/>iCheck out the latest episode on the Stark Integrity podcast hosted by Nelson Mullins Riley & Scarborough LLP's Nashville partner Bob Wade, featuring professionals in the healthcare industry, including Nelson Mullins partner Jillian Willis, LW Consulting Senior Consultant Kay Hashagen, Conflixis CEO Aaron Narva, and LW Consulting CEO Harriett Wall.
Mission Improbable: A Discussion with Kay Hashagen, Senior Consultant with LW Consulting, about the Impossible Day
The Improbable Day or Impossible Day is a major compliance issue. In this episode, Wade chats these scenarios with Kay Hashagen, Senior Consultant with LW Consulting. Hear how to avoid an Improbable Day or Impossible Day scenario, why you should do scheduling audits, why the best defense is a strong offense, the biggest red flags with these scenarios, and a little Tom Cruise and Sherlock Holmes.
Open Payments: A Conversation with Aaron Narva, CEO of Conflixis, Regarding Compliance Findings and Nature of Reported Payments
Data is endlessly impactful in the healthcare space. In this episode, Wade discusses open payments and compliance findings with Aaron Narva, Co-Founder and CEO of Conflixis. Hear why you shouldn’t underestimate the impact of conflicts in your organization, how your data is available and under scrutiny, why understanding your data can be your secret weapon, some staggering numbers from The Open Payments Report, and information on commercial reasonableness (CR).
Designated Health Services (DHS): The Key to the Stark Law City
A referral by a physician of a Designated Health Service (DHS) is the key to opening up the Stark Law City. In this episode, Wade explains what a DHS is and how they’re categorized. Hear why you should add the Centers for Medicare & Medicaid Services (CMS) website page about the Stark Law to your Favorites, which Stark Law categories are defined by the CPT/HCPCS code, the scenarios where the Stark Law doesn’t apply, what defines a DHS, and more.
Corporate Integrity Agreements (CIAs) and Independent Review Organizations (IROs): A Discussion with Harriett Wall, CEO of LW Consulting, Inc.
Move it to an asset rather than a liability. In this episode, Wade talks Corporate Integrity Agreements (CIAs) and Independent Review Organizations (IROs) with Harriett Wall, President and CEO of LW Consulting, Inc. Hear how to avoid CIAs with a strong compliance program, why an IRO should be open to input, how to embrace a CIA for change, whether an OIG Monitor (Office of Inspector General) is a friend or foe, and a Lion King reference.
Criminal National Health Care Fraud Enforcement Action 2024: A Discussion with Jillian Willis, Partner, Nelson Mullins
Data is a big driver of a lot of cases. In this episode, Wade breaks down the press release and results from the Criminal National Health Care Fraud Enforcement Action in 2024 with Jillian Willis, Partner at Nelson Mullins. Hear how data analytics remain at the forefront of detecting and prosecuting healthcare fraud, why criminal healthcare fraud enforcement remains a priority for the DOJ (Department of Justice), and more.
