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
Clinical Trials National & International Compliance: A Discussion with Julio Martinez-Clark, CEO of bioaccess
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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 compliance works for national & international clinical trials with Julio Martinez-Clark, CEO of bioaccess. Hear how clinical research is global, why some countries approve trials quicker, why patients in developing economies need to have access to these trials, how countries differ with their regulatory requirements, and the hottest topics in compliance. Learn more at CaptainIntegrity.comÂ
UPICs: What They Are and How to Avoid: A Discussion with Harriett Wall, President & CEO of LW Consulting
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The best defense is a good offense. In this episode, Captain Integrity Bob Wade discusses the dreaded UPICs (Unified Program Integrity Contractors) with Harriett Wall, President & CEO of LW Consulting. Hear why a UPIC audit is a very serious matter, why you need to organize your team as soon as possible, how to put together a robust compliance plan, who could be the subject of a UPIC audit, and how the appeal process works. Learn more at CaptainIntegrity.com
Cybersecurity Risk Management in Healthcare & Compliance: A Discussion with Matthew Toussain, Founder of Open Security
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Attackers only win when you have no choice left. In this episode, Captain Integrity Bob Wade breaks down the importance of cybersecurity in healthcare & compliance with Matthew Toussain, Founder of Open Security. Hear how to focus on the basics, why you shouldnât trust anyone, how to know your risk and the enemy, how to stay ahead of cybersecurity attacks, and Matthewâs background in the Air Force. Learn more at CaptainIntegrity.comÂ
AI's Use in Alleviating Physician Burdens: A Discussion with David Norris, Co-Founder & CEO of Affineon Health
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AI in healthcare is moving at a pace weâve never seen. In this episode, Captain Integrity Bob Wade explores the fascinating future of AI (Artificial Intelligence) in healthcare with David Norris, Co-Founder & CEO of Affineon Health. Hear why you should embrace AI as a healthcare provider, why this is the most transformative time for healthcare providers, how AI will significantly shift responsibility, how AI can help reduce burnout in the healthcare industry, and the top use cases for AI in healthcare. Learn more at CaptainIntegrity.comÂ
DOJ Civil/Criminal Updated Enforcement Plan: A Discussion with Jillian Willis, Partner at Nelson Mullins
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Compliance programs matter. In this episode, Captain Integrity Bob Wade discusses the DOJ Civil/Criminal Updated Enforcement Plan with Jillian Willis, Partner at Nelson Mullins. Hear how the DOJ (Department of Justice) is committed to investigating & prosecuting white-collar crime, how the Corporate Whistleblower Awards Pilot Program incentivizes whistleblowers, why compliance programs still matter in each administration, the overlap between criminal & civil protocols, and all the latest updates to the DOJâs enforcement plan. Learn more at CaptainIntegrity.comÂ
One Big Beautiful Billâs Impact on Healthcare
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Wondering how the One Big Beautiful Bill will impact healthcare if it passes the Senate? In this episode, Captain Integrity Bob Wade shares all you need to know. Hear how a substantial number of Medicaid beneficiaries would lose their status, how rural hospitals could reopen, why the annual increases in the Medicare conversion factor will decrease, the most important takeaways Bob learned while reading the bill, and the biggest differences vs. the current law. Learn more at CaptainIntegrity.com
Ethics and Compliance and Integrity in Physician Compensation Arrangements
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Are there ethical considerations in physician compensation arrangements? In this episode, Captain Integrity Bob Wade explains why the answer is a resounding YES. Hear the difference between ethics, compliance, and integrity, why physician compensation models could cause physicians to conduct themselves in an unethical manner, the value society has placed on different occupations, a variety of examples from the healthcare industry, and the client question that sparked this episode idea. Learn more at CaptainIntegrity.com
Medical Records: Why Timely and Accurate Completion Is Beneficial to Physicians
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Is timely and accurate completion of medical records all about the money? In this episode, Captain Integrity Bob Wade explains why thereâs a whole lot more involved. Hear how medical records impact reimbursement and more, how they help establish the physician from a quality standpoint, how they allow for continuity between subsequent providers, the biggest issue when it comes to medical records, and an original poem from Captain Integrity. Learn more at CaptainIntegrity.comÂ
Compliance Officers in Las Vegas: HCCAâs 29th Annual Compliance Institute
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What keeps you up at night in compliance? Thatâs the question Captain Integrity Bob Wade asks several compliance officers in this episode, recorded from the HCCAâs 29th Annual Compliance Institute in Las Vegas. Hear why you should go to conferences, the biggest concerns compliance officers have today, why we should be more open about compliance, the wide variety of compliance professionals & healthcare organizations that attend the Compliance Institute, and the most surprising compliance issues to watch out for. Learn more at CaptainIntegrity.comÂ
Usual and Customary Charges with Medicare and Most Favored Nation Clauses
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Can you charge a payer lower than Medicare or Medicaid? In this episode, Captain Integrity Bob Wade explores when you can, and when you canât. Hear why you need to look for the average or median of all expected payments, why you should remove the low and extravagant charges, how Medicare is not entitled to the lowest price you charge anyone, the origin of the most favored nation clause, and some fun customs we see in society. Learn more at CaptainIntegrity.comÂ
Referrals âGet the Ball Rollingâ
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Whatâs a referral under the Stark Law and Anti-Kickback Statute (AKS)? In this episode, Captain Integrity Bob Wade dives into the definition. Hear what defines a referral, the 3 specialties that donât refer, why a referral under the AKS is much broader in comparison with the Stark Law, the history of a famous saying, and the value of a memorable slogan. Learn more at CaptainIntegrity.comÂ
2024 False Claims Act Settlements and Judgments: $2.9B in Fiscal Year
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In Fiscal Year 2024, the federal government collected $2.9 billion in False Claims Act settlements (FCA). In this episode, Captain Integrity Bob Wade explains what happened. Hear how the qui tam bar is still active, why Stark Law and Fair Market Value issues (FMV) are still very big issues for compliance, how the Department of Justice (DOJ) gives you credit for cooperation & self-reporting, a deep dive into the numbers from 2024, and some fun facts about the settlements. Learn more at CaptainIntegrity.comÂ
Civil Investigative Demands (CID): Critical Steps for Responding
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There are critical steps you need to take if youâre issued a Civil Investigative Demand (CID). In this episode, Captain Integrity Bob Wade explains how it works & what to do. Hear what happens if you fail to respond to a CID, why a legal hold is a must, how to be organized when submitting the documents, the difference between a CID and a subpoena, and some Fig Newtons nostalgia. Learn more at CaptainIntegrity.com
Part 3: Ambulatory Surgery Centers (ASCs): The Nuts and Bolts and Legal Requirements
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Hospital-employed physicians can be investors in Ambulatory Surgery Centers (ASCs). In this episode, Captain Integrity Bob Wade wraps up his breakdown of ASCs. Hear what needs to happen for a physician to invest with a hospital in an ASC, why any items or services provided must be consistent with the safe harbors, how the Hospital-Physician ASC works, how many one-third income tests are needed, and a recap of the main takeaways with ASCs. Learn more at CaptainIntegrity.com
Part 2: Ambulatory Surgery Centers (ASCs): The Nuts and Bolts and Legal Requirements
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All safe harbors require the one-third income test. In this episode, Captain Integrity Bob Wade continues his breakdown of Ambulatory Surgery Centers (ASCs). Hear how the one-third income test works, when a second one-third test is needed, what the Return on Investment (ROI) needs to be based on, the 4 types of ASCs safe-harbored under the Anti-Kickback Statute (AKS), and how to approach loans. Learn more at CaptainIntegrity.com
Part 1: Ambulatory Surgery Centers (ASCs): The Nuts and Bolts and Legal Requirements
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In the case of Ambulatory Surgery Centers (ASCs), the Stark Law does not apply. In this episode, Captain Integrity Bob Wade kicks off his breakdown of ASCs. Hear the pros & cons of ASCs from a patientâs perspective, why the Stark Law does not apply, why ASCs need to be billed under the composite rate, how block booking works for physicians, and the story of Bobâs daughterâs ACL. Learn more at CaptainIntegrity.comÂ
Medicaid Reimbursement Litigation Is Possible: A Discussion with Knicole Emanuel, Partner at Nelson Mullins
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 You donât have to accept what is given to you. In this episode, Captain Integrity Bob Wade dives into Medicaid reimbursement litigation with Knicole Emanuel, Partner at Nelson Mullins. Hear why litigation is an option to fight low Medicaid rates, why you donât need to accept the reimbursement rates presented, how medical equity works, the David vs. Goliath case Knicole worked on, and some examples in terms of childrenâs dental needs. Learn more at CaptainIntegrity.com
Part 2: Why Is Sanitizing wRVUs Important (Comp RVU) vs. Reported wRVUs: A Discussion with Matt BonDurant, SVP at ProCARE
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The Comp RVU is not the same as the wRVU. In this episode, Captain Integrity Bob Wade continues his discussion on wRVUs & more with Matt BonDurant, Co-Founder & SVP at ProCARE. Hear why Comp RVUs and wRVUs both have complexities, why everyone is handling it differently, the fundamental problem in the industry, examples of modifiers, and who is involved with Comp RVUs. Learn more at CaptainIntegrity.com
Part 1: Why Is Sanitizing wRVUs Important (Comp RVU) vs. Reported wRVUs: A Discussion with Matt BonDurant, SVP at ProCARE
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Thereâs a lot to consider when it comes to RVUs (Relative Value Units). In this episode, Captain Integrity Bob Wade breaks down wRVUs & more with Matt BonDurant, Co-Founder & SVP at ProCARE. Hear what a Comp RVU is, the nuts & bolts of RVUs, why RVUs are so complicated, how to approach benchmark data, and Bobâs story from Philmont Scout Ranch. Learn more at CaptainIntegrity.com
Compliance Education and the 29th Annual Compliance Institute (Las Vegas): An Interview with Dan Roach, HCCA's Interim CEO
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The 29th Annual Compliance Institute is not to be missed. In this episode, Captain Integrity Bob Wade gives a preview for the conference - which takes place on April 28-May 1, 2025 at the ARIA Resort & Casino in Las Vegas - with Dan Roach, Interim CEO of HCCA (Health Care Compliance Association). Hear what the HCCA does, why the 29th Annual Compliance Institute is a great opportunity to expand your network, the value of in-person conferences on compliance, why compliance education is so important, and the history of Dan & Captain Integrity at the conference. Learn...
Pooled Compensation: Creation, Distribution, and the Probability Factor for Personally Performed Services
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Pooled compensation models are legal. In this episode, Captain Integrity Bob Wade discusses the compliance & legal risks when it comes to pooled compensation models. Hear how to make sure the units going into the pool are Fair Market Value (FMV), how to carefully select pool participants, how the compensation should be divided, Bobâs swimming pool analogy, and some trivia about Two-Face from Batman. Learn more at CaptainIntegrity.com
Best Practice Oversight of Physician Compensation Arrangements
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With seemingly more & more whistleblowers every day, itâs becoming that much more important to monitor physician compensation arrangements. In this episode, Captain Integrity Bob Wade shares the best practices for oversight of physician compensation arrangements. Hear why itâs all about process, itâs also about documentation, itâs important to obtain good advice from lawyers & consultants, recent examples of whistleblowers, and the perks of having an open door for feedback. Learn more at CaptainIntegrity.com
Roller Coasters, Sales Representative Comp, and the âBut Forâ Causation Standard under the False Claims Act and Anti-Kickback Statute
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When is the violation of the Anti-Kickback Statute a False Claims Act liability? In this episode, Captain Integrity Bob Wade explains the scenario given a recent district court decision. Hear how the âBut Forâ Causation Standard works under the False Claims Act (FCA) and Anti-Kickback Statute (AKS), how the language has changed under the Anti-Kickback Statute, why the issues brought forward were bifurcated, how sales reps played into the decision, and an analogy involving roller coasters & Cedar Point. Learn more at CaptainIntegrity.comÂ
2024 âWinnersâ for Most Egregious US Healthcare Profiteering
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Drumroll, please! In this episode, Captain Integrity Bob Wade announces the 2024 âWinnersâ for Most Egregious US Healthcare Profiteering. Hear why patient care should always be over profits for organizations, why medical necessity is still a primary issue we should be concerned about, why you shouldnât sell body parts until you get consent, why the awardâs named after Martin Shkreli, and Bobâs fandom of âThe King of the Countdownâ Casey Kasem and the American Top 40 growing up. Learn more at CaptainIntegrity.com
DHS Entity Defined and Tesla Example
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Not every entity that touches a Designated Health Service is deemed to be a DHS entity as defined under the Stark law. In this episode, Captain Integrity Bob Wade explains why. Hear how a DHS entity is determined, how physicians can still be owners of entities that touch a DHS, what happens if an entity is under arrangement, the 2 major categories of DHS entities, and an example involving Tesla. Learn more at CaptainIntegrity.com
Part 2: The Big Lie in My Healthcare Bill: A Discussion with Author Frank Lobb
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We have a system that is not geared to ensure we get the healthcare we need. In this Part 2, Captain Integrity Bob Wade continues his discussion of The Big Lie in My Healthcare Bill: Why I Donât Owe What My Insurer Fails to Pay with Author Frank Lobb. Hear the average error amount in a healthcare bill, how fighting a healthcare bill can impact your credit score, who you should fight in the event of an incorrect healthcare bill, the hidden contract at the core of everything, and what makes Frankâs book...
Part 1: The Big Lie in My Healthcare Bill: A Discussion with Author Frank Lobb
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Many episodes of Stark Integrity have been focused on healthcare providers. This one is for patients. In this episode, Captain Integrity Bob Wade dives into The Big Lie in My Healthcare Bill: Why I Donât Owe What My Insurer Fails to Pay with Author Frank Lobb. Hear how Frank became interested in the healthcare billing issue, how healthcare billing works, why the healthcare industry & insurance are so out of control, what to do if your insurer denies paying for your healthcare, and the details of the contracts. Learn more at CaptainIntegrity.com
Stark Law Holiday Poems: 'Twas the Night before the Subpoena, Rudy the Seasoned Compliance Officer, Jolly OIG Agent, and The 12 Days of Compliance
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Hear Captain Integrity Bob Wade read his original Stark Law holiday poems, ââTwas the Night before the Subpoena,â âRudy the Seasoned Compliance Officer,â âJolly OIG Agent,â and âThe 12 Days of Compliance.â Share the poems with your team and learn more at CaptainIntegrity.com
The 12 Days of Compliance: 2024 Holiday Special
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Want to know what you get for The 12 Days of Compliance? In this special holiday episode, Captain Integrity Bob Wade reflects on 2024 and sings his latest custom Stark Law holiday carol, âThe 12 Days of Compliance.â Hear the latest from Bobâs personal life & Nelson Mullins, his favorite things to do in Nashville, the history of âThe Twelve Days of Christmas,â fun facts about the birds in the song, and the Stark Law holiday poem you can share with your team. Learn more at CaptainIntegrity.com
The Duck Test & wRVUs: A Discussion with Eric Leafgreen, VP of Provider Compensation at Ludi
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If it looks like a duck, swims like a duck, and quacks like a duck, then it probably is a duck. In this episode, Captain Integrity Bob Wade shares how The Duck Test relates to wRVUs (work Relative Value Units) with Eric Leafgreen, VP of Provider Compensation at Ludi. Hear how to stabilize with oversight, how to embrace simplification through standardization, why you should do an annual check-up, the most overlooked areas that can lead to inaccuracies, and the origin of The Duck Test. Learn more at CaptainIntegrity.com
DOJ 6-Month Settlements (2024): The Issues, the Relators, and the Amounts
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During the 1st half of 2024, the Department of Justiceâs enforcement activity collected over $1 billion. In this episode, Captain Integrity Bob Wade shares the focus of those DOJ settlements. Hear how the government is still collecting large settlements from providers, how qui tam relators are still bringing these cases to fruition, the importance of having an effective compliance program, the most notable settlements from the 1st half of 2024, and a particular settlement compliance officers will need to âhold their hats for.â Learn more at CaptainIntegrity.com
Data Analytics & the False Claims Act: A Discussion with Mandy Asgeirsson, Director at BRG
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Use the data early & often. In this episode, Captain Integrity Bob Wade explores the intersection of data analytics & the False Claims Act (FCA) with Mandy Asgeirsson, Director at BRG (Berkeley Research Group). Hear why itâs really helpful to understand the data available in an FCA investigation, how to be creative in how you use the data to understand the case or allegations against you, why you should use the data proactively instead of just reactively, how data helps to tell the story, and a case where the data analytics shocked Mandy. Learn mo...
Physician Space Sharing & Stark Law Compliance: A Discussion with Mike Vetter, Partner at HMS Valuation Partners
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Physician space sharing could be a great strategy - if you follow the rules. In this episode, Captain Integrity Bob Wade discusses physician space sharing as it relates to Stark Law compliance with Mike Vetter, Partner at HMS Valuation Partners. Hear why utilizing space sharing arrangements is a very cost-effective strategy for a healthcare system to expand services to other communities, why it starts with communication, why these arrangements are watched by the CMS (Centers for Medicare & Medicaid Services) and the regulatory language set forth, the biggest pitfalls of these types of arrangement...
Quality Physician Compensation: A Discussion with Luis Argueso, Partner at InHealth Advisors
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Quality will always matter. In this episode, Captain Integrity Bob Wade discusses quality physician compensation as it relates to the Stark Law with Luis Argueso, Co-Founder & Partner at InHealth Advisors. Hear why quality matters, how to translate that importance of quality into effective incentives for healthcare providers, why thereâs a lot of opportunity for innovation in this space, how quality relates to Fair Market Value (FMV), and some âstupid dad jokesâ from Bob. Learn more at CaptainIntegrity.com
Restoring Our Sanity Online: A Discussion with Author Mark Weinstein
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This is a fascinating moment in the history of the world. In this episode, Captain Integrity Bob Wade discusses social media and the online world as it relates to healthcare providers and the Stark Law with Mark Weinstein, Author of âRestoring Our Sanity Onlineâ and Speaker of the hit TEDx talk, âThe Rise of Surveillance Capitalism.â Hear why Big Tech is driving us mad and we have to get it fixed in a hurry, key lessons we can apply to other industries from Big Ag, Big Energy, and Big Tech, how web platforms can succ...
The Addams Family, 1960s, OIG Agents, Medicare, and Halloween
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What do The Addams Family, 1960s, OIG Agents, Medicare, and Halloween have in common? In this special Halloween episode, Captain Integrity Bob Wade explains the connection as it relates to the Stark Law. Hear all the â60s nostalgia you can handle, the history of The Addams Family and creator Charles Addams, the potential for a Captain Integrity TV show, the history of Medicare, and Bobâs special Halloween poem (sung to the tune of The Addams Family), âThe Halloween OIG Agents.â Email Bob to get a printed copy of the poem and learn more at...
Overpayment Notices, Mistakes, and Appeal Process: A Conversation with Knicole Emanuel, Partner at Nelson Mullins
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Oh no - the dreaded overpayments. In this episode, Captain Integrity Bob Wade explores overpayment notices, mistakes, and the appeal process with Knicole Emanuel, Partner at Nelson Mullins. Hear why tentative notices of overpayments are scary but defensible, why you should know your right to appeal, the potential changes coming that may be in the providersâ best interest, why you should have some legal assistance through this process, and the alphabet soup of acronyms. Learn more at CaptainIntegrity.com
Free Lunches and Technology to Patients: What Is Permissible under CMP, AKS, and the Stark Law
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Is there such a thing as a free lunch in healthcare? In this episode, Captain Integrity Bob Wade gives you the rules, regulations, and requirements as it relates to the Stark Law. Hear why thereâs no such thing as a free lunch, what you can do when there are service deficiencies, how to approach providing technology, recent cases that involve free lunches, and the history of free lunches. Learn more at CaptainIntegrity.com
Part 2: Learnings and Insights from the St. Peter's Health Settlement and DOJ False Claims Act Case with Dr. Tom Weiner
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âBob, I think we have a big problem on our hands.â In this episode, Captain Integrity Bob Wade continues his discussion of the facts and insights from the St. Peter's Health Settlement and DOJ (Department of Justice) False Claims Act case with Dr. Tom Weiner. Hear how to act with integrity, know when a case should be bifurcated, revamp your compliance program, why the DOJ got involved, and why the saga continues with this case. Learn more at CaptainIntegrity.com
Part 1: Learnings and Insights from the St. Peter's Health Settlement and DOJ False Claims Act Case with Dr. Tom Weiner
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And it all started with a Fair Market Value (FMV) defensibility analysis. In this episode, Captain Integrity Bob Wade discusses the facts and insights from the St. Peter's Health Settlement and DOJ (Department of Justice) False Claims Act case with Dr. Tom Weiner. Hear why there should be heightened scrutiny with a Lone Wolf, why you need to pay special attention to a high producer, why most of the services a specialist provides should be in their specialty, the most shocking findings from the case, and Bobâs role in the case. Learn mo...