The Practices and Providers We Represent

Practices and Organizations We Counsel

• Concierge and Direct Primary Care Physician Practices
• Medical Spas and Aesthetic Medicine Clinics
• Functional Medicine and Integrative Health Practices
• Behavioral Health and Mental Health Providers
• Physical Therapy and Sports Medicine Practices
• Dental and Oral Surgery Group Practices
• IV Hydration and Wellness Clinics
• Plastic Surgery and Cosmetic Medicine Practices
• Non-Physician Healthcare Investors and MSO Operators
• Pharmacy Operations and Compounding Pharmacies
• Healthcare Technology and Digital Health Companies

Legal Issues We Resolve for Our Clients

• Healthcare Entity Formation and CPOM Compliance
• MSO Agreements and Non-Physician Ownership Structuring
• Medical Spa Licensing and Delegation Protocol Documentation
• Trademark Clearance, Registration and Brand Enforcement
• False Claims Act Defense and OIG Investigation Response
• Anti-Kickback Safe Harbor Analysis and Referral Documentation
• HIPAA Privacy and Security Rule Implementation
• Physician Non-Compete and Partnership Agreement Review
• Practice Acquisitions, Asset Purchase and Buy-Sell Agreements
• Medicare and Medicaid Overpayment Defense and Audit Response

Why Private Pay and Boutique Practices Are Not Outside Federal Enforcement’s Reach

Federal enforcement agencies do not filter by billing volume or payment model. A whistleblower filing from a former employee, a flagged referral arrangement or an OIG complaint reaches a concierge practice in west Austin the same way it reaches a large multi-specialty group. What changes is not the exposure. What changes is whether the practice has legal representation in place when it arrives.

When a government contact comes in, the decisions made in the first few days carry the most weight. We step in immediately, assess the full scope before any response goes out and frame the defense around how the practice actually operates rather than how a set of billing codes looks in isolation. Licensing complaints and employment disputes that frequently surface alongside billing inquiries are managed under the same team so nothing develops in a gap between separate counsel.

Physician Buy-In Agreements and Partnership Disputes

Multi-physician arrangements and group ownership structures are common in this market and the disputes that come out of them are among the most disruptive a practice can face. An informal buy-in agreement, a partnership built without a documented exit provision or a compensation arrangement that was never tested against Stark Law standards all create real liability the moment a partner wants out or a disagreement escalates past conversation.

These disputes rarely appear without warning. The warning is usually a founding document that was put together quickly, reviewed by general counsel or never reviewed at all. Our team handles buy-in structuring, partnership disputes and ownership dissolution. Getting physician agreements reviewed before they are signed is where most of these situations get resolved before they become a formal legal matter.

Medical Spa and Aesthetic Practice Compliance in West Austin

The medical spa and aesthetic practice market in west Austin has grown significantly and the regulatory framework governing it is more specific than most operators anticipate going in. Texas Medical Board Rule 193.17, TDLR laser facility licensing, Good Faith Exam documentation and delegation protocols for injectables and laser treatments all need to be in place before a practice sees its first patient.

Ownership structures that do not account for CPOM rules create licensing and billing exposure that does not always surface immediately but does surface eventually. The practices that open correctly spend a fraction of what the ones that have to restructure mid-operation end up spending. Founding attorney Doris Dike built this firm after years managing legal and compliance functions inside healthcare organizations and our team covers every requirement specific to this practice type from pre-launch through ongoing compliance.

Trademark Protection for Practices That Have Built Real Brand Value

Concierge and boutique practices in this market invest heavily in brand identity. A practice name, a service mark or a treatment brand that patients associate with quality carries no legal protection without federal registration. A competitor can adopt the same name or a confusingly similar one without recourse if that registration was never secured. Early trademark clearance also surfaces conflicts before they become expensive disputes rather than after.

Healthcare trademark work carries considerations that general trademark counsel typically misses. Licensing arrangements, CPOM implications and the way a brand is used across multiple service lines all affect how registration should be structured and enforced. Dike Law Group handles the full process from clearance through federal registration and active enforcement with those healthcare-specific factors already accounted for.