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    Government

    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

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    Copyright: © 2026 Captain Integrity

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    Latest Episodes:
    New Chapter but Same Compass: Wade Health Law Oct 01, 2026
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    A new chapter: Wade Health Law. But, the same compass. In this episode, Captain Integrity Bob Wade introduces his new law firm, Wade Health Law. Hear why he’s starting his own law firm, 4 stories that have shaped his personal life & professional career, the most important lessons he’s learned in life & healthcare law, why change is inevitable, and what to expect in future episodes of Stark Integrity. Learn more at WadeHealthLaw.com

    2027 MPFS Proposed Rule: Why the Real Story Isn’t the Conversion Factor Sep 22, 2026
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    We’re not talking about conversion factors as they relate to the 2027 Medicare Physician Fee Schedule (MPFS) and proposed rules. In this episode, Captain Integrity Bob Wade focuses primarily on how the 2027 MPFS may impact physician compensation and Fair Market Value (FMV) in the future. Hear why the 2027 MPFS means a lot more with respect to physician compensation, how the Centers for Medicare & Medicaid Services (CMS) is beginning to challenge certain areas, why the 2027 MPFS is increasingly about why providers get paid, the most surprising aspects of the 2027 MPFS, and an analogy for Christmas morning. Learn more at WadeHealthLaw.com

    The Misunderstood Commercial Reasonableness Test Explained and Fire Stations Sep 15, 2026
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    There are 3 primary tests under the Stark Law: Fair Market Value (FMV), the Volume or Value standard, and Commercial Reasonableness (CR). In this episode, Captain Integrity Bob Wade dives deep into the Commercial Reasonableness standard. Hear why Commercial Reasonableness is fundamentally about a legitimate business purpose, the right questions to ask in terms of Commercial Reasonableness, why physician arrangements should be judged like a fire station, the biggest myth in healthcare compliance, and a David Letterman Top Ten List for Commercial Reasonableness. Learn more at WadeHealthLaw.com

    Is CMS Proposing That Physicians Cannot Perform a Procedure on Same Day as E&M Encounter in 2027? Sep 01, 2026
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    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 Bob Wade describes what is being proposed as it relates to the Stark Law. Hear what is not going away, why the proposal is a payment methodology proposal, how there’s still time for advocacy to take place, several medical & non-medical examples, and Captain Integrity’s famous air quotes. Learn more at WadeHealthLaw.com

    Implementing & Monitoring AI Responsibly: A Discussion with Arvita Tripati, Founder & Principal at Vahana Labs Aug 25, 2026
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    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 Vahana Labs. Hear why buying technology does not outsource the accountability, why you need to ask every vendor when the tool was last validated, why the goal is not zero AI risk, a Netflix analogy around AI governance, and “The Compliance Bot” poem from Captain Integrity. Learn more at WadeHealthLaw.com

    Death by Committee? How to Run and Participate in a Compliance Committee Meeting That Actually Matters Aug 11, 2026
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    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 meeting that actually matters. Hear why a compliance committee should ask questions, how to focus on the fire instead of the smoke, why every compliance committee meeting should end with ownership, a Stark Law example of a compliance committee meeting agenda, and a fitting David Letterman Top Ten List. Learn more at WadeHealthLaw.com

    Private Equity Meets the Stark Law: Navigating Physician Transactions, MSOs, Referral Risks…and Insects Aug 04, 2026
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    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 deserves careful attention, why documentation is your best defense, the mother of all definitions, and the research behind insects being attracted to light bulbs. Learn more at WadeHealthLaw.com

    Stark Integrity Podcast: Is It a Podcast? Is It a Blog? Is it Both? Jul 28, 2026
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    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 what to expect with the new Stark Integrity website, how your favorite Stark Integrity topics & episodes are now searchable, the goal of Stark Integrity from the very beginning, how to use the new site as a research tool, and how your feedback helped shape the new site. Check out the new site at WadeHealthLaw.com

    Retraction Jul 27, 2026
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    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 CaptainIntegrity.com

    Using AI in Physician Contracting & Payment: A Discussion with Scott Lowry, Founder of StarkWatch Jul 07, 2026
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    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 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

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