Compliance
Compliance and Regulatory Guidance
In the healthcare industry, adherence to state and federal regulations is not just a legal requirement; it’s the foundation of patient safety, data protection, and ethical medical practice. Navigating the complex world of healthcare laws, payer expectations, and regulatory oversight can be challenging, but it’s essential for every healthcare provider and organization.
At Dike Law Group, we help healthcare businesses meet critical regulatory and operational standards, whether it’s safeguarding patient data under HIPAA, managing credentialing oversight, maintaining compliance with Stark Law, or aligning with state-specific healthcare laws. Our team provides clear, practical solutions that support your organization’s structure, operations, and long-term growth so you can stay focused on delivering quality care.
OUR SERVICES
Help with State and Federal Health Law Compliance
- HIPAA Compliance and State Privacy Laws
- Corporate Integrity Agreement Compliance
- BAA Agreements
- State Health Law Compliance
- Provider Licensing
- Responding to DOJ Inquiries
- CMS Compliance
- Billing Compliance
- OIG Compliance
- Credentialing Compliance
- Stark Law Compliance
- CHOW
- Anti-Kickback Compliance
HIPAA (Health Insurance Portability and Accountability Act) Compliance
Our firm provides comprehensive HIPAA assessments, breach management support, and privacy policy development. We help your organization implement effective systems, training, and procedures that meet both federal and state privacy requirements.
Corporate Integrity and Risk Management Programs
We help design internal compliance programs that promote transparency, reduce risk, and support ethical operations. Particularly for organizations under federal oversight or operating under a Corporate Integrity Agreement.
Business Associate Agreements (BAAs)
We draft, review, and negotiate BAAs to ensure they meet HIPAA requirements while protecting your organization from liability and maintaining data security.
Provider Licensing and Regulatory Navigation
Whether you’re launching a new practice or expanding into new markets, we assist with licensing, renewals, and compliance with state and federal regulatory agencies.
Responding to DOJ or OIG Inquiries
Our attorneys represent healthcare providers during audits, investigations, and inquiries from the Department of Justice (DOJ), Office of Inspector General (OIG), or Centers for Medicare & Medicaid Services (CMS), offering proactive and strategic legal guidance.
Billing, Reimbursement, and CMS Oversight
We advise providers on billing practices, Medicare and Medicaid participation, and internal auditing to help prevent compliance issues and financial penalties.
Credentialing and Pre-/Post-Credentialing Support
While Dike Law Group does not handle credentialing directly, we assist clients with credentialing oversight, NCQA alignment, and pre-credentialing compliance for specific insurance providers.
We also conduct post-credentialing gap analyses to identify deficiencies in provider files, documentation, or processes that may threaten payer participation or accreditation standing.
When gaps or issues are identified, our team helps develop and implement a Corrective Action Plan (CAP)—a structured, actionable plan designed to address deficiencies and meet payer or NCQA expectations.
Each CAP typically includes:
- A detailed description of the deficiencies or findings
- Specific corrective actions to be taken
- Assigned responsibilities and timelines
- Follow-up verification steps to ensure sustained improvement
Our attorneys work closely with your credentialing and compliance teams to execute these CAPs effectively—helping your organization maintain regulatory readiness and prevent future issues.
Change of Ownership (CHOW) Transactions
We manage all aspects of CHOW filings to ensure smooth ownership transitions that meet both federal and state regulatory standards.
Stark Law and Anti-Kickback Guidance
We evaluate physician and provider relationships to ensure compliance with Stark Law and the Anti-Kickback Statute, helping you structure compensation and referral arrangements legally and strategically.
State-Specific Regulatory Guidance
Every state has its own set of healthcare laws and regulations. Our attorneys help you navigate these requirements to ensure your organization remains compliant at all levels.
Supporting Every Stage of Your Healthcare Business
Compliance is the foundation of your healthcare business—but it’s only the beginning. Dike Law Group provides end-to-end legal support designed specifically for healthcare organizations, including:
- Business formation and structuring
- Contract drafting and negotiation
- Trademark registration and brand protection
- Nonprofit and healthcare entity setup
We’re here to help you build, grow, and sustain your healthcare organization with confidence—providing the strong legal framework needed to thrive in today’s complex regulatory landscape.
Stay Compliant for the Safety of Your Patients & Your Business
Dike Law Group understands that healthcare compliance is a dynamic and evolving landscape. We are here to provide the legal support and guidance necessary to navigate these intricate regulations, protect patient rights, and ensure the legal integrity of your healthcare practice or organization. By staying in compliance with state and federal healthcare regulations, you not only avoid legal challenges but also build trust and confidence with your patients and stakeholders.