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Part 1: Children's Hospitals, Medicaid, and Stark Law Compliance

Episode 54

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Does the federal Stark law apply to state Medicaid reimbursement? In this episode, Captain Integrity Bob Wade outlines why it doesn’t…

3 years, 9 months ago

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Part 2: Examples of Interplay between Peer Review and Compliance, False Claims Act, and Stark Law

Episode 53

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Determining where a physician’s conduct should be reviewed is a challenging subject. In this episode, Captain Integrity Bob Wade cont…

3 years, 9 months ago

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Part 1: Interplay between Peer Review and Compliance, False Claims Act, and Stark Law

Episode 52

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Physician activities reviewed through the Peer Review process may pose liability under the False Claims Act - including the Stark Law…

3 years, 9 months ago

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Rare Qui Tam Jury False Claims Act Case: Learning Points Regarding FCA Cases Including Eli Lilly/Astellas Pharma Verdict

Episode 51

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Jury trials under the False Claims Act (FCA) can produce very wild outcomes. In this episode, Captain Integrity Bob Wade breaks down …

3 years, 10 months ago

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False Claims Act Settlement Updates - Midyear 2022: The Dollars and the Issues

Episode 50

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The False Claims Act (FCA) continues to be a huge weapon for the government. In this episode, Captain Integrity Bob Wade details the …

3 years, 10 months ago

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Legal and Operational Issues with Accountable Care Organizations/Value Based Arrangements: A Discussion with Kelly Conroy with Pinnacle Healthcare Consulting

Episode 49

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Accountable Care Organizations (ACOs) are truly unique partnerships with the government. In this episode, Captain Integrity Bob Wade …

3 years, 10 months ago

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How to Respond to a Civil Investigative Demand (CID) Issued by the Department of Justice (DOJ)

Episode 48

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How do you respond to a Civil Investigative Demand (CID) issued by the Department of Justice (DOJ)? In this episode, Captain Integrit…

3 years, 10 months ago

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Office of Inspector General (OIG) Self-Disclosure Protocol: Different from the CMS SRDP

Episode 47

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The Office of Inspector General (OIG) has a Self-Disclosure Protocol (SDP) as well, but it’s different than the Centers for Medicare …

3 years, 10 months ago

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How to Use the Self-Referral Disclosure Protocol (SRDP) to Voluntarily Report Stark Law Violations

Episode 46

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If you discover a Stark Law violation, you can self-report it to the Centers for Medicare and Medicaid Services (CMS) through the Sel…

3 years, 11 months ago

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Continuing Medical Education (CME): Fraud Issues and OIG Advisory Opinion 22-14

Episode 45

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Continuing Medical Education (CME) is needed, but you need to be careful how you hold these events. In this episode, Captain Integrit…

3 years, 11 months ago

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