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Bob Wade

Bob Wade

Partner

1222 Demonbreun Street
Suite 1700
Nashville, TN 37203
T 615.664.5326
M 574.274.0432
Bob.Wade@nelsonmullins.com
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Bob has more than 25 years of experience in the healthcare industry and counsels clients on fraud and abuse issues, fair market value, commercial reasonableness and developing, monitoring, and documenting effective healthcare compliance programs. He serves clients nationally as a compliance professional and assists in negotiating and implementing corporate integrity agreements and in documenting and...

Bob has more than 25 years of experience in the healthcare industry and counsels clients on fraud and abuse issues, fair market value, commercial reasonableness and developing, monitoring, and documenting effective healthcare compliance programs. He serves clients nationally as a compliance professional and assists in negotiating and implementing corporate integrity agreements and in documenting and defending financial arrangements being of fair market value and commercially reasonable between healthcare providers. Bob has represented healthcare providers, including hospitals, large health systems, and referring physicians in such matters and has also represented healthcare clients under investigation by the U.S. Department of Justice and the Office of Inspector General.

Previously, Bob served as a general counsel and organizational integrity officer for a multi-hospital system, giving him first hand experience working with challenges faced across their organization. As a result, he is able to provide valuable and practical insight to his clients in complex healthcare legal matters that is also from an operational and regulatory perspective.

Bob is a frequent speaker at many national and regional healthcare legal, compliance, and regulatory conferences, including conferences sponsored by the American Health Lawyers Association and Health Care Compliance Association. He also provides his professional insight as the host of the Stark Integrity: The Stark Law and Compliance Podcast. 

Bob Wade

defending financial arrangements being of fair market value and commercially reasonable between healthcare providers. Bob has represented healthcare providers, including hospitals, large health systems, and referring physicians in such matters and has also represented healthcare clients under investigation by the U.S. Department of Justice and the Office of Inspector General.

Previously, Bob served as a general counsel and organizational integrity officer for a multi-hospital system, giving him first hand experience working with challenges faced across their organization. As a result, he is able to provide valuable and practical insight to his clients in complex healthcare legal matters that is also from an operational and regulatory perspective.

Bob is a frequent speaker at many national and regional healthcare legal, compliance, and regulatory conferences, including conferences sponsored by the American Health Lawyers Association and Health Care Compliance Association. He also provides his professional insight as the host of the Stark Integrity: The Stark Law and Compliance Podcast. 

Experience

The following is a selected sampling of matters and is provided for informational purposes only. Past success does not indicate the likelihood of success in any future matter.

Experience

  • Served as the compliance professional to the Board of Commissioners for Halifax Health in Daytona Beach, Florida during Halifax’s five-year CIA to monitor compliance with CIA and provide compliance effectiveness reviews submitted to the Office of the Inspector General
  • Filed several self-reports under the Office of Inspector General Self-Disclosure Protocol and negotiated settlement agreements
  • Filed several self-reports under the Centers for Medicare and Medicaid Services Self-Referral Disclosure Protocol for violations under the Stark Law and negotiated settlement agreements
  • Assisted healthcare entities, including consulting entities, in responding to civil investigative demands from the Department of Justice
  • Assisted healthcare entities who were the target of the Department of Justice in responding to subpoenas, litigation, and settlement with Department of Justice and qui tam litigants
  • Performed several fair market value/commercial reasonableness defensibility analysis for physician/provider compensation arrangements from single compensation arrangements to evaluation of entire networks
  • Performed several Internal Investigations related to healthcare fraud and abuse
  • Assisted several healthcare entities in evaluating and defending billing/documentation reviews conducted by payers, including Medicare and Medicaid, including filing of appeals
  • Served as a witness regarding various healthcare compliance and regulatory matters, including matters related to the Stark Law
  • Assisted several healthcare entities in negotiation issues with the Department of Justice
  • Assisted several healthcare entities with transactional arrangements for compliance with Stark Law ownership restrictions
  • Developed value-based arrangements between hospital entities and medical staff members, both independent and employed
  • Performed compliance effectiveness reviews with enhancement recommendations
  • Structured arrangements to comply with discount safe harbor under Anti-Kickback Statute
  • Represented healthcare providers and consultants in depositions before the Department of Justice
The following is a selected sampling of matters and is provided for informational purposes only. Past success does not indicate the likelihood of success in any future matter.

Experience

  • Served as the compliance professional to the Board of Commissioners for Halifax Health in Daytona Beach, Florida during Halifax’s five-year CIA to monitor compliance with CIA and provide compliance effectiveness reviews submitted to the Office of the Inspector General
  • Filed several self-reports under the Office of Inspector General Self-Disclosure Protocol and negotiated settlement agreements
  • Filed several self-reports under the Centers for Medicare and Medicaid Services Self-Referral Disclosure Protocol for violations under the Stark Law and negotiated settlement agreements
  • Assisted healthcare entities, including consulting entities, in responding to civil investigative demands from the Department of Justice
  • Assisted healthcare entities who were the target of the Department of Justice in responding to subpoenas, litigation, and settlement with Department of Justice and qui tam litigants
  • Performed several fair market value/commercial reasonableness defensibility analysis for physician/provider compensation arrangements from single compensation arrangements to evaluation of entire networks
  • Performed several Internal Investigations related to healthcare fraud and abuse
  • Assisted several healthcare entities in evaluating and defending billing/documentation reviews conducted by payers, including Medicare and Medicaid, including filing of appeals
  • Served as a witness regarding various healthcare compliance and regulatory matters, including matters related to the Stark Law
  • Assisted several healthcare entities in negotiation issues with the Department of Justice
  • Assisted several healthcare entities with transactional arrangements for compliance with Stark Law ownership restrictions
  • Developed value-based arrangements between hospital entities and medical staff members, both independent and employed
  • Performed compliance effectiveness reviews with enhancement recommendations
  • Structured arrangements to comply with discount safe harbor under Anti-Kickback Statute
  • Represented healthcare providers and consultants in depositions before the Department of Justice

Media

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Recognitions

The bar rules of some states require that the standards for an attorney's inclusion in certain public accolades or recognitions be provided. When such accolades or recognitions are listed, a hyperlink is provided that leads to a description of the respective selection methodology.

Professional Activities

  • Editorial advisory board, Strategies for Health Care Compliance
  • Editorial advisory board, Report on Medicare Compliance
  • American Association of Provider Compensation Professionals Credential Advisory Council
  • American Association of Provider Compensation Professionals Corporate Advisory Council

Leadership

  • Editorial advisory board, Strategies for Health Care Compliance
  • Editorial advisory board, Report on Medicare Compliance
  • American Association of Provider Compensation Professionals Credential Advisory Council
  • American Association of Provider Compensation Professionals Corporate Advisory Council

Bob has more than 25 years of experience in the healthcare industry and counsels clients on fraud and abuse issues, fair market value, commercial reasonableness and developing, monitoring, and documenting effective healthcare compliance programs. He serves clients nationally as a compliance professional and assists in negotiating and implementing corporate integrity agreements and in documenting and... defending financial arrangements being of fair market value and commercially reasonable between healthcare providers. Bob has represented healthcare providers, including hospitals, large health systems, and referring physicians in such matters and has also represented healthcare clients under investigation by the U.S. Department of Justice and the Office of Inspector General.

Previously, Bob served as a general counsel and organizational integrity officer for a multi-hospital system, giving him first hand experience working with challenges faced across their organization. As a result, he is able to provide valuable and practical insight to his clients in complex healthcare legal matters that is also from an operational and regulatory perspective.

Bob is a frequent speaker at many national and regional healthcare legal, compliance, and regulatory conferences, including conferences sponsored by the American Health Lawyers Association and Health Care Compliance Association. He also provides his professional insight as the host of the Stark Integrity: The Stark Law and Compliance Podcast. 

Experience

The following is a selected sampling of matters and is provided for informational purposes only. Past success does not indicate the likelihood of success in any future matter.

Experience

  • Served as the compliance professional to the Board of Commissioners for Halifax Health in Daytona Beach, Florida during Halifax’s five-year CIA to monitor compliance with CIA and provide compliance effectiveness reviews submitted to the Office of the Inspector General
  • Filed several self-reports under the Office of Inspector General Self-Disclosure Protocol and negotiated settlement agreements
  • Filed several self-reports under the Centers for Medicare and Medicaid Services Self-Referral Disclosure Protocol for violations under the Stark Law and negotiated settlement agreements
  • Assisted healthcare entities, including consulting entities, in responding to civil investigative demands from the Department of Justice
  • Assisted healthcare entities who were the target of the Department of Justice in responding to subpoenas, litigation, and settlement with Department of Justice and qui tam litigants
  • Performed several fair market value/commercial reasonableness defensibility analysis for physician/provider compensation arrangements from single compensation arrangements to evaluation of entire networks
  • Performed several Internal Investigations related to healthcare fraud and abuse
  • Assisted several healthcare entities in evaluating and defending billing/documentation reviews conducted by payers, including Medicare and Medicaid, including filing of appeals
  • Served as a witness regarding various healthcare compliance and regulatory matters, including matters related to the Stark Law
  • Assisted several healthcare entities in negotiation issues with the Department of Justice
  • Assisted several healthcare entities with transactional arrangements for compliance with Stark Law ownership restrictions
  • Developed value-based arrangements between hospital entities and medical staff members, both independent and employed
  • Performed compliance effectiveness reviews with enhancement recommendations
  • Structured arrangements to comply with discount safe harbor under Anti-Kickback Statute
  • Represented healthcare providers and consultants in depositions before the Department of Justice

Education

  • The Ohio State University Moritz College of Law, JD, summa cum laude (1989)
    • Managing editor of The Ohio State University Law Journal
    • Order of the Coif
    • Omicron Delta Kappa
  • Bowling Green State University, BA, summa cum laude (1986)

Admissions

  • District of Columbia
  • Indiana
  • Not Admitted in Tennessee
  • U.S. District Court for the Northern District of Indiana

Practice Areas

Industries

The bar rules of some states require that the standards for an attorney's inclusion in certain public accolades or recognitions be provided. When such accolades or recognitions are listed, a hyperlink is provided that leads to a description of the respective selection methodology.

  • Editorial advisory board, Strategies for Health Care Compliance
  • Editorial advisory board, Report on Medicare Compliance
  • American Association of Provider Compensation Professionals Credential Advisory Council
  • American Association of Provider Compensation Professionals Corporate Advisory Council
  • Editorial advisory board, Strategies for Health Care Compliance
  • Editorial advisory board, Report on Medicare Compliance
  • American Association of Provider Compensation Professionals Credential Advisory Council
  • American Association of Provider Compensation Professionals Corporate Advisory Council