient load.
• Action Plan: Learn about the public comment period (early 2026) and how current practitioners, students, and advocates are fighting back against a policy that "degrades and devalues" the largest healthcare profession.

Grab your coffee—you'll need the caffeine for this level of outrage!

💡 Episode Partner
Today’s episode is powered by Baton Health — the must have tool to make credentialing better, safer and more efficient.
Providers or facilities, see why everyone’s talking about Baton:

https://urldefense.proofpoint.com/v2/url?u=https-3A__www.batonhealth.com_-3Futm-5Fsource-3Dcredentialing-2Bchronicles-26utm-5Fmedium-3Dpodcast-26utm-5Fcampaign-3Dsponsor&d=DwMFaQ&c=euGZstcaTDllvimEN8b7jXrwqOf-v5A_CdpgnVfiiMM&r=89wLWzKXyyeKO-1acXgPDv9aOOsf-alfc8Rvw__kZVUoqaNoFuJwqA

Support the show

Resources Mentioned:

Open Payments

openpaymentsdata.cms.gov

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:
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🔎 Wanna know if your doctor is actually board certified?
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Hosted by: Shannen Reyes-Aguayo & Nyleen Flores
IG: @credentialingchronicles

In this explosive episode of Credentialing Chronicles, Shannen and Nyleen uncover one of the most disturbing oversight failures in modern military medicine.

A Major OB-GYN secretly filmed women during pelvic exams at military hospitals in Hawaii and Texas. But the real scandal?
Early warnings were reportedly dismissed, concerns were laughed off, and a federal credentialing loophole allowed him to keep practicing with a spotless record.

This episode breaks open:

• The federal license loophole that bypasses state verification
• How leadership protected the institution instead of the patients
• Why “unrestricted license” doesn’t always mean “safe provider”
• The dangerous pattern of transparency gaps in federal medical systems

If you work in credentialing, patient safety, compliance, or healthcare leadership, this episode will change how you view “clean paperwork.

🎙️ Catch Credentialing Chronicles wherever you listen to podcasts:
https://www.credentialingchronicles.com

💡 Episode Partner
Today’s episode is powered by Baton Health — the must have tool to make credentialing better, safer and more efficient.
Providers or facilities, see why everyone’s talking about Baton:

https://urldefense.proofpoint.com/v2/url?u=https-3A__www.batonhealth.com_-3Futm-5Fsource-3Dcredentialing-2Bchronicles-26utm-5Fmedium-3Dpodcast-26utm-5Fcampaign-3Dsponsor&d=DwMFaQ&c=euGZstcaTDllvimEN8b7jXrwqOf-v5A_CdpgnVfiiMM&r=89wLWzKXyyeKO-1acXgPDv9aOOsf-alfc8Rvw__kZVUoqaNoFuJwqADqyCxQaAbe&m=WeVl2F1jdEUGadXlcP6wAY47S47bE40PWJm5Qa9lVi8x4Dgzz46ZbSRn25cDAcWB&s=hUVGWVneHOKmVgUeaE12t_HWtP4xzQwMu9GP524GFNQ&e=

Support the show

Resources Mentioned:

Open Payments

openpaymentsdata.cms.gov

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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Hosted by: Shannen Reyes-Aguayo & Nyleen Flores
IG: @shannensunfloweraguayo | @nyleenfloresfam

Forget the bad actors; this episode is a pure shot of appreciation for the human heart of medicine.

Shannon and Nyleen pull back the curtain to share truly moving stories of physicians who refuse to let bureaucracy or system failures get in the way of providing life-changing care. This is a tribute to everyone in healthcare who treats the whole human, not just the symptom.

• 🩺 Beyond the Clipboard: From a spine surgeon who restores a patient's dignity to a doctor who literally refuses to charge the poorest in his community, these stories prove that compassion is the greatest cure.
• 👏 Standing Ovation: A heartfelt shout-out to the primary care providers, nephrologists, OR teams, and all the "common humans" doing the absolute most.
• 🧡 The Goodness Gap: In a system often loud about complaints and quiet about gratitude, we are here to make your "Thank You" loud and clear.

Grab your coffee and a tissue. We're celebrating the good ones.

Support the show

Resources Mentioned:

Open Payments

openpaymentsdata.cms.gov

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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Hosted by: Shannen Reyes-Aguayo & Nyleen Flores
IG: @shannensunfloweraguayo | @nyleenfloresfam

Is UnitedHealthcare having the worst year in corporate history? 📉

From the tragic assassination of CEO Brian Thompson to a DOJ antitrust investigation and the massive Change Healthcare cyberattack, the spotlight is burning hot. But today, we are looking past the headlines to the systematic business practices sparking public outrage.

In this episode, Shannen & Nyleen break down the "Deny, Delay, Defend" strategy—now weaponized by AI.

🔥 In this episode, we cover:

• 🤖 The Rise of AI: How UnitedHealthcare uses AI to deny.
• 🏥 The Human Cost: Why "Deny, Delay, Defend" isn't just about paperwork anymore; it’s about squeezing profits from Medicare Advantage patients who can't fight back.
• 👮 The Legal Storm: A look at the DOJ investigation and the class-action lawsuits piling up against the healthcare giant.

Tune in to understand exactly how the algorithm works against you. 🎧

Support the show

Resources Mentioned:

Open Payments

openpaymentsdata.cms.gov

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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Hosted by: Shannen Reyes-Aguayo & Nyleen Flores
IG: @shannensunfloweraguayo | @nyleenfloresfam

🔥This is a BONUS UPDATE. It’s a full-blown class action. After their CEO's murder, United Healthcare executives allegedly misled their own investors by hiding critical policy changes. When the truth finally hit, the stock dropped 22.4% , wiping out $119 BILLION in a single day.

In our bonus short "Murder, Money, and Medicare Madness," we're spilling the tea on the corporate chaos and what it means for the providers on the ground.

Support the show

Resources Mentioned:

Open Payments

openpaymentsdata.cms.gov

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. 🩺✨

🌐 Connection Zone
Stay plugged in...