Gosfield and Shay on Health Law

Episode Summary: 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. A...

Episode Summary:  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 privat...

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 inform...

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 expl...

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 em...

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...

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 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 insig...

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...