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.
Using Nurse Practitioners and Physician Assistants: Medicare Billing Rules and Compliance Risks
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 misunderstandings about supervision levels, the potential for overpayments, and the legal risks associated with false claims. Daniel also discusses the importance of aligning state licensure laws with federal requirements and suggests strategic staffing models that maximize the roles of NPs and PAs without compromising compliance. This episode is essential for healthcare providers aiming to optimize their billing practices while maintaining regulatory compliance.
28 Aug 2026
EHR Contracts and Data Access: What Physician Practices Need to Watch For
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 with HIPAA regulations. The conversation covers potential pitfalls such as loss of access to critical data, challenges in switching EHR systems, and the implications of integrating artificial intelligence into EHR platforms. Listeners will gain valuable insights into how to protect their practices from legal liabilities and ensure smooth operational transitions when dealing with EHR vendors.
31 Jul 2026
Stark Law and Physician Compensation: Productivity Pay and Profit Sharing Explained
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, emphasizing the importance of understanding designated health services and the impact of referrals. Alice also distinguishes between Stark and the anti-kickback statute, providing clarity on compliance and legal obligations. The episode offers valuable insights into structuring compensation formulas that align with Stark’s regulations while addressing the evolving landscape of value-based care. Listeners gain a comprehensive understanding of how to navigate these legal frameworks to ensure compliance and optimize compensation strategies.
3 Jul 2026
Why Prior Authorization Has Become a Breaking Point in Health Care
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 benefit managers and the controversies surrounding their practices, as well as the challenges posed by predictive algorithms and artificial intelligence in decision-making. The episode also covers Medicare Advantage’s role in the prior authorization debate and the implications of new CMS rules aimed at increasing transparency and efficiency. Listeners will gain insights into the ongoing reforms and the potential for meaningful change in the healthcare landscape.
5 Jun 2026
Physician Employment Agreements: Perspectives and Pitfalls from Both Sides
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 employers to maximize productivity. Daniel also examines the challenges physicians face with non-compete clauses, termination provisions, and tail coverage obligations. By understanding these elements, physicians can better navigate their contracts and protect their interests. This episode provides valuable insights for healthcare professionals looking to negotiate favorable terms and avoid common pitfalls in their employment agreements.
8 May 2026
Why Medicare Enrollment Is Like Home Ownership (Because It Requires Constant Maintenance)
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 timelines. Daniel Shay discusses the consequences of failing to comply, such as deactivation and revocation of billing privileges, and provides real-world examples of how outdated information can lead to serious issues. He offers practical advice for healthcare practices to manage their enrollment processes effectively, ensuring they stay ahead of potential problems. Listeners will gain valuable insights into maintaining compliance and safeguarding their practice’s financial health.
10 Apr 2026
Non Face-to-Face Services in Medicare: Risks and Rewards
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 and the implications for physician compensation models, offering valuable insights for healthcare providers navigating Medicare reimbursement.
13 Mar 2026
Voluntary Repayments: How Voluntary Are They and How to Do Them
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 overpayments escalating to false claims and the hefty penalties providers face.
16 Dec 2025
AI in Healthcare (Part 1): Legal Risk, Compliance Oversight, and Provider Liability
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. She shares best practices for staying compliant, reviewing software contracts, and maintaining oversight to protect both patients and practices.
7 Nov 2025
HIPAA Compliance for Physician Practices: Common Mistakes and How to Avoid Them
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 compliance officers. From patient record access to security risk assessments, this episode is a must-listen for physicians and administrators who want to protect their practices while staying compliant.
10 Oct 2025
Navigating Co-Management Agreements and Clinical Integration Structures
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 integrated healthcare programs.
12 Sept 2025
Stark Law Myths Debunked: What Physician Groups Still Get Wrong
In this debut episode of Gosfield & Shea 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 definitions. She explains why billing under a single tax ID doesn’t automatically mean Stark compliance, how incident-to-billing and anti-markup rules really work, and what pitfalls physician groups often overlook. Listeners will come away with sharper insights and practical clarity on how to structure arrangements without triggering Stark violations.
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