Spillin’ Tea Across America: New Jersey

[00:00:00] Welcome back to Credentialing Chronicles. I'm Nyleenn. And I'm Shannon. And today in this beautiful day, while we are still together, we're going to talk about my home state. Okay. You know what that is? Um, I know it's in the East Coast. Yes. So I am an official Jersey girl. Jersey is a good state. It is. And you know, it's one of, it's the only new something state that we can just say Jersey.

[00:00:29] We don't have to worry. You know, you can't do that with New Mexico. Cause if you do that, then you in another country and you can, you just say Mexico. And you never hear somebody say York. And you don't know that you're like in England. You're in England. You're in England. So yeah, you're right. Jersey, Jersey, you know, what are we talking about? Okay. So that's what we talk about today. Yes. So New Jersey wants providers revalidated hospital licenses cleaned up outpatient services integrated and federal eligibility changes are

[00:00:59] about to shake the Jersey family care and the Jersey shore. I know the Jersey shore. Have you been to the Jersey shore? I grew up on the Jersey shore. You look like a little. We just go there every summer. It's a thing. It's a thing. Okay. It's a Jersey thing. It is a Jersey. Okay. Period. Well, meanwhile, prosecutors are talking about prescriptions.

[00:01:21] You guys kickbacks, somebody else's literal DEA number and $172 million. Of course in Medicare for not more fraud, every state. So the garden state tea is not one scandal. It's a full operational stress test. So Jersey is the garden state. It is the garden state. Okay. Okay. And there are flowers everywhere.

[00:01:48] It's just a beautiful state. We have the garden, the city, the mountains, the rivers, everything. Everything in one state. It's amazing. I love Jersey. Well, you know, we're, we're making our way up East next year. Okay. Let's do it. Yes. Okay. So, you know, bring the roster, bring the license, bring the receipts, baby. Let's spill that New Jersey tea. Nyleen.

[00:02:20] Welcome back to Credentialing Chronicles, you guys, where we spill the sea across America. We have entered the ends. We are in the end zone and connect every headline to the provider file, the claim. And, you know, it all goes back to patient safety. I'm Nyleen. And I'm Shannon. And please follow us on LinkedIn, Instagram, Facebook. What else are we on? TikTok, YouTube, Audible. Audible, yes. And, you know, subscribe.

[00:02:48] And really, if your team argues about whether enrollment and credentialing are the same thing still, send them this episode. Yes. So, disclaimer, this episode is going to discuss legislation, proposed rules, criminal charges, settlements, and disputed conduct charges. Everything. Yes. So, charges and allegations are not findings of guilt. And defendants are presumed innocent, of course, until proven guilty.

[00:03:13] Settlements may resolve claims without admissions unless the governing documents say otherwise. Our sources were available as of September 7th, September 8th. This is educational commentary. And it's not legal. It's not clinical advice. Verify current statuses, rules, your payer manuals, you all. Contracts and agency guidance before making an operational decision. Yes. Don't say that the pink girls made it for you. No, no, no, no.

[00:03:41] And check your legislator, your rules, your bylaws, all of those things. All of those things. All of them. Well, we're going to where? New Jersey. New Jersey. And who's from New Jersey? What is the best thing that New Jersey ever made? Me. Yes. Me, of course. Yes, baby. And New Jersey reminds providers that federal law requires state Medicaid agencies to revalidate enrollment providers at least every five years out of New Jersey. Wow.

[00:04:10] And the state's process requires a revalidation cover page with the appropriate provider moment package. They said they want it nice. Yes. So provider moment specialists, we see you. Without that cover page, the revalidation requests cannot be processed. They like it old fashioned. So that is the kind of operational detail that causes a termination while everyone swears that the packet was submitted and sent. Well, but the lesson is simple, right?

[00:04:36] Renewal is not send what we sent last time because it's five. Everything changes. Yeah. Requirements, ownership disclosures, taxonomy addresses and forms change. They all do. And you see that all the time, don't we? Every time I go into a portal, girl, I just went in there yesterday. They changed the questions again. Every time. Yeah. And so you build the revalidation file from current truth. And that's the thing that we really want to talk about. You really have to validate what the NPI says currently. The legal name. What if they got married? It's five years. True. Tax ID.

[00:05:07] Maybe somebody sold the clinic. Service and correspondence addresses. Everything's changing all the time. EFT, licenses, certification, ownership. We don't mean to bore you, but honey. Even adverse history disclosures. Absolutely. And don't wait for the deadline letter to find the owner who left two years ago is still listed as an authorized official. Because there are deadlines for you to submit any changes depending on your payer and your rules and the state and federal law and all kinds of things.

[00:05:37] It's just ridiculous. And they really make it hard every single day, I think. I think they go in there and just say, how can we make it a little harder, Nylee? They do. I think so. I mean, that's social speak. So then just come back and say you did it wrong anyway. Yeah, exactly. So then someone tries to sign as the person because the portal will not let the current leader in. That is how an administrative delay, you know, really becomes a false statement. That's true. If they're picking.

[00:06:06] Yeah, that's true. Well, that's why you have to track notice and data as due dates, submission dates, what I did, the email, the confirmation. Screenshots. Screenshots, like save everything, right? Deficiencies, response, approvals, next right validation, save the exact version of every form. Yeah, you really. That's the MSPs know that as what? CYA. Yes. We all know that. So the provider roster needs status by individual and entity.

[00:06:32] One group record does not prove every rendering provider is active at every location. So and if a provider is canceled or disenrolled, do not assume claims can simply be rebuilt later. Effective dates and reinstatement rules matter. It sounds like they do. You know that more than anybody. I mean, everything changes every day. And so if, you know, New Jersey's revalidation process seems it's like it's not glamorous.

[00:07:02] It doesn't seem fun at all. Right. But it is foundational. If the enrollment goes inactive, the cleanest credentialing file in America cannot make the claim payable. And so it really is just having that process, you know? Yeah. Oh, man. That makes me really love the provider enrollment specialist side of Jersey. Mm hmm. I know that's right. Well, this episode is sponsored by Bataan Health.

[00:07:27] Well, revalidation moves faster, honey, when primary source information is current, structured, and what? Traceable. Mm hmm. And we definitely want all 50 states. So learn more about Butts on Health through the link in our show notes, butts on health.com. Okay, so let's talk about a little hospital license cleanup situation.

[00:07:49] In September of last year, 2025, the New Jersey Department of Health told hospitals to review whether infusion, MRI, CT, and pet services, PET, that's the scan, offered at their facilities were accurately reflected on the hospital license. Good. Makes sense.

[00:08:13] Hospitals were directed literally to contact their assigned analysis by October 6, 2025 to confirm the services that they provided or identify needed updates because there might be some misinformation. Well, that sounds administrative. And so you ask the dangerous question, are we delivering a service that the facility license does not have? Mm hmm. Right? That's like a doctor practicing and doing something that's not in his scope of service. True. Yeah. And that's what they're looking for.

[00:08:43] And that's a big deal. Mm hmm. This is why. Yeah, you're right. Medical staff facility licensing, service line leadership. And, you know, I think revenue cycle cannot operate in separate universes. They gotta be. That's a really good point. Because a lot of times, rev cycle isn't even brought into this. And it's an afterthought. Yes. And so a physician can be individually licensed and privileged, but the facility still needs the authority to do that service. Right? Correct equipment, oversight, and any required approval.

[00:09:12] Same thing in surgery centers. Right? We're either licensed for an OR or we're licensed for a procedure room. And technically, you're supposed to limit the services for what you are licensed for. That's some crazy stuff. It's completely different. Yeah. I have watched teams add a new modality. Okay. Credential the radiologist. Build the charge master. Market the service.

[00:09:39] And then somebody asks for the facility license documentation at survey. Now, I'm literally going through this right now with a hospital not in New Jersey. And I'm explaining to them, like, hey, guys, you have to approve the service line and get everything documented and everything ready. Because guess what the surveyors are going to ask? What's the first thing? Yeah. That they're going to ask. Where is that proof that you have this whole plan? Because it's new. It's all new. So the first thing they're going to target is whatever is new at your facility. It doesn't matter.

[00:10:09] You know? How did you get it new? How did you get it established? I mean, that's what they're looking for. Exactly. You know, and you create a licensable service inventory by campus and satellite. So compare it to the license certificate of need status, if applicable. At accreditation scope, privileges, staffing, equipment, billing. I mean, it's sky high, people. Yeah. And there is a checklist. If any of you are accredited by anybody, you can look to see what are the things, right?

[00:10:38] Equipment services resources usually is what we look for. Definitely the credentialing of it. But then assign change control. Like when leadership adds or moves a service, licensing review happens before the first patient, not after. Yeah. And you are right. If it only happened 100% of the time, right? If only. So follow credentialing chronicles everywhere because the doctor is credentialed is never the whole compliance answer, you guys.

[00:11:07] And the doctors are not involved in the licensing process of a hospital. No. Maybe in the surgery center, if they have ownership. Ownership. You may be a little bit direct line to have that business conversation. But at the facility level, imagine the doctor's just doing the procedures because there he's living it up to administration to make sure that all the paperwork is done. Yes. Yes. It's not his fault. That a surveyor is not going to come in and shut it all down. Exactly. It's not the doctor's fault. It's not. You know? It's not.

[00:11:36] We're defending the doctors in this one. So New Jersey proposed to create a single licensing framework for outpatient facilities, which would be nice, right? I mean, they say it's offerings combined. So you're going to find physical health, behavioral health, and opioid treatment services, you all, under literally one roof. Yeah. Those are all outpatient, you know, places and clinics. And yeah, you could go in and get what you need in one building. Right. Well, the policy goal is integrated, right?

[00:12:03] Whole person care without forcing an organization to maintain separate licenses and conflicting operational standards for every service line. But you kind of do need different operational service lines. I was thinking about that. Because physical therapy and behavioral health are very, very, very different services. Yeah. Physical therapy and opioid treatment. I mean, you're in there trying to get your physical therapy in. And yeah. So y'all really need to think about that. I mean, it kind of makes sense. But propose means just that you all propose.

[00:12:31] Before recording or implementation, confirm the final rule status and effective requirements. Right. And integration does not erase scope. The facility still needs, obviously, qualified leadership. Yes. Because you need to know, you need to have people that know. Appropriate staff, credentials, policies, emergency procedures, medication controls, quality oversight, equipment, the appropriate equipment. Equipment is so important. Yeah. And especially dealing with opioid management. I mean, there's a whole entire narcotic situation with the DEA.

[00:13:01] Yes. Of how those controlled substances are stored, monitored, reported. I mean, DEA can come and shut you down in two minutes. In two seconds. And I mean, you're not administering opioids in a physical health environment. Right. And physical therapy. Like you're not. It's not the same thing. You're right. Yeah. And one license cannot become one giant generic privilege list, you guys. Right. It cannot. A clinician authorized for primary care is never going to be automatically authorized for addiction treatment.

[00:13:30] Or every behavioral health intervention. No. And PTs aren't doctors. And PTs aren't doctors. And so you really have to kind of remember scope. Just take it back to scope. Yeah. Like Nailene said. So the medical staff and the governing body needs, obviously, delineated services, competency criteria, and supervision requirements depending on the discipline. Like who is overseeing which.

[00:13:52] And then you also have to decide with three, such three different specialty type of areas, even though you're in one building. Can you truly say you have one medical director? Because that's three different specialties, right? One is a psychiatrist. One is a physical therapist. Maybe another is a, you know, maybe an ortho looking over physical therapy or something. Yeah. So can you really have one medical director that doesn't have the specialty? Yeah. Those three different service lines. Yeah.

[00:14:20] I mean, the clean design is one facility governance structure with service specific controls, I guess. You know? So shared intake where lawful shared quality programs, you know, maybe unified incident reporting. Yeah. Yeah. You know, but of course, distinct scope and competency evidence. I mean, that is going to be the first thing that they're looking for. Yeah. All different licenses and all those licenses and certifications have very different training requirements and everything.

[00:14:46] So integrated care also changes information flow, right? Consent, right? What is the consent say? Part two substance use records, HIPAA requirements, right? Behavioral health is a very protected aspect of your medical record. It is. Right? Um, also monitoring behavioral health patients require very different kind of documentation than physical therapy, different softwares, different things.

[00:15:14] So all of these things are a lot that you have to take into account. No, you're right. And I mean, really just, you know, having different processes for them. You know, I mean, that's what it sounds like, you know? Um, so New Jersey's idea is good. And the compliance risk, you know, the, the, the compliance risk is assuming fewer licenses means fewer obligations. I don't think from the credentialing aspect. Yes. We want patients to go to like a one-stop shop, but a one-stop shop isn't really relevant. I don't think it's very easy.

[00:15:44] It's hard to do. It's very, very hard to do in healthcare. It is very hard to do because everybody just has their own ownership over that process. Girl, we can't even get anesthesia documentation right in the operating room. We got to have two different EHRs in the hospitals to document a surgery versus the anesthesia done in a surgery. So imagine, you know, having a physical therapist, you know, doing their, their workouts and then behavioral health patient having to be checked every five minutes.

[00:16:11] I mean, that's way too different e-chart builds or like electronic charting builds is what I'm talking about. Well, let me tell y'all about a software that can really help you in organizing information for the facility and for providers. Also with payer credentialing, facility credentialing, credentialing. Yes. So this episode is sponsored by Credential Network and they really are all in one. Yes.

[00:16:37] They are really an all-in-one solution for provider moments and credentialing. So check them out. Credentialnetwork.com. Yes. Very collaborative. Mm-hmm. So Jersey says federal eligibility changes affecting this New Jersey family care begins now. Okay. Oh, okay. The state has published guidance explaining that the changes don't affect everyone. Okay. Of course, because it has to be more complicated.

[00:17:07] It's not like never an all-in-one. Well, this is talking about member eligibility, not provider credentialing. Okay. But providers will feel it immediately through coverage gaps, denials, delayed care, and uncompensated services. So while they try to make it, you know, that it's not hurting people, you know, it always does hurt the patient. Well, the operational danger is rumor, I guess.

[00:17:31] The front desk staff here, Medicaid rules changed and start telling every patient that they may go ahead and lose the coverage. Yeah, because everybody has post-traumatic stress disorder from all the changes that come down the line all the time. Yeah, every year. So, you know, no. Verify eligibility for the date of service. That's what they always say morning of service. Always that morning. Front desk. That is your main responsibility the minute you get into work. Yes. Use the official notice.

[00:17:57] Document the result and, you know, the screenshot, whatever it is, and give the member the state's assistant channel. Whether it's chat, you know, phone, you know, whatever that looks like. Do not practice policy by gossip. It's not useful, you know. Oh, my Lord. Organizations should segment denials before and after implementation.

[00:18:21] Meaning eligibility, authorization, provider status, benefit, coding, timely filing. Otherwise, every increase gets blamed on the new law. And I can't stress enough that eligibility, particularly for Medicaid patients on the day of service. And if it's girl, if it's from the 30, 31st and the 1st, you better have that in writing. That's going to be your number one when processing the denial for billing. Yeah, the CYA, CYA, CYA.

[00:18:49] So watch continuity for high-risk patients. If coverage changes during, let's say, cancer care or behavioral health treatment. Or having a baby. Having a baby. You know, medication regime, escalation paths need to exist to you all. You cannot have people in these life moments and they have no way to appeal or anything.

[00:19:17] So credentialing teams should coordinate with enrollment and contracting, right? A coverage shift may change plan mix and network demand. Suddenly the provider is active with the wrong product or wrong location, which is not the exact plan that the patient has. And it just is chaos. Yeah, and you ain't lying. So this is why the roster is a business continuity tool.

[00:19:44] It should tell leadership which clinicians can serve which members you all and under which plans as of today. I know that's why you need to really build that credentialing platform perfectly. So New Jersey gets credit for publishing preparation information. So there is information out there. It may be a thousand pages, but I mean, it's out there.

[00:20:05] So the real test will be whether eligible people will remain covered and whether providers can resolve these errors quickly and then get paid accordingly. Oh, honey. Well, in July 2026, a federal prosecutor in New Jersey announced charges against six people. Oh, my goodness. Not into some tea now. Yes, because always, right?

[00:20:31] I mean, honey, we was talking too much about all the law, legal changes because I don't even know what they're going to do. It seems like they're just walking into a spider web, you know? I know. But, you know, the six people, including a pharmacist, you all and a physician in an alleged $20 million health care fraud and control substance scheme. The scheme they wanted to do. Well, at least it wasn't DME. Lord knows I'm so tired of hearing about DME.

[00:21:00] They've already made that hard for your life. They've moved on. Yeah, seriously. So the announcement also describes several related guilty pleas. One defendant pleaded guilty to making false statements in health care matters and using a DEA registration number. Girl, issue to somebody else. I just typed it into the computer. Listen. Ooh. I mean, doesn't the guilty conscience say, Tiki, Tiki, Tiki, you shouldn't do this. I know, right? I would think. Don't be driving with my license.

[00:21:30] I know. Doctors, do you hear us? Check your license, your DEA. I mean, seriously. Anyway, pause. You know, when we look at it, a DEA number is not just a field on a profile. Right. You know, I know that we see millions a year. I understand it. But at the end of the day, it is a controlled prescribing authority tied to a specific registrant. Is that how you say it, fancy? Registrant?

[00:22:01] True. That's like the French, I guess. Right. Okay. I was feeling French. I was feeling French today. Okay. We, we. So schedules, you know, which are the one, two, and three, and yeah, yeah, yeah. Two, three, four. Address and status, you know? And state. Remember, DEA, though federal, you have to get a DEA for every state. Or sometimes it'll say only limited to work at this university. Or at this federal facility. You know? So, I mean, while we want to just say, oh, the DEA is such an easy verification, sometimes

[00:22:30] it's a little bit more in there. No, and you have to make sure that the doctor has all the schedules to prescribe the appropriate medications. Well, if another person can use it, ask who had system access, right? Who controlled the prescription pads or tokens? Whether delegates were authorized and whether departures triggered immediate access removal. Now, I will tell you, at least I'm not speaking on New Jersey, but, and we can verify this and have somebody from New Jersey let us know.

[00:23:01] I just know my, you know, where I am from. Tell me, tell me, tell me. I don't even need the preface, baby. Tell me, Nylee. Well, we got a notice that a doctor was prescribing, has had to prescribe 70% through e-prescribing. With a token. 70% of what? Prescriptions, narcotics. Like no paper scripts. They're trying to move through that. Mm-hmm. And now I have to do a whole appeal and everything because they're going to cut our reimbursement

[00:23:28] because he didn't prescribe enough to be prescribed because he's a surgeon. And, you know, when you walk out of surgery, you get the paper. And so, you know, having... I mean, they just look for anything to penalize a doctor. I know. And so this is an example, though. If you're using the paper, it's easy to just have some, another script pad with somebody else's DEA number on it. I understand. I'm forcing the electronic because the doctor has to use the token in order to send the prescription. But then I understand.

[00:23:57] But then you have the doctors that, you know, are just... Do it right and do it next. Yeah, yeah. And been doing it that way, right? So, yeah, the case also involved alleged kickbacks, you all. Again, we're talking about these kickbacks and medical unnecessary prescriptions. Credentialing will not detect every kickback. We're not saying that. But the file and monitoring data can surface different conflicts, unusual affiliations, you all. Disciplinary actions, Nailene. Yes.

[00:24:26] And prescribing patterns. Exactly. Then there is the 2025 New Jersey takedown. Mm. Federal and state resolutions... Took them down. Yes. Federal and state resolutions included pharmacies accused of, girl, billing for drugs never dispensed, including settlements of approximately $962,000 and $310,000. So, like, over, you know, $90,000 of stuff.

[00:24:52] Yeah, I mean, settlements are not the same as criminal convictions, but operationally, dispensing evidence matters. Prescription, patient, drug, quantity, inventory, you know, all of that, even down to the payment, really is looked at and should be looked at. Yeah.

[00:25:10] So, then in December of 2025, a New Jersey business owner was sentenced, girl, to get this, 87 months for $172 million Medicare fraud and money laundering scheme. So... Where's all that money? Any... Yeah, exactly. Messing around with all of this stuff leads you to jail time. Yeah, well, that isn't... It's, you know, it's a final sentencing on that one. That ain't no allegation. We don't have to say alleged on that one.

[00:25:38] The scheme included kickbacks and bribes, different illegal posture, and, of course, different language. Well, do y'all hear how careful the words have to be, right? Like, charged, pleaded guilty... We're learning it. Sentenced. You know, four different kinds of receipts. Yeah, exactly. We're really looking at it. The compliance record should capture source, date, date, identity match, allegations of findings, current status, decision authority.

[00:26:08] And even a follow-up. A news clipping by itself is not just an adjudication. And, you know, we're not bringing you just that. We're really looking at these stuff. Well, organizations also need monitoring beyond the license expiration. You know? DEA status, exclusion sanctions, ownership changes, adverse media under policy, claims, outliers, access logs. Like, there's a reason why best practice is every month that we're monitoring that OIG. SAM, OFAC. Yeah.

[00:26:36] CMS opt-out. Or the, you know... What is the other one? The state exclusion list. You know, every state has an exclusion list. So protect provider identifiers. Confirm every enrollment you guys reassignment. You know, practice affiliation and prescribing delegates directly with the provider. You know, through a trusted channel.

[00:27:02] Follow us on all platforms because, listen, the difference between an allegation and a conviction is not a technicality. It's the difference between responsible reporting and then just, like, being reckless. Right? So we do want to do that. So Monday morning, pull every New Jersey Medicaid revalidation due in the next 12 months. Confirm entity and individual status you all in your systems. Notices, authorized officials, and current forms and evidence.

[00:27:31] While second, reconcile each facility's actual service inventory to its state license approvals, accreditation scope. So, please, equipment staffing resources, privileges, and billing configuration. And you know what? Maybe go to that RevCycle team and say, hey, this is what credentialing means. This is what our facility has. This is why we should be talking. And the managers should be getting together and having these meetings and knowing kind of what's going on throughout your facility.

[00:28:00] I 100% agree with you, Ms. Nailene. I do. Third, if you operate integrated outpatient services, map the shared controls you got. Oh, Lord. And the service-specific controls. So one roof, again, does not mean one scope. That is very important. Say that again. Okay, so then prepare your front desk, guys.

[00:28:22] Because this New Jersey family care eligibility changes with scripts, official referral information, escalation pathways. No guessing. No blanket statements. Don't misinform the patient. Have a training session. Hopefully, New Jersey's holding the state associations. Maybe we'll be holding some webinars. Give some more information. Get involved. Have your practice leaders teach. You know, distinguish legal posture in every monitoring report you have.

[00:28:52] Allegations, charges, settlements, pleas, judgments, sanctions, all of it. And then please audit your DEA access. Right. Registering schedules, address, renewals, delegates, prescribing platform access, termination controls, any unusual usage. Make sure we are using electronic e-prescribe to protect our doctors. Connect pharmacy claims to dispersing evidence and inventory.

[00:29:21] Paid does not mean dispensed. Verify ownership and payment destinations at enrollment. And whenever something changes, a familiar provider name can sit on top of an unfamiliar business. Well, our verdict, New Jersey is doing several things right, right? Yeah. You know, forcing revalidation discipline is a good thing. Cleaning up facility license records is a good thing.

[00:29:47] And exploring integrated outpatient regulation is a good thing. Yeah, but the state is also entering eligibility turbulence while enforcement cases show how identifiers, prescriptions and pharmacies can definitely be exploited. The answer is not more disconnected checklist. That is not what we need, people. It is more evidence chain from authority to access to service to claim.

[00:30:14] So, share this episode with compliance, enrollment, medical staff, pharmacy, and please, of course, a revenue cycle. Everyone is holding a different piece of the same receipt. I think that's really, really, really important. So, let's do a little lightning round. Let's do it. I'm ready. Five-year Medicaid revalidation good, bad, or needs receipts. Necessary, but five years is not permission to leave bad ownership or address data untouched between cycles. Okay.

[00:30:45] Revalidation cover page required. Fine if the rule is clear. Operationally dangerous if a team uses an old packet or, Nyleen, even assume submission equals acceptance. Okay. Hospital reconciling actual services to the licenses. Very, very good. And honestly, I think overdue. And I'm going to say, I wouldn't even say hospitals. I'd say surgery centers, right? Check your DOPs versus what you're actually doing.

[00:31:12] It should be a recurring control, not a one-time response to a memo. Say it. So, what about this? One outpatient license for integrated services. Potentially excellent, but confirm the rule is final. Really, that's what it needs. And then preserve the service-specific competency, privacy, and the medication control genre. True, true, true. Okay. Eligibility changes in fall 2026. What are you thinking?

[00:31:39] I think it's a really high operational risk. Okay. Staff need official guidance, daily eligibility verification, and continuity of care escalation. Okay. All right. What about active DEA registration equals valid prescription? No, no, no. You got to confirm the registrant, patient relation, order, delegation, transmission, and dispensing trail. What do you think about, does the settlement equal guilty? No, I honestly, I don't think so.

[00:32:08] Not automatically, because you have to read the agreement, right? To state exactly what was resolved and whether liability was even admitted. So, Shannon, what's the final score? New Jersey is strong on rules and forms, but the safety lies in the handoff and the ongoing monitoring that Nylene keeps talking about. Yeah, and the best policy in Trenton cannot save a provider whose portal access, license record, and claim configuration all tell different stories. All right, guys.

[00:32:38] So, New Jersey reminded us that compliance failures live in the handoffs. Revalidation to enrollment, service line to facility license, prescriber to system access, and pharmacy to the claimant. I think you're 100% right. Follow Credentialing Chronicles everywhere, you guys. Leave a review and send us the tea from your state with the receipts. And also, check out our sponsors, Baton Health and Credentialing Network. We will bring you the credentialing lesson, so... Stay credentialed. Not canceled. Ah!

[00:33:08] Woo, Shannon, that was a lot of tea. Honey, but have they subscribed yet to hear it next week? On all of these platforms, please subscribe, like, and follow us.