Albert W. Shay

Al advises hospitals, physician groups, and ancillary service providers in areas such as physician self-referral (i.e., the federal Stark law and its state law counterparts), federal fraud and abuse, and regulatory compliance. He frequently serves as compliance counsel for hospitals and other healthcare companies, including advising clients that are subject to Corporate Integrity Agreements. Al also helps healthcare businesses address complex fraud and abuse investigations, voluntary self-disclosures, overpayment recoupment efforts, and other compliance reviews, and he often negotiates resolutions with representatives of the CMS and/or HHS’s Office of Inspector General. Al advises numerous post-acute care providers and serves as the General Counsel for the National Association of Long Term Care Hospitals.

Al also represents many hospitals before administrative agencies and in federal courts. This includes work in connection with Medicare reimbursement and in certification appeals before the Provider Reimbursement Review Board, the CMS Administrator, and the federal courts. He has successfully appealed Medicare reimbursement matters in the US Court of Appeals for the First Circuit and the US Court of Appeals for the Eighth Circuit.

A frequent writer and speaker, Al often talks and writes on fraud and abuse matters, as well as the application of the federal physician self-referral law (Stark law). An active member of the American Health Lawyers Association (AHLA), he previously served as the vice chair of the AHLA’s fraud and abuse, self-referrals, and false claims substantive law committee.

Before joining Morgan Lewis, Al was a partner at an international law firm, where his work focused on the healthcare industry.