Stark Integrity

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If a financial arrangement is unusual, it may not be commercially reasonable. In this episode, Captain Integrity Bob Wade details the key aspects of the commercial reasonableness standard and shares examples from real cases. Hear why commercial reasonableness is a qualitative analysis, how to think through if the financial arrangement makes sense, why it may not be commercially reasonable if the business risk shifts away from the physicians, how commercial reasonableness compares to Fair Market Value, and how it differs between organizations. Learn more at CaptainIntegrity.com

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Value-based arrangements offer Fair Market Value freedom, but several challenges exist. In this episode, Captain Integrity Bob Wade details what value-based arrangements are and what they mean for your Stark Law cases. Hear why traditional Fair Market Value terms do not apply to value-based arrangements, continuous oversight and documentation is needed, what to do if you fail to meet the exception requirements, the difference between value and volume-based arrangements, and when your internal audit needs to get involved. Learn more at CaptainIntegrity.com

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Stark Law violations can lead to some incredibly serious settlements. In this episode, Captain Integrity Bob Wade shares recent Stark Law cases with severe payouts. Hear why million-dollar settlements have occurred, how to document the services being performed, the areas you can’t tie compensation to, the top non-structural Fair Market Value issues, and what Bob needs to say with “air quotes.” Learn more at CaptainIntegrity.com

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Where do you start when documenting Fair Market Value under the Stark Law? In this episode, Captain Integrity Bob Wade details everything from the starting point to key considerations. Hear why benchmark data makes a practical starting point, how to see if there’s alignment between productivity and total cash compensation, determine if there are subjective factors to support the total compensation, the 10 Percent Rule, and Hail Mary Defense. Learn more at CaptainIntegrity.com

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Fair Market Value is a pinnacle issue when it comes to the Stark Law. In this episode, Captain Integrity Bob Wade explains the why, what, how, and beyond for Fair Market Value. Hear why Fair Market Value is a pinnacle issue, what methodology you can use to document Fair Market Value, what judgment factors to apply, the impacts on the lessor and lessee, and what caused a client to look like a deer in headlights. Learn more at CaptainIntegrity.com

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Violations of the Stark Law can lead to some pretty serious damages, fines, and penalties. In this episode, Captain Integrity Bob Wade takes you through each with real-life examples. Hear why Stark Law damages can get so high, you should never create a circumvention scheme, what to do if you discover a Stark Law violation, the impact of the False Claims Act, and what Work RVUs are. Learn more at CaptainIntegrity.com

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What are the definitions under the Stark Law? In this episode, Captain Integrity Bob Wade takes you through The Big 5 Definitions under the Stark law and more. Hear why the Stark Law is so definitionally driven, how to know when the Stark Law applies, why it’s important to know the definitions, rare exceptions to the definitions, and specific examples. Learn more at CaptainIntegrity.com

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Does your healthcare organization have an effective compliance program? Captain Integrity is here to save the day. Welcome to Stark Integrity: The Stark Law and Compliance Podcast. In this pilot episode, you’ll meet host Bob Wade (aka Captain Integrity) and learn what the Stark Law is, the history of the Stark Law, and when it applies. As with every episode, you’ll come away with the 3 Captain Integrity Punch Points. Learn more at CaptainIntegrity.com