Stark Integrity

20:28

2024 “Winners” for Most Egregious US Healthcare...

Stark Integrity ·

2025/01/15

Send us a textDrumroll, please! In this episode, Captain Integrity Bob Wade announces the 2024 “Winners” for Most Egregious US Healthcare Profiteering. Hear why patient care should always be over profits for organizations, why medical necessity is still a primary issue we should be concerned about, why you shouldn’t sell body parts until you get consent, why the award’s named after Martin Shkreli, and Bob’s fandom of “The King of the Countdown” Casey Kasem and the American Top 40 growing up. ...

en-us

18:00

DHS Entity Defined and Tesla Example

Stark Integrity ·

2025/01/08

Send us a textNot every entity that touches a Designated Health Service is deemed to be a DHS entity as defined under the Stark law. In this episode, Captain Integrity Bob Wade explains why. Hear how a DHS entity is determined, how physicians can still be owners of entities that touch a DHS, what happens if an entity is under arrangement, the 2 major categories of DHS entities, and an example involving Tesla. Learn more at CaptainIntegrity.com

en-us

22:23

Part 2: The Big Lie in My Healthcare Bill: A...

Stark Integrity ·

2024/12/23

Send us a textWe have a system that is not geared to ensure we get the healthcare we need. In this Part 2, Captain Integrity Bob Wade continues his discussion of The Big Lie in My Healthcare Bill: Why I Don’t Owe What My Insurer Fails to Pay with Author Frank Lobb. Hear the average error amount in a healthcare bill, how fighting a healthcare bill can impact your credit score, who you should fight in the event of an incorrect healthcare bill, the hidden contract at the core of everything, and ...

en-us

24:29

Part 1: The Big Lie in My Healthcare Bill: A...

Stark Integrity ·

2024/12/18

Send us a textMany episodes of Stark Integrity have been focused on healthcare providers. This one is for patients. In this episode, Captain Integrity Bob Wade dives into The Big Lie in My Healthcare Bill: Why I Don’t Owe What My Insurer Fails to Pay with Author Frank Lobb. Hear how Frank became interested in the healthcare billing issue, how healthcare billing works, why the healthcare industry & insurance are so out of control, what to do if your insurer denies paying for your healthcar...

en-us

12:28

Stark Law Holiday Poems: 'Twas the Night before the...

Stark Integrity ·

2024/12/11

Send us a textHear Captain Integrity Bob Wade read his original Stark Law holiday poems, “‘Twas the Night before the Subpoena,” “Rudy the Seasoned Compliance Officer,” “Jolly OIG Agent,” and “The 12 Days of Compliance.” Share the poems with your team and learn more at CaptainIntegrity.com

en-us

21:22

The 12 Days of Compliance: 2024 Holiday Special

Stark Integrity ·

2024/12/04

Send us a textWant to know what you get for The 12 Days of Compliance? In this special holiday episode, Captain Integrity Bob Wade reflects on 2024 and sings his latest custom Stark Law holiday carol, “The 12 Days of Compliance.” Hear the latest from Bob’s personal life & Nelson Mullins, his favorite things to do in Nashville, the history of “The Twelve Days of Christmas,” fun facts about the birds in the song, and the Stark Law holiday poem you can share with your team. Learn more at Cap...

en-us

24:52

The Duck Test & wRVUs: A Discussion with Eric...

Stark Integrity ·

2024/11/27

Send us a textIf it looks like a duck, swims like a duck, and quacks like a duck, then it probably is a duck. In this episode, Captain Integrity Bob Wade shares how The Duck Test relates to wRVUs (work Relative Value Units) with Eric Leafgreen, VP of Provider Compensation at Ludi. Hear how to stabilize with oversight, how to embrace simplification through standardization, why you should do an annual check-up, the most overlooked areas that can lead to inaccuracies, and the origin of The Duck ...

en-us

31:51

DOJ 6-Month Settlements (2024): The Issues, the...

Stark Integrity ·

2024/11/20

Send us a textDuring the 1st half of 2024, the Department of Justice’s enforcement activity collected over $1 billion. In this episode, Captain Integrity Bob Wade shares the focus of those DOJ settlements. Hear how the government is still collecting large settlements from providers, how qui tam relators are still bringing these cases to fruition, the importance of having an effective compliance program, the most notable settlements from the 1st half of 2024, and a particular settlement compli...

en-us

23:17

Data Analytics & the False Claims Act: A Discussion...

Stark Integrity ·

2024/11/13

Send us a textUse the data early & often. In this episode, Captain Integrity Bob Wade explores the intersection of data analytics & the False Claims Act (FCA) with Mandy Asgeirsson, Director at BRG (Berkeley Research Group). Hear why it’s really helpful to understand the data available in an FCA investigation, how to be creative in how you use the data to understand the case or allegations against you, why you should use the data proactively instead of just reactively, how data helps ...

en-us

37:29

Physician Space Sharing & Stark Law Compliance: A...

Stark Integrity ·

2024/11/06

Send us a textPhysician space sharing could be a great strategy - if you follow the rules. In this episode, Captain Integrity Bob Wade discusses physician space sharing as it relates to Stark Law compliance with Mike Vetter, Partner at HMS Valuation Partners. Hear why utilizing space sharing arrangements is a very cost-effective strategy for a healthcare system to expand services to other communities, why it starts with communication, why these arrangements are watched by the CMS (Centers for...

en-us

26:48

Quality Physician Compensation: A Discussion with...

Stark Integrity ·

2024/10/30

Send us a textQuality will always matter. In this episode, Captain Integrity Bob Wade discusses quality physician compensation as it relates to the Stark Law with Luis Argueso, Co-Founder & Partner at InHealth Advisors. Hear why quality matters, how to translate that importance of quality into effective incentives for healthcare providers, why there’s a lot of opportunity for innovation in this space, how quality relates to Fair Market Value (FMV), and some “stupid dad jokes” from Bob. Le...

en-us

35:47

Restoring Our Sanity Online: A Discussion with Author...

Stark Integrity ·

2024/10/23

Send us a textThis is a fascinating moment in the history of the world. In this episode, Captain Integrity Bob Wade discusses social media and the online world as it relates to healthcare providers and the Stark Law with Mark Weinstein, Author of “Restoring Our Sanity Online” and Speaker of the hit TEDx talk, “The Rise of Surveillance Capitalism.” Hear why Big Tech is driving us mad and we have to get it fixed in a hurry, key lessons we can apply to other industries from Big Ag, Big Energy, a...

en-us

19:35

The Addams Family, 1960s, OIG Agents, Medicare, and...

Stark Integrity ·

2024/10/16

Send us a textWhat do The Addams Family, 1960s, OIG Agents, Medicare, and Halloween have in common? In this special Halloween episode, Captain Integrity Bob Wade explains the connection as it relates to the Stark Law. Hear all the ‘60s nostalgia you can handle, the history of The Addams Family and creator Charles Addams, the potential for a Captain Integrity TV show, the history of Medicare, and Bob’s special Halloween poem (sung to the tune of The Addams Family), “The Halloween OIG Agents.” ...

en-us

21:24

Overpayment Notices, Mistakes, and Appeal Process: A...

Stark Integrity ·

2024/10/09

Send us a textOh no - the dreaded overpayments. In this episode, Captain Integrity Bob Wade explores overpayment notices, mistakes, and the appeal process with Knicole Emanuel, Partner at Nelson Mullins. Hear why tentative notices of overpayments are scary but defensible, why you should know your right to appeal, the potential changes coming that may be in the providers’ best interest, why you should have some legal assistance through this process, and the alphabet soup of acronyms. Learn mor...

en-us

23:10

Free Lunches and Technology to Patients: What Is...

Stark Integrity ·

2024/09/25

Send us a textIs there such a thing as a free lunch in healthcare? In this episode, Captain Integrity Bob Wade gives you the rules, regulations, and requirements as it relates to the Stark Law. Hear why there’s no such thing as a free lunch, what you can do when there are service deficiencies, how to approach providing technology, recent cases that involve free lunches, and the history of free lunches. Learn more at CaptainIntegrity.com

en-us

29:01

Part 2: Learnings and Insights from the St. Peter's...

Stark Integrity ·

2024/09/18

Send us a text“Bob, I think we have a big problem on our hands.” In this episode, Captain Integrity Bob Wade continues his discussion of the facts and insights from the St. Peter's Health Settlement and DOJ (Department of Justice) False Claims Act case with Dr. Tom Weiner. Hear how to act with integrity, know when a case should be bifurcated, revamp your compliance program, why the DOJ got involved, and why the saga continues with this case. Learn more at CaptainIntegrity.com

en-us

23:39

Part 1: Learnings and Insights from the St. Peter's...

Stark Integrity ·

2024/09/11

Send us a textAnd it all started with a Fair Market Value (FMV) defensibility analysis. In this episode, Captain Integrity Bob Wade discusses the facts and insights from the St. Peter's Health Settlement and DOJ (Department of Justice) False Claims Act case with Dr. Tom Weiner. Hear why there should be heightened scrutiny with a Lone Wolf, why you need to pay special attention to a high producer, why most of the services a specialist provides should be in their specialty, the most shocking fi...

en-us

16:09

Back to the Future with Chevron Deference: A...

Stark Integrity ·

2024/08/28

Send us a Text Message.Let’s go Back to the Future. In this episode, Captain Integrity Bob Wade “time travels” to all things Chevron deference with Phillip Mullinnix, Partner at Nelson Mullins. Hear why prior court rulings are up for grabs, where to expect more litigation, where to expect lengthy legislation, the history of the Chevron case, and some Back to the Future movie trivia. Learn more at CaptainIntegrity.com

en-us

21:31

Algorithmic Pricing, a New Compliance Risk: A...

Stark Integrity ·

2024/08/21

Send us a Text Message.Emails are evil. In this episode, Captain Integrity Bob Wade explores the new compliance risk of algorithmic pricing with fan-favorite Bart Daniel, Partner at Nelson Mullins. Hear why you should beware of algorithmic pricing, beware of Private Equity (PE), examine the reimbursement rates closely, how to turn your expense department into a revenue department, and why enforcing algorithmic pricing is a top priority. Learn more at CaptainIntegrity.com

en-us

20:02

Mission Improbable: A Discussion with Kay Hashagen,...

Stark Integrity ·

2024/08/14

Send us a Text Message.The Improbable Day or Impossible Day is a major compliance issue. In this episode, Captain Integrity Bob Wade chats these scenarios with Kay Hashagen, Senior Consultant with LW Consulting. Hear how to avoid an Improbable Day or Impossible Day scenario, why you should do scheduling audits, why the best defense is a strong offense, the biggest red flags with these scenarios, and a little Tom Cruise and Sherlock Holmes. Learn more at CaptainIntegrity.com

en-us

All Episodes

Similar Podcasts

Macroaggressions

Charlie Robinson

Ones Ready

Aaron Love, Trent Seegmiller, and Jared...

America At Night with McGraw Milhaven

Cumulus Podcast Network

Philip Teresi

KMJ

The Capitol Forum

The Capitol Forum