Stark Integrity
Does your healthcare organization have an effective compliance program? Captain Integrity is here to save the day. Learn how to roll out necessary, lighthearted, and fun education to your employees and physicians so they abide by Stark Law. Hosted by Bob Wade aka Captain Integrity, award-winning Healthcare Regulatory and Stark Law Attorney
Episodes
229 episodes
Is CMS Proposing That Physicians Cannot Perform a Procedure on Same Day as E&M Encounter in 2027?
In the 2027 Physician Fee Schedule, CMS (Centers for Medicare & Medicaid Services) is proposing modifications for procedures and E&M services (Evaluation & Management) performed on the same day. In this episode, Captain Integrity Bo...
Implementing & Monitoring AI Responsibly: A Discussion with Arvita Tripati, Founder & Principal at Vahana Labs
Having someone who is accountable is essential for AI governance. In this episode, Captain Integrity Bob Wade discusses implementing & monitoring AI responsibly as it relates to the Stark Law with Arvita Tripati, Founder & Principal at ...
Death by Committee? How to Run and Participate in a Compliance Committee Meeting That Actually Matters
Compliance committees can either be a well-oiled engine in a Lamborghini, or an engine being held up by an engine hoist in need of repair. In this episode, Captain Integrity Bob Wade shares how to run and participate in a compliance committee m...
Private Equity Meets the Stark Law: Navigating Physician Transactions, MSOs, Referral Risks…and Insects
Why are private equity, physician groups, and the Stark Law like insects heading to a bug zapper? In this episode, Captain Integrity Bob Wade explains why. Hear why ownership changes do not eliminate Stark Law risk, why compensation redesign de...
Stark Integrity Podcast: Is It a Podcast? Is It a Blog? Is it Both?
You can now experience Stark Integrity in 2 ways: the podcast AND the blogs. In this episode, Captain Integrity Bob Wade introduces the Stark Integrity Podcast Blogs, where you can enjoy each episode as 1 conversation, with 2 experiences. Hear ...
Retraction
In a recent episode of Stark Integrity, Captain Integrity Bob Wade made an incorrect statement regarding Erlanger Health and a Stark Law case. In this brief update, he sets the record straight. Learn more at
Using AI in Physician Contracting & Payment: A Discussion with Scott Lowry, Founder of StarkWatch
Lean in wherever you have quick wins. In this episode, Captain Integrity Bob Wade talks using AI in physician contracting & payment as they relate to the Stark Law with Scott Lowry, Founder of StarkWatch. Hear how to quickly assess where yo...
Part 3: Informed Consent, Decision-Making Capacity, and Surrogates: A Discussion with Attorney Rachel Rose
Training goes a long way when it comes to informed consent. In Part 3 of this 3-part episode, Captain Integrity Bob Wade talks informed consent, decision-making capacity, and surrogates as they relate to the Stark Law with Attorney Rachel Rose....
Part 2: Informed Consent, Decision-Making Capacity, and Surrogates: A Discussion with Attorney Rachel Rose
The more checks and balances an organization has along the way, the greater the protection for both the patients & the providers. In Part 2 of this 3-part episode, Captain Integrity Bob Wade talks informed consent, decision-making capacity,...
Part 1: Informed Consent, Decision-Making Capacity, and Surrogates: A Discussion with Attorney Rachel Rose
The patent’s right to autonomy is one of the core principles of the patient-provider relationship. In Part 1 of this 3-part episode, Captain Integrity Bob Wade talks informed consent, decision-making capacity, and surrogates as they relate to t...
Part 2: Holistic Audits: Synchronizing Professional & Facility Reviews: A Discussion with Kelly Loya & Bruce Truitt, Pinnacle Enterprise
You should be able to duct tape your mouth & hands and give your documentation to the payer, and they should still be able to generally understand what happened. In Part 2 of this 2-part episode, Captain Integrity Bob Wade continues his dis...
Part 1: Holistic Audits: Synchronizing Professional & Facility Reviews: A Discussion with Kelly Loya & Bruce Truitt, Pinnacle Enterprise
You can’t audit the whole ocean. In Part 1 of this 2-part episode, Captain Integrity Bob Wade discusses holistic audits and synchronizing professional & facility reviews under the Stark Law with Kelly Loya & Bruce Truitt of Pinnacle Ent...
Effective Compliance Programs Return 2x-5x Return on Investment (ROI)
There is indeed a return on investment (ROI) for an effective compliance program. In this episode, Captain Integrity Bob Wade quantifies that ROI as it relates to the Stark Law. Hear why the ROI can be 2x-5x what the organization is investing, ...
Anti-Kickback Compliance and Stark Exceptions: “I’ll Get You My Pretty and Your Little Dog Too”
When analyzing a physician financial arrangement under the Stark Law, you also need to analyze it under the Anti-Kickback Statute (AKS). In this episode, Captain Integrity Bob Wade explains why most of the exceptions under the Stark Law cross-r...
“Entity” Definition Expansion (MCOs) and Exclusion (Anti-Markup): Is a House a Home?
The definition of an “Entity” under the Stark Law includes Managed Care Organizations (MCOs) and the Anti-Markup Rule. In this episode, Captain Integrity Bob Wade details this “Entity” definition under the Stark Law. Hear who the “Entity” usual...
Global wRVUs and “Personally Performed Services”: Around the World in 80 Days
When a physician doesn’t perform 100% of the services covered by a surgical period, you may have to consider splitting out the global wRVUs. In this episode, Captain Integrity Bob Wade talks global wRVUs and personally performed services as the...
False Claims Act Settlements for 2025 (FCA)
False Claims Act settlements (FCA): they just keep getting bigger. In this episode, Captain Integrity Bob Wade details the notable False Claims Act settlements for 2025. Hear how qui tam cases continue to represent the largest source of settlem...
Isolated Transaction Exception under the Stark Law: “All by Myself”
There are some uses of the isolated transaction exception that are prohibited under the Stark Law. In this episode, Captain Integrity Bob Wade dives into that isolated transaction exception. Hear why the isolated transaction exception has been ...
Part 2: Cybersecurity and the False Claims Act (FCA), Two Great Tastes that Taste Great Together: A Discussion with Bart Daniel, Partner, Nelson Mullins
Beware of the enemy within. In Part 2 of this 2-part episode, Captain Integrity Bob Wade talks cybersecurity and the False Claims Act (FCA) with returning guest and Nelson Mullins Partner Bart Daniel. Hear how to guide outside contractors throu...
Part 1: Cybersecurity and the False Claims Act (FCA), Two Great Tastes that Taste Great Together: A Discussion with Bart Daniel, Partner, Nelson Mullins
Cybersecurity and the False Claims Act (FCA) have more in common than you think. In Part 1 of this 2-part episode, Captain Integrity Bob Wade talks cybersecurity and the False Claims Act with returning guest and Nelson Mullins Partner Bart Dani...
What Are Not Ownership Interests under the Stark Law: The Devil Is in the Details
There are some exceptions to the broad definition of an ownership interest under the Stark Law. In this episode, Captain Integrity Bob Wade explains what are not ownership interests under the Stark Law. Hear why the definition does have excepti...
Loans Are Ownership Interests under the Stark Law: When in Rome, Do as the Romans Do
Understanding the definition of an ownership interest is crucial under the Stark Law. In this episode, Captain Integrity Bob Wade shares why loans are ownership interests under the Stark Law. Hear why you need to know & understand all defin...
Part 2: Artificial Intelligence (AI) & Fair Market Value (FMV) under Stark Law & Anti-Kickback Statute (AKS): A Discussion with Chris David, Managing Partner, HealthValue Group
Artificial Intelligence (AI) needs a little pushback. In Part 2 of this 2-part episode, Captain Integrity Bob Wade continues his talk on the intersection of AI, Fair Market Value (FMV), the Stark Law, and the Anti-Kickback Statute (AKS) with He...
Part 1: Artificial Intelligence (AI) & Fair Market Value (FMV) under Stark Law & Anti-Kickback Statute (AKS): A Discussion with Chris David, Managing Partner, HealthValue Group
Artificial Intelligence (AI) can save a lot of time, but you need to use it wisely. In Part 1 of this 2-part episode, Captain Integrity Bob Wade talks the intersection of AI, Fair Market Value (FMV), the Stark Law, and the Anti-Kickback Statute...
FQHCs, AKS, Stark Law, and “Pulling Together”
Federally Qualified Health Centers (FQHCs) serve a medically underserved population. In this episode, Captain Integrity Bob Wade talks FQHCs, the Anti-Kickback Statute (AKS), and the Stark Law. Hear whether the Stark Law applies to FQHCs, the w...