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Stark Integrity

Bob Wade

195 episodes

2 days ago

Send us a text Some spouses may not know their financial arrangements may implicate the Stark Law. In this episode, Captain Integrity Bob Wade explains the marital considerations under the Stark Law. Hear when the Stark Law is implicated, why you need to train people who are approving payments to understand who owns the companies and their ties to physicians, how to exercise due diligence as it relates to the Stark law, just how broad the Stark Law can be, and entertaining marriage movies ove...

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Health & Fitness

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Send us a text Some spouses may not know their financial arrangements may implicate the Stark Law. In this episode, Captain Integrity Bob Wade explains the marital considerations under the Stark Law. Hear when the Stark Law is implicated, why you need to train people who are approving payments to understand who owns the companies and their ties to physicians, how to exercise due diligence as it relates to the Stark law, just how broad the Stark Law can be, and entertaining marriage movies ove...

Show more...

Health & Fitness

Episodes (20/195)

Stark Integrity

What? I Married the Stark Law?

Send us a text Some spouses may not know their financial arrangements may implicate the Stark Law. In this episode, Captain Integrity Bob Wade explains the marital considerations under the Stark Law. Hear when the Stark Law is implicated, why you need to train people who are approving payments to understand who owns the companies and their ties to physicians, how to exercise due diligence as it relates to the Stark law, just how broad the Stark Law can be, and entertaining marriage movies ove...

2 days ago

21 minutes

Stark Integrity

AI Use and Guardrails in Healthcare: A Discussion with Natalie Ramello, VP, Chief Compliance & Audit Officer, UT Southwestern Medical Center

Send us a text You need to know what AI tools your organization is working with. In this episode, Captain Integrity Bob Wade dives into AI use (Artificial Intelligence) and guardrails in healthcare with Natalie Ramello, VP, Chief Compliance & Audit Officer, UT Southwestern Medical Center. Hear why integrity is the launchpad for innovation, how to protect the data, why AI requires accountability, why AI can hallucinate, and an AI-inspired rendition of Captain Integrity’s 3 Punch Points. Le...

1 week ago

31 minutes

Stark Integrity

“Personally Performed” Services and Autonomous Vehicles

Send us a text Could “personally performed” services be compared to a self-driving vehicle? In this episode, Captain Integrity Bob Wade talks the parallels under the Stark Law. Hear why “personally performed” is frequently quoted in the Stark Law and Stark Law exceptions, what deems a service to be a referral, why a referral would not meet the Stark Law exceptions, whether the situation gets tricky, and Bob’s experience with a Zoox autonomous vehicle. Learn more at CaptainIntegrity.com

2 weeks ago

21 minutes

Stark Integrity

TPE (Targeted Probe and Educate) Audits: A Conversation with Kay Hashagen, Senior Consultant with LW Consulting

Send us a text TPE (Targeted Probe and Educate) audits look benign, but could be scary. In this episode, Captain Integrity Bob Wade explores TPE audits with Kay Hashagen, Senior Consultant with LW Consulting. Hear how to know if you’re an outlier, the importance of responding timely, why the best defense is a strong offense, how a TPE audit works, and a bunch of things that look benign - but could kill you. Learn more at CaptainIntegrity.com

3 weeks ago

25 minutes

Stark Integrity

Compliance Advisory Support and Why It Brings Value: A Conversation with Sheila Limmroth, Executive Consultant and Compliance Officer at Pinnacle Healthcare

Send us a text Interviews are key for risk assessment. In this episode, Captain Integrity Bob Wade dives into the value of compliance advisory support with Sheila Limmroth, Executive Consultant and Compliance Officer at Pinnacle Healthcare. Hear why advisory does not equal incompetence, how to grow from within, how to build a stronger compliance program, why no person or compliance program is perfect, and how nobody knows everything. Learn more at CaptainIntegrity.com

1 month ago

29 minutes

Stark Integrity

Captain Integrity and the Curse of Stark Hallow and Halloween Costumes through the Years

Send us a text Boo! In this special Halloween episode, Captain Integrity Bob Wade shares his original poem “Captain Integrity and the Curse of Stark Hallow” and a trip down Halloween costume history. Hear the most popular Halloween costumes from 1950-2005, the top Halloween costume on your birth year, Bob’s all-time favorite Halloween costume, the common theme with Halloween costumes over the years, and Bob’s special Halloween poem “Captain Integrity and the Curse of Stark Hallow.” Email Bob ...

1 month ago

19 minutes

Stark Integrity

Transparency, Action, and The 2025 Open Payments Report: A Discussion with Aaron Narva, CEO of Conflixis

Send us a text For every dollar of open payments money that goes into a hospital staff, there’s $7 of increase in spend on average to those firms. In this episode, Captain Integrity Bob Wade talks transparency & action as they relate to The 2025 Open Payments Report with Aaron Narva, CEO of Conflixis. Hear why you shouldn’t underestimate the impact of conflicts, how to know your healthcare data better than anyone else, how to use your healthcare data as a strategic advantage, why th...

1 month ago

36 minutes

Stark Integrity

Part 3: Non-Monetary Compensation and Medical Staff Incidental Benefits: A Discussion with the American Association of Physician Liaisons (AAPL)

Send us a text If you’re going to give a gift to one physician, give it to all your physicians. In this episode, Captain Integrity Bob Wade rebroadcasts Part 3 of his webinar from September 5, 2025 with the American Association of Physician Liaisons (AAPL). Hear an insightful Q&A session on non-monetary compensation and medical staff incidental benefits, how to handle gift certificates under the Stark Law, what to do when your organization is scared of being audited, the compliant way to ...

1 month ago

22 minutes

Stark Integrity

Part 2: Non-Monetary Compensation and Medical Staff Incidental Benefits: A Discussion with the American Association of Physician Liaisons (AAPL)

Send us a text Doctors believe the medical staff funds are owned by them. In this episode, Captain Integrity Bob Wade rebroadcasts Part 2 of his webinar from September 5, 2025 with the American Association of Physician Liaisons (AAPL). Hear the benefits you can provide, how to handle lunches for doctors, the difference between employed & independent physicians as it relates to the Stark Law, value vs. cost considerations, and how to think about Joe on the street. Use code: CaptainIntegrit...

1 month ago

23 minutes

Stark Integrity

Part 1: Non-Monetary Compensation and Medical Staff Incidental Benefits: A Discussion with the American Association of Physician Liaisons (AAPL)

Send us a text There’s a lot to consider when it comes to the Stark Law. In this episode, Captain Integrity Bob Wade rebroadcasts Part 1 of his webinar from September 5, 2025 with the American Association of Physician Liaisons (AAPL). Hear the basics of the Stark Law, notable exceptions, whether you can accept gifts in the healthcare industry, what to do if you’ve made a mistake in Stark Law compliance, and some Captain Integrity strips. Use code: CaptainIntegrity for a one-time $20 discount ...

2 months ago

21 minutes

Stark Integrity

Reckless Disregard/Deliberate Ignorance Under the False Claims Act: “You Can’t Handle the Truth”!

Send us a text The False Claims Act (FCA) has 3 knowledge qualifiers. In this episode, Captain Integrity Bob Wade unpacks the difference between actual knowledge, deliberate ignorance, and reckless disregard as it relates to the Stark Law. Hear why the 3 knowledge qualifiers exist, how risk impacts the False Claims Act, why you have to look at the history with respect to reviews, examples of the knowledge qualifiers with the healthcare compliance context, and that famous line from A Few Good ...

2 months ago

22 minutes

Stark Integrity

Probe to Statistically Valid Reviews: When to “Keep on Digging”

Send us a text Performing billing and documentation audits & reviews are important for an effective compliance program. In this episode, Captain Integrity Bob Wade explains what a probe review is and when you need to keep digging for a statistically valid review. Hear how to design your probe review using the RAT-STATS program, when you can treat your probe review as an educational review, when you need to do a statistically valid review, the history of RAT-STATS, and the origin of the “k...

2 months ago

22 minutes

Stark Integrity

wRVUs and Modifier 25: Did the Physician "Go the Extra Mile"?

Send us a text The misuse of Modifier 25 can result in overcompensation if the physician is being compensated through a wRVU productivity model. In this episode, Captain Integrity Bob Wade lays out the connection between Modifier 25 and wRVUs as they relate to the Stark Law. Hear what questions to ask when it comes to Modifier 25, how to document separateness & significance, the connection between auditing for Modifier 25 and the Stark Law, the 4 criteria to use with Modifier 25, and the ...

3 months ago

24 minutes

Stark Integrity

Don’t Shoot the Messenger

Send us a text Don’t shoot the messenger. In this episode, Captain Integrity Bob Wade explores the nature of delivering bad news as a Compliance Officer & beyond. Hear how to deliver bad news, why you should soften the soil, how to use the sandwich approach when delivering bad news, the dangers of sugarcoating, and the history of the phrase Don’t Shoot the Messenger. Learn more at CaptainIntegrity.com

3 months ago

22 minutes

Stark Integrity

Compliance Officer: You Are Not an Independent Auditor

Send us a text Auditor: you are not a Compliance Officer. In this episode, Captain Integrity Bob Wade dives into the complementary roles of Compliance Officer and Auditor. Hear the difference between the two roles, what each position is responsible for, why the roles are separate & distinct, the history of the Charles Horton Cooley looking-glass self quote, and some notable Hamilton lyrics. Learn more at CaptainIntegrity.com

3 months ago

20 minutes

Stark Integrity

2025 Healthcare Enforcement Priorities: A Discussion with Brook Andrews, Partner at Nelson Mullins

Send us a text Audit yourself. In this episode, Captain Integrity Bob Wade tackles the 2025 healthcare enforcement priorities with Brook Andrews, Partner at Nelson Mullins. Hear why healthcare enforcement is not going away, how the government’s healthcare enforcement tools will continue to get better, how to build a culture of transparency, who healthcare enforcement is targeting, and the parable of the blind men and the elephant. Learn more at CaptainIntegrity.com

3 months ago

23 minutes

Stark Integrity

Medical Staff Funds & The Stark Law

Send us a text If medical staff funds are in a hospital account, the Stark Law applies. In this episode, Captain Integrity Bob Wade details medical staff funds as they relate to the Stark Law. Hear when the Stark Law applies, why the medical staff funds are restricted, what to consider if the medical staff funds are not in a hospital account, the risks when it comes to medical staff funds, and why this is a controversial topic. Learn more at CaptainIntegrity.com

4 months ago

22 minutes

Stark Integrity

Do You Know Where Your Physicians Are? Underperformance Can Cause Financial Arrangements to Exceed Fair Market Value (FMV)

Send us a text If you’re paying your doctor for an hour of service, you better make sure your doctor is working an hour of service. In this episode, Captain Integrity Bob Wade breaks down what happens when financial arrangements exceed Fair Market Value (FMV). Hear why it’s important to keep tabs on your doctors, why monitoring is such a key component of compliance, what to do if financial arrangements exceed FMV, a case example of unethical billing practices, and the Top 10 PSA that inspired...

4 months ago

22 minutes

Stark Integrity

DOJ and HHS New False Claims Act Working Group Targeting Healthcare Fraud: A Discussion with Knicole Emanuel, Partner at Nelson Mullins

Send us a text Healthcare providers should be concerned. In this episode, Captain Integrity Bob Wade explores the new DOJ and HHS False Claims Act Working Group targeting healthcare fraud with Knicole Emanuel, Partner at Nelson Mullins. Hear why you should review your compliance program, reassess your risk exposure, consider voluntary disclosure, the areas the working group is targeting, and why this is a paradigm shift for the healthcare industry. Learn more at CaptainIntegrity.com

4 months ago

17 minutes

Stark Integrity

Clinical Trials National & International Compliance: A Discussion with Julio Martinez-Clark, CEO of bioaccess

Send us a text The larger the country, the longer it takes to get trials approved. In this episode, Captain Integrity Bob Wade explores how compliance works for national & international clinical trials with Julio Martinez-Clark, CEO of bioaccess. Hear how clinical research is global, why some countries approve trials quicker, why patients in developing economies need to have access to these trials, how countries differ with their regulatory requirements, and the hottest topics in complian...

4 months ago

30 minutes