Gosfield & Shay on Health Law is a podcast dedicated to unpacking the complexities of health care compliance, physician group structuring, and federal regulatory policy. Presented by Alice Gosfield & Daniel Shay, one of the nation’s leading health care attorneys, the show helps physicians, practice managers, and hospitals navigate the legal landscape with clarity, strategy, and confidence.
Episode Summary: In this episode of Gosfield and Shay on Health Law, healthcare attorney Daniel Shay delves into the complexities of Medicare billing and supervision rules for physician practices employing nurse practitioners (NPs) and physician assistants (PAs). Daniel explains the critical incident-to billing and diagnostic testing rules, highlighting the financial implications of each approach. He addresses common misunderstandi...
Episode Summary: In this episode of Gosfield and Shay on Health Law, healthcare attorney Dan discusses the intricacies of electronic health record (EHR) contracts with host Evan Mack. They delve into the critical aspects of EHR agreements, focusing on the legal and operational risks that physician practices face. Dan highlights the importance of understanding contract terms, especially regarding data control and compliance wi...
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In this episode of Gosfield and Shay on Health Law, Alice Gosfield, a renowned healthcare attorney, dives deep into the complexities of Stark Law and its implications for physician compensation. Joined by host LeAnn Lyon, Alice unpacks the intricacies of productivity formulas, profit sharing, and the common pitfalls physician groups encounter. She explains how Stark Law regulates internal compensation decisions, em...
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In this episode of Gosfield and Shay on Health Law, Alice Gosfield, a renowned healthcare attorney, joins host LeAnn Lyon to delve into the complexities of prior authorizations in the healthcare system. They explore the historical context and recent scrutiny of prior authorizations, revealing how these processes have become a significant burden for physicians and patients alike. Alice discusses the role of pharmacy...
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In this episode of Gosfield and Shay on Health Law, healthcare attorney Daniel Shay discusses the intricacies of physician employment agreements. Daniel delves into the evolution of compensation structures over the past decade, highlighting the shift from fixed salaries to productivity-driven models. The conversation covers the impact of industry consolidation, the role of private equity, and the pressures on...
Episode Summary: In this episode of Gosfield and Shay on Health Law, healthcare attorney Daniel Shay delves into the intricacies of Medicare enrollment, likening it to the ongoing responsibilities of homeownership. He highlights the necessity for constant updates and vigilance to maintain compliance, emphasizing the importance of responding to revalidation requests and updating application information within specified timelin...
Episode Summary: In this episode of *Gosfield and Shay on Health Law* attorney Alice Gosfield delves into the complexities and potential pitfalls of billing for non-face-to-face services under Medicare. She discusses the shift in Medicare payment policies, specific documentation requirements, red flags for federal auditors, and the challenges posed by remote physiologic monitoring. Alice also explores rules for split shared visits ...
Episode Summary: In this episode of *Gosfield and Shay on Health Law*, healthcare attorney Alice Gosfield delves into the nuances of voluntary repayments in healthcare compliance. She highlights the importance of proactive auditing, the evolving definition of overpayments, common mistakes in calculating repayments, and the significance of proper documentation when returning money. Gosfield also emphasizes the implications of overpa...
Episode Summary: In this episode of Gosfield and Shay on Health Law, healthcare attorney Daniel Shay explores the legal risks and responsibilities physicians and healthcare practices face when using artificial intelligence (AI). From clinical documentation to billing and coding, Daniel explains how AI tools can both improve efficiency and create potential liabilities, including medical malpractice and False Claims Act violations. S...
Episode Summary: In this episode of Gosfield and Shea on Health Law, healthcare attorney Daniel Shay explains what HIPAA really requires, how it’s enforced, and the biggest compliance mistakes medical practices make. Daniel breaks down the difference between reasonable caution and overreaction, shares real-world examples of costly IT missteps, and offers practical advice for small practices that can’t afford full-time c...
Episode Summary: In this episode, Alice Gosfield breaks down co-management agreements and clinical integration for healthcare organizations. She explains what works, what doesn’t, and the essential strategies physicians and hospitals need to create high-performing, legally compliant collaboration models. From aligning financial incentives to building a shared culture, Alice shares actionable insights for anyone developing int...
Episode Summary: In this debut episode of Gosfield & Shay on Health Law, nationally recognized health care attorney Alice Gosfield clarifies one of the most confusing areas in physician compliance: Stark Law. Drawing on decades of experience advising physicians, hospitals, and group practices, Alice debunks persistent myths around fair market value, commercial reasonableness, designated health services, and group practice defin...
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