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    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:
    Stark Law's Non-Monetary Compensation Exception With Real Examples Dec 15, 2021
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    The dreaded non-monetary compensation exception can get pretty tricky. In this episode, Captain Integrity Bob Wade discusses what items meet the non-monetary compensation exception under the Stark Law, including real-life examples. Hear why the definition of remuneration plays a key part, it’s essential to track non-monetary compensation on an annual basis, how to track the value of a unified gift, the “cousin” exception, and the most common examples during the holiday season. Learn more at CaptainIntegrity.com

    Stark Law Holiday Poem: 'Twas The Night Before The Subpoena Dec 10, 2021
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    Hear Captain Integrity Bob Wade read his original Stark Law holiday poem, “‘Twas The Night Before The Subpoena.” Share the poem with your team and learn more at CaptainIntegrity.com

    Applying the Stark Law to Ownership and Compensation Arrangements - Direct and Indirect Dec 07, 2021
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    It’s important to understand the differences between ownership and compensation arrangements - both direct and indirect. In this episode, Captain Integrity Bob Wade breaks down the differences between each under the Stark Law, and where various exceptions apply. Hear how to draw out the various arrangements to determine what’s what, look at downward ownership in the chain, the definition of compensation, the Stand in the Shoes concept, and the impact of stock ownership under the Stark Law. Learn more at CaptainIntegrity.com

    Stark Law: 'Twas The Night Before The Subpoena Nov 30, 2021
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    It’s important to make compliance relevant, focused on ethical behavior, and fun. In this special holiday episode, Captain Integrity Bob Wade reveals how he got into Stark Law compliance in the first place and reads a custom Stark Law holiday poem, “‘Twas The Night Before The Subpoena.” Hear what Bob represents clients on, how to make compliance fun, celebrate the people you work with, how Bob created Captain Integrity, and the Stark Law holiday poem you can share with your team. Learn more at CaptainIntegrity.com

    Stark Law’s Commercial Reasonableness Standard Nov 23, 2021
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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

    Value-Based Arrangements: The Stark Law/AKS Requirements Nov 16, 2021
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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

    What Are Some Examples of Fair Market Value Liability Under the Stark Law? Nov 09, 2021
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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

    What Is the Practical Application of Fair Market Value Under the Stark Law? Nov 03, 2021
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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

    Why Is Fair Market Value the Pinnacle Stark Law Issue? Oct 26, 2021
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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

    What Are the Damages, Fines, and Penalties Under the Stark Law? Oct 19, 2021
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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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