Legal 123s with ByrdAdatto

What happens when patients start using AI faster than the medical practices treating them? In this episode, Tim Sawyer, a two-time Inc. 500 entrepreneur, former clinic owner, and Executive Vice President of Sales at Faster Outcomes, shares how AI is reshaping cash-pay health care. Tune in to learn how medical practices can use AI to improve consistency, support clinical judgment, and streamline wo...

Is the best AI strategy in health care actually using less AI? In this episode, Dr. Ryan Neinstein, a board-certified plastic surgeon and founder Neinstein Plastic Surgery, shares lessons from growing his practice, partnering with private equity, and navigating the rise of AI in health care. Dr. Neinstein explains why the practices that thrive may be the ones that use technology to improve efficie...

What if AI changes how physicians practice medicine more than we expect? In this episode, Dr. Akash Chandawarkar, a board-certified plastic surgeon and founder of Mirror Mirror Plastic Surgery, shares how using AI tools helped him launch his private practice and why he believes physicians need to start thinking differently about AI today. Tune in to hear how AI may transform the practice of medici...

AI may already be part of your health care practice, whether you realize it or not. In this episode, Partner Jay Reyero explains what “shadow AI” is and how it can quietly enter a practice behind the scenes. Tune in to understand the privacy and compliance risks of AI, unexpected ways employees and patients may use AI, and what practice owners can do to bring AI “out of the shadows.” Learn how to...

There is a lot of uncertainty surrounding AI in health care, but waiting for clearer regulations is not a strategy practice owners can rely on. In this episode, hosts Brad Adatto and Michael Byrd explore how physicians and practice owners can navigate a rapidly evolving AI landscape when the rules are still taking shape. If you are wondering where to start, the answer may lie in the regulations al...

A single employee can create significant legal and reputational challenges for a practice. In this fan favorite episode, we revisit the story of a plastic surgery practice owner forced to navigate the fallout after a physician crossed professional boundaries with a patient. Listen in as we discuss the challenges of managing risk, making difficult employment decisions, and protecting the long-term...

Everyone is talking about the recent peptide updates, but has anything actually changed? In this episode, Partner Samuel Pondrom breaks down the latest recommendations from the FDA advisory committee involving six popular peptides (BPC-157, KPV, TB-500, MOTS-C, Epitalon, and Semax). Learn why these recommendations are only one step in the regulatory process, and why state law, patient-specific pre...

Hiring your first injector can be one of the most exciting milestones in a growing practice, but it can also be one of the riskiest. In this episode, partner Jay Reyero shares the story of a plastic surgeon whose patient demand had outgrown her capacity. As she prepared to hire her first nurse injector, she faced critical questions about compensation, employee classification, and how to protect he...

A physician hire meant to secure a practice owner's retirement lasted just four days. In this episode, hosts Brad and Michael share the story of a board-certified plastic surgeon who was eager to find a physician to eventually buy his California practice. Under pressure to retire, he rushed into an employment and succession arrangement with a physician he barely knew, relying on an “airtight” cont...

Every practice owner will eventually face one of the most difficult leadership decisions: letting an employee go. Partner Grace Lee joins us as we share the story of a medical aesthetics practice owner who waited too long to address a struggling employee, leading to patient complaints and a more difficult situation. Tune in to learn why successful employee terminations begin long before the termin...

What happens when the physician you hired to become a future partner turns into someone you need to let go? In this episode, hosts Brad and Michael share the story of a plastic surgeon who hired an associate physician with the goal of eventually making him a partner. Instead, he was forced to confront a hard reality: the physician was not producing, not fitting into the culture, and costing the pr...

A growing practice can outgrow its leadership structure long before anyone realizes it. In this episode, hosts Brad and Michael share the story of a successful neurosurgeon who built a thriving multi-state medical practice. What appeared to be a well-governed organization on paper quickly revealed deeper issues when new board members began asking questions. Tune in to learn what board members are...

A thriving practice can unravel overnight when everything depends on one person. In this episode, partner Jay Reyero shares the story of a successful cosmetic surgeon who built a thriving aesthetics practice alongside her husband, who managed the business side. When she unexpectedly passed away, he was left trying to hold the practice together while facing strict ownership laws, no physician cover...

Cash flow issues don’t usually start with cash, they start with decisions made long before revenue comes in. In this episode, hosts Brad and Michael share the story of two owners who set out to build a high-end med spa and invested heavily before validating patient demand. As revenue lagged behind expectations, they faced financial pressure that led to staffing gaps and risky compliance missteps....

In this episode, hosts Brad and Michael share the story of two highly respected plastic surgeons facing the same challenge: an unhappy patient demanding a refund after a procedure. While both doctors delivered strong clinical outcomes, their different responses led to very different results. Tune in to learn why your response strategy can influence legal risk, reputation, and the overall impact on...

Your practice can be growing, profitable, and still carrying risks you do not see. In this episode, Partner Jay Reyero shares the story of an aesthetic plastic surgeon whose rapid growth led to overlooked compliance gaps across staffing, supervision, and business operations. What seemed to be working well quickly came into question when new regulations forced him to examine how his practice was ac...

Adding a business partner can feel like the obvious next step when your practice is growing, but what happens when growth creates challenges in how decisions get made? In this episode, hosts Brad and Michael share the story of a successful physician who brought on a second doctor to help scale the business, only to run into unexpected challenges due to unclear expectations and misalignment. Tune i...

Every business owner reaches a moment when the next step is not so obvious. Hosts Brad and Michael kick off Season 24 with the lessons they learned from building their own firm. From the early days of moving fast and saying yes to every opportunity to navigating rapid growth, they reveal the challenges and turning points that shaped their journey. Learn how to avoid common pitfalls in your practic...

Adding a cash-pay service to an insurance-based practice may seem like a simple way to grow revenue, but it can introduce significant compliance risk. This fan-favorite episode explores how a cardiology practice’s weight loss program created patient confusion, operational headaches, and unexpected legal exposure. Tune in for compliance considerations to keep in mind when blending payment models. C...

The buzz around stem cells and exosomes continues to grow, but so do the legal and regulatory questions. In this fan favorite episode, Dr. Jordan Plews shares what medical practices should understand about these products, including FDA concerns, off-label risks, and why compliance matters just as much as innovation. Chapters [00:00] Intro [01:06]  Banter   [04:56]  Guest background [09:40]  What a...

As patients increasingly seek more personalized and preventative health care, practices are rethinking traditional care models. In this episode, Dr. Matti Palo, a board-certified orthopedic surgeon and entrepreneur, shares how he integrates wellness, direct care concepts, and emerging therapies into his practice while navigating the complexities of balancing cash-pay services with insurance-based...

In this episode, Dr. Johnny Franco, a board-certified plastic surgeon and founder of Austin Plastic Surgeon, shares the challenges practices face as they navigate the exploding demand for weight loss and wellness. Dr. Franco breaks down what it takes to integrate these services into an existing practice. Learn how quickly the space is shifting and what compliance risks come with expansion. Tune in...

Many medical practices are eager to add wellness services, but few are prepared for what it takes to run them well. In this episode, Amy Anderson, Founder of ACG Practice Partners, breaks down how to successfully integrate wellness into an existing practice. Learn why practices often underestimate the operational, financial, and compliance complexity behind services like weight loss programs, and...

As wellness, longevity, and anti-aging medicine continue to grow, physicians face increasing scrutiny around marketing claims, off-label therapies, and regulatory compliance. In this episode, Jeff Segal, MD, JD —ByrdAdatto partner and founder of Medical Justice—breaks down the growing legal risks facing these emerging areas of medicine. Tune in to learn how medical boards evaluate wellness practic...

What happens when patient demand pushes medical practices beyond their traditional scope? In this episode, Manhattan-based dermatologist and educator, Dr. Paul Jarrod Frank shares the growing pressure providers face as wellness, longevity, and preventative care reshape patient expectations. From GLPs and peptides to broader lifestyle conversations, Dr. Frank shares how practices can thoughtfully e...