Credentialing Chronicles podcast

Spillin’ Tea Across America: New Jersey

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SOMEBODY ELSE'S DEA NUMBER?! $172 MILLION IN MEDICARE FRAUD?! NEW JERSEY, WE NEED TO TALK! 👀☕️

The Garden State is serving up some SERIOUS healthcare tea, and trust us… this episode is WILD! 🔥

This week on Credentialing Chronicles, hosts Shannen Aguayo-Reyes and Nyleen Flores are taking Spillin’ Tea Across America straight to NEW JERSEY, where questionable prescriptions, alleged kickback schemes, Medicaid revalidation headaches, and major healthcare fraud cases are putting the entire industry under the microscope.

We're talking about an alleged $20 MILLION healthcare fraud and controlled-substance scheme, a guilty plea involving the use of someone else's DEA registration number, and a separate $172 MILLION Medicare fraud case that ended in a federal prison sentence. And that's only part of the tea! 😳

But here's the REAL question: How do these things happen, who's watching, and what happens when the people responsible for protecting provider information miss the warning signs?

From hospital licensing surprises to NJ FamilyCare changes and provider enrollment nightmares, we're connecting the headlines to the REAL consequences for healthcare organizations, medical staff professionals, providers, and patients.

💗 The receipts are coming out, the compliance red flags are flying, and the Garden State has some explaining to do!

🎧 Grab your tea, turn up the volume, and get ready for another jaw-dropping stop across America.

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☕️ Stay Credentialed, Not Cancelled!

Disclaimer: This episode discusses reported enforcement actions, allegations, guilty pleas, settlements, and sentencing. Criminal charges do not establish guilt, and settlements do not necessarily constitute admissions of wrongdoing. Content is educational and reflects research available as of September 8, 2026.

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Resources Mentioned:

🔎 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 plastic surgeon is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon

Open Payments

openpaymentsdata.cms.gov

Verify your Nurses' Credentials: 

https://www.nursys.com/

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