Real-time FMV expiration alerts, automated safe harbor validation, and tamper-evident audit exports — built for the day your compliance program is tested.
DOJ healthcare fraud recoveries hit $5.7B in FY2025 alone. See the patterns that triggered them →
Physician financial arrangements account for more federal enforcement dollars than any other compliance domain. Every hospital in America is tracking them in Excel.
Stark is strict liability. If an arrangement fails to meet every element of an exception, the referral and resulting claims are illegal.
Relying on an expired FMV opinion is the most common Stark violation. When your 2023 opinion supports 2026 compensation, every resulting claim is potentially non-compliant.
HIPAA tools, training platforms, and GRC systems abound. No commercial software is purpose-built for arrangement lifecycle management with FMV tracking.
The average cost to assemble arrangement documentation after a DOJ subpoena is $30,000–$80,000 in legal fees alone — before any penalty.
| Physician | Type | FMV Exp | Status |
|---|---|---|---|
| Dr. S. Patel | MedDir | EXPIRED | ❌ |
| SA Spine | CoMgmt | 47 days | ⚠️ |
| Dr. M. Chen | P.Svc | ? | ? |
| Alamo Rad. | P.Svc | unknown | ? |
Six modules, unified by the Defensibility IndexSM — your portfolio's composite compliance score.
ArrowISE manages the complete lifecycle of healthcare referral source arrangements with built-in regulatory intelligence.
Tracks FMV opinion expiration across every linked arrangement. Escalating alerts at 90, 60, and 30 days give your compliance team a margin of safety well before the most common Stark violation can occur.
Walks your team through every required element of the applicable AKS safe harbor and Stark exception. Upload evidence, capture timestamps, score documentation completeness — all scoped to the correct 42 CFR citation.
Centralized database of every physician financial arrangement at your organization. Parties, compensation, terms, documents, and compliance status — searchable, filterable, and auditable.
Real-time screening at arrangement creation plus automated monthly re-screening against the OIG List of Excluded Individuals/Entities. Every result is timestamped and hash-chained to the arrangement record.
Schena-ShieldSM runs rule-based analytics against every arrangement in your portfolio: compensation outliers, FMV drift, documentation gaps, and pattern matches to published DOJ enforcement profiles.
One click produces a complete, hash-chained, tamper-evident evidence package: safe harbor validation, FMV documentation, OIG screening history, and risk scoring. Subpoena-ready. DOJ-ready. Counsel-ready.
Explore the platform with sample data. Click through the dashboard, arrangements, and compliance checker.
Sample data only — does not contain real patient or provider information.
Developed with compliance officers, healthcare defense counsel, and practice administrators across Texas.
We had 14 physician arrangements tracked in a spreadsheet. ArrowISE found two expired FMV opinions in the first 15 minutes — one supporting over $380K in annual compensation. That alone justified the subscription for the next five years.
I manage 137 active arrangements at a 400-bed health system — tracked in a spreadsheet with 22 columns. When the OIG came for our peer institution, their compliance officer spent six weeks assembling documentation. ArrowISE would have generated it in one click.
As a defense attorney, the first 40 hours of any arrangement-related investigation are spent organizing data from filing cabinets and spreadsheets. ArrowISE eliminates that entirely — the evidence packet is ready before I am.
BAA included at all tiers · 30-day free trial · No credit card required · 99.9% uptime SLA · Not legal advice — ArrowISE is a compliance workflow tool, not a law firm.
Annual documentation cost from inefficient arrangement management — and the risk exposure if compliance gaps reach enforcement ($1M+ per Stark violation, $30K–$80K per subpoena response).
Estimates based on industry benchmarks. Actual savings vary. ArrowISE does not guarantee specific outcomes. Consult qualified healthcare counsel for compliance decisions.
ArrowISE is designed on a minimum-necessary data principle. We store arrangement metadata — never patient clinical records. PHI-detection guardrails apply to every AI-assisted feature.
All data processed in AWS us-east-1 under a signed BAA. TLS 1.2+ in transit, AES-256 at rest. BAA included at every pricing tier.
ArrowISE stores physician arrangement metadata only — never patient clinical records. PHI-detection guardrails apply to every AI-assisted feature. BAA available at every tier if your policy requires one regardless.
Every arrangement record carries a SHA-256 composite hash and an append-only audit trail. Database triggers block hard deletes — soft-delete events extend the chain so even a deletion is tamper-evident.
ArrowISE is engineered against the HIPAA minimum-necessary standard and NIST data-minimization principles. We collect only the arrangement data required to deliver compliance workflow functionality — and nothing else.
SOC 2 Type I attestation targeted for Q3 2026. Type II planned Q1 2027. Approximately 60% Type I-ready today: org-scoped row reads, hashed API keys, append-only audit, opt-in cross-org sharing. Internal readiness assessment available on request.
ArrowISE is a compliance workflow tool — not legal advice. All arrangement compliance decisions should be reviewed by qualified healthcare counsel. Reference to regulatory bodies (OIG, HHS, CMS, DOJ) and professional associations (HFMA, HCCA) is for informational purposes only. ArrowISE has no affiliation with, endorsement from, or official relationship with any of the foregoing. See our Security page for full security documentation.
Replace arrangement spreadsheets with audit-ready compliance infrastructure. 30 days free. No credit card. Setup in 15 minutes.
ArrowISE is a compliance workflow tool, not legal advice. Consult qualified healthcare counsel for arrangement compliance decisions.