Healthcare Attorney in Biggs Field, TX | Fraud Defense and Business Counsel

Healthcare Businesses and Providers We Represent

Practice Types Across the Fort Bliss Market

• TRICARE-participating providers billing military and civilian payers
• Physician-owned primary care and specialty practices in El Paso County
• DME suppliers and durable medical equipment operators
• Urgent care and freestanding emergency center operators
• Outpatient behavioral health and substance use disorder providers
• Home health and personal care agencies
• Medical spa and aesthetic clinic operators
• Dental and oral surgery group practices
• Physical therapy and rehabilitation clinics
• Non-physician investors and MSO operators
• Retail and compounding pharmacy operations
• Nonprofit healthcare organizations and FQHCs

Legal Problems We Solve

• TRICARE billing compliance and Defense Health Agency documentation review
• False Claims Act defense and federal investigation response
• Insurance fraud matters involving private payers and Blue Cross Blue Shield
• CPOM ownership review before entity documents are executed
• Stark Law compensation analysis and relationship restructuring
• Anti-Kickback safe harbor evaluation for DME and referral arrangements
• HIPAA gap analysis, BAA drafting and Security Rule implementation
• Physician partnership, buy-in and equity transfer agreement drafting
• Medicare and Medicaid overpayment defense and audit management
• TMB, BON and TSBP board complaint defense
• Non-compete structuring, employment agreements and contractor classification
• Practice sale due diligence, asset purchase structuring and post-close obligations

What Western District Prosecutors Have Already Done Here

The Western District of Texas treats El Paso as an active enforcement priority. Federal actions in this market have included hospital executives facing criminal charges, DME owners sentenced to federal prison, False Claims Act upcoding settlements against physician groups and nine-figure civil fraud recoveries across the district.

Your claims data determines whether your billing draws federal attention, not your specialty or years in practice.

Let us review your documentation before a federal agency does.

Why TRICARE Billing Creates Legal Risk Medicare Does Not

Most providers billing both TRICARE and Medicare assume the two programs share the same documentation standards. They do not. Defense Health Agency requirements apply independently of CMS rules and gaps between the two create distinct legal liability that standard compliance programs miss.

A deficiency under TRICARE standards that would never trigger Medicare scrutiny can still result in a Defense Criminal Investigative Service referral to federal prosecutors. As your healthcare lawyer in Biggs Field, we identify those gaps and close them before an audit surfaces. Providers carrying dual payer exposure benefit from the same review we apply to Medicare fraud defense matters across Texas.

When FBI El Paso or HHS-OIG Contacts Your Practice

FBI El Paso, HHS-OIG and the Texas Department of Insurance coordinate on healthcare matters across this district. TRICARE billing adds the Defense Criminal Investigative Service to that coordination. Each agency operates on its own timeline, document demands and legal standards.

As your healthcare fraud lawyer, we determine actual scope before your staff says anything, control what gets produced and prevent parallel matters from compounding your exposure. Providers with proper compliance documentation in place before agency contact are in a materially stronger legal position from the start. That same approach drives how we handle every federal healthcare investigation from first contact through resolution.

Buying or Selling a Practice in the Fort Bliss Market

Practice transactions here carry obligations most general business attorneys miss entirely:

• TRICARE provider agreements do not transfer to a buyer automatically
• Medicare and Medicaid enrollment must be resequenced through CMS in a specific order or billing gaps follow the seller after closing
• HIPAA patient record obligations require a defined transition protocol before the sale closes, not after

Buyers need due diligence that surfaces open audits, unresolved overpayment demands and compliance gaps before they transfer with the assets. We handle both sides of healthcare transactions from letter of intent through post-close obligations.

Why Dike Law Group Handles This Work Differently

Founding attorney Doris Dike served as Chief Legal Officer inside a hospital system before building this firm, holds a degree in health administration and co-owns a healthcare business with her physician spouse. She understands how regulated practices function under pressure from the inside, not just from the law’s perspective.

Active licensure in Texas, Indiana and California means multi-state providers work with one team across all jurisdictions. Providers operating across state lines bring their telemedicine licensing and cross-state prescribing matters to the same team.Clients return across different matters over multiple years because counsel that already knows a practice’s structure handles new problems with a depth outside firms cannot match. Speak directly with a Biggs Field insurance fraud lawyer