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Reckless Disregard/Deliberate Ignorance Under the False Claims Act: “You Can’t Handle the Truth”!

Episode 185

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The False Claims Act (FCA) has 3 knowledge qualifiers. In this episode, Captain Integrity Bob Wade unpacks the difference between act…

1 year ago

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Probe to Statistically Valid Reviews: When to “Keep on Digging”

Episode 184

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Performing billing and documentation audits & reviews are important for an effective compliance program. In this episode, Captain Int…

1 year, 1 month ago

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wRVUs and Modifier 25: Did the Physician "Go the Extra Mile"?

Episode 183

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The misuse of Modifier 25 can result in overcompensation if the physician is being compensated through a wRVU productivity model. In …

1 year, 1 month ago

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Don’t Shoot the Messenger

Episode 182

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Don’t shoot the messenger. In this episode, Captain Integrity Bob Wade explores the nature of delivering bad news as a Compliance Off…

1 year, 1 month ago

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Compliance Officer: You Are Not an Independent Auditor

Episode 181

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Auditor: you are not a Compliance Officer. In this episode, Captain Integrity Bob Wade dives into the complementary roles of Complian…

1 year, 2 months ago

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2025 Healthcare Enforcement Priorities: A Discussion with Brook Andrews, Partner at Nelson Mullins

Episode 180

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Audit yourself. In this episode, Captain Integrity Bob Wade tackles the 2025 healthcare enforcement priorities with Brook Andrews, Pa…

1 year, 2 months ago

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Medical Staff Funds & The Stark Law

Episode 179

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If medical staff funds are in a hospital account, the Stark Law applies. In this episode, Captain Integrity Bob Wade details medical …

1 year, 2 months ago

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Do You Know Where Your Physicians Are? Underperformance Can Cause Financial Arrangements to Exceed Fair Market Value (FMV)

Episode 178

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If you’re paying your doctor for an hour of service, you better make sure your doctor is working an hour of service. In this episode,…

1 year, 2 months ago

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DOJ and HHS New False Claims Act Working Group Targeting Healthcare Fraud: A Discussion with Knicole Emanuel, Partner at Nelson Mullins

Episode 177

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Healthcare providers should be concerned. In this episode, Captain Integrity Bob Wade explores the new DOJ and HHS False Claims Act W…

1 year, 3 months ago

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Clinical Trials National & International Compliance: A Discussion with Julio Martinez-Clark, CEO of bioaccess

Episode 176

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The larger the country, the longer it takes to get trials approved. In this episode, Captain Integrity Bob Wade explores how complian…

1 year, 3 months ago

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