The Practices We Represent and the Legal Work We Do for Them

Healthcare Businesses We Counsel

• Private Specialty and Concierge Physician Practices
• Medical Spas and Aesthetic Medicine Clinics
• Urgent Care and Walk-In Clinic Operators
• Behavioral Health and Psychiatry Practices
• Physical Therapy and Rehabilitation Clinics
• Dental and Orthodontic Group Practices
• Ambulatory Surgery Centers and Diagnostic Facilities
• Non-Physician Healthcare Investors and MSO Operators
• Pharmacy Operations and Compounding Pharmacies
• Nonprofit Healthcare Organizations and Community Clinics
• Healthcare Technology and Digital Health Companies

Legal Work We Handle for Our Clients

• Healthcare Entity Formation and Ownership Structuring
• MSO Agreements and CPOM Compliance Documentation
• Joint Venture Structuring and Anti-Kickback Safe Harbor Analysis
• Medical Spa Licensing and Delegation Protocol Compliance
• False Claims Act Defense and OIG Investigation Response
• Stark Law Compensation Review and Agreement Restructuring
• HIPAA Privacy and Security Rule Implementation
• Physician Non-Compete and Partnership Agreement Disputes
• Trademark Registration and Brand Protection
• Practice Acquisitions and Healthcare Transaction Due Diligence

When a Federal Billing Matter Arrives, Here Is How We Respond

Federal billing enforcement does not scale to the size of a practice. A UPIC audit, a RAC review or a False Claims Act referral lands on an independent specialty clinic with the same weight it carries for a large hospital system. What changes the outcome is how quickly the right legal response goes into motion.

When a government contact arrives, we step in immediately. That means assessing the full scope of the inquiry before any response goes out, controlling document production and framing the defense around how the practice actually operates rather than how the billing data looks in isolation. Employment disputes and contract matters frequently run alongside billing inquiries and we manage those under the same team so nothing develops in a gap between separate counsel.

The practices that come out of federal matters in the best position are rarely the ones with the cleanest records. They are the ones that had legal representation in place from the first contact.

Joint Ventures, Referral Arrangements and the Legal Requirements That Apply

The concentration of healthcare activity around the San Antonio Medical Center creates a The concentration of healthcare activity around the South Texas Medical Center makes joint ventures, co-management arrangements and referral relationships between independent practices and larger systems a regular feature of this market. None of those arrangements are legally neutral. Each one carries structuring requirements that determine whether it holds up under federal review.

Anti-Kickback safe harbor analysis establishes whether a referral arrangement is defensible. Stark Law compensation reviews confirm whether financial relationships between referring physicians and designated health service entities are properly documented. Fair market value assessments support both. Practices that build these arrangements quickly and informally carry exposure that sits quietly until an audit brings it into focus. Our compliance team reviews these structures regularly and know where the documentation gaps tend to appear before they become a problem.

What Working With Dike Law Group Looks Like for San Antonio Area Clients

Founding attorney Doris Dike spent years managing legal and compliance functions inside healthcare organizations before building this firm. That background is not incidental. It shapes how every client matter is assessed here because understanding how a healthcare business actually operates is what separates useful legal counsel from advice that sounds right but does not hold up in practice.

Clients across the San Antonio market work with us across multiple years and multiple matters. A legal team that already knows a practice’s ownership structure, billing history and referral relationships produces better outcomes than one that has to rebuild that context each time a new issue develops. Whether the immediate need is fraud defense, a contract review or a compliance overhaul, the level of engagement is the same from the first conversation forward.