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Episode 17: Prescription for Prison
Manage episode 494511524 series 3654553
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Medicare & Medicaid Fraud Exposed
When trusted credentials become criminal tools, the stakes are higher than malpractice insurance. In this episode, Shannen and Nyleen pull back the curtain on real-life cases where physicians and healthcare professionals used their white coats for cold cash — leaving Medicare, Medicaid, and patient trust in the dust.
From a Texas doctor selling signatures for $30 a piece, to COVID-era cancer scams in New York, to a $160 million pharmacy empire crumbling in Houston — we cover it all, Fraudpalooza-style.
🔥 Juicy stories.
⚠ Real consequences.
💡 Credentialing lessons you can’t afford to ignore.
If you work in healthcare, compliance, billing, or credentialing — you’ll want to hear this one.
Listen now wherever you get your podcasts. And as always: Stay credentialed. Stay skeptical. Stay safe.
Resources Mentioned:
For Patients:
🔎 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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