Podcast
Stark Integrity
Hosted by Bob Wade · EN
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
37episodes
Episodes
Newest firstAll episodes
The Cost of Referrals: Erlanger’s $21M Stark Law Settlement
3d ago00:24:01Tap to summarizeSend us Fan MailIn Chattanooga, trains are famous for staying on the tracks. In this episode, Captain Integrity Bob Wade explores whether Compliance stayed on the tracks in the Erlanger case. Hear why you need to listen to people who are making reports to you about physician compensation, why total cash compensation is king, how there’s a direct linkage between coding & billing results and physician compensation, the speeding ticket analogy for the Erlanger case, and the interesting things Chattanooga is known for. Learn more at CaptainIntegrity.com
Transcribe →Using AI in Physician Contracting & Payment: A Discussion with Scott Lowry, Founder of StarkWatch
1w ago00:26:20Tap to summarizeSend us Fan MailLean 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 your organization’s at with its Stark Law compliance program, how to aim for advancement instead of program perfection, why you should use inexpensive AI solutions to perform reviews & monitoring, some of the use cases for StarkWatch, and a bit of nostalgia for old school, offline resources. Learn more at CaptainIntegrity.com
Transcribe →Part 3: Informed Consent, Decision-Making Capacity, and Surrogates: A Discussion with Attorney Rachel Rose
2w ago00:20:44Tap to summarizeSend us Fan MailTraining 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. Hear why you need to document the decision-making capacity, how to make sure AI use is properly disclosed, why policies & procedures play a huge role, how AI is changing the healthcare world, and how surrogates work. Learn more at CaptainIntegrity.com
Transcribe →Part 2: Informed Consent, Decision-Making Capacity, and Surrogates: A Discussion with Attorney Rachel Rose
3w ago00:21:29Tap to summarizeSend us Fan MailThe 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, and surrogates as they relate to the Stark Law with Attorney Rachel Rose. Hear how decision-making capacity & inadequate informed consent lead to legal liability, considerations when it comes to anesthesia, personal anesthesia stories from Bob & Rachel, the best practices organizations can take to uphold patient autonomy, and notable high-profile cases involving sexual assault. Learn more at CaptainIntegrity.com
Transcribe →Part 1: Informed Consent, Decision-Making Capacity, and Surrogates: A Discussion with Attorney Rachel Rose
Jun 1700:23:18Tap to summarizeSend us Fan MailThe 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 the Stark Law with Attorney Rachel Rose. Hear the recent cases where informed consent & decision-making capacity were relevant, the difference between decision-making capacity & informed consent, why having the piece of paper signed doesn’t necessarily mean informed consent, how providers & patients can protect themselves, and what you should think through as a patient before moving forward with anything. Learn more at CaptainIntegrity.com
Transcribe →Part 2: Holistic Audits: Synchronizing Professional & Facility Reviews: A Discussion with Kelly Loya & Bruce Truitt, Pinnacle Enterprise
Jun 1000:24:24Tap to summarizeSend us Fan MailYou 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 discussion on holistic audits and synchronizing professional & facility reviews under the Stark Law with Kelly Loya & Bruce Truitt of Pinnacle Enterprise. Hear how to consider all entities of the claim, when to consider unified sampling, how to help payers, how the 60-day overpayment rule works, and how to handle the discussion that the file is closed. Learn more at CaptainIntegrity.com
Transcribe →Part 1: Holistic Audits: Synchronizing Professional & Facility Reviews: A Discussion with Kelly Loya & Bruce Truitt, Pinnacle Enterprise
Jun 300:28:47Tap to summarizeSend us Fan MailYou 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 Enterprise. Hear what holistic audits are, the different types of reviews, the benefits of sampling a patient encounter, how to maintain an unbiased sample, and the parable of the blind men and an elephant. Learn more at CaptainIntegrity.com
Transcribe →Effective Compliance Programs Return 2x-5x Return on Investment (ROI)
May 2700:20:54Tap to summarizeSend us Fan MailThere 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, how the cost for non-compliance is 2x-3x higher, why you shouldn’t look at the compliance program as just a cost center, examples of compliance program ROI calculations, and your ROI if you would have invested in Apple & Disney in the early days. Learn more at CaptainIntegrity.com
Transcribe →Anti-Kickback Compliance and Stark Exceptions: “I’ll Get You My Pretty and Your Little Dog Too”
May 2000:20:12Tap to summarizeSend us Fan MailWhen 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-reference the Anti-Kickback Statute. Hear all about the Stark Law & Anti-Kickback Statute dance, the 3 ways to meet the definition of not violating the Anti-Kickback Statute, how to ensure your team understands the intent basis under the Anti-Kickback Statute, specific definitions to keep in mind, and what the Stark Law & Anti-Kickback Statute have to do with The Wizard of Oz. Learn more at CaptainIntegrity.com
Transcribe →“Entity” Definition Expansion (MCOs) and Exclusion (Anti-Markup): Is a House a Home?
May 1300:22:45Tap to summarizeSend us Fan MailThe 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” usually is, why they expanded the definition, the very narrow exception they came up with, examples of an “Entity” in action, and Bob recite some Miranda Lambert lyrics. Learn more at CaptainIntegrity.com
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