Who We Represent and the Legal Problems We Solve

Provider Types and Organizations We Represent

• Regional Hospital Networks and Affiliated Physician Practices
• Federally Qualified Health Centers and Community Health Clinics
• Independent Primary Care and Family Medicine Practices
• Behavioral Health and Substance Use Treatment Providers
• Home Health and Hospice Organizations
• Urgent Care and Walk-In Clinic Operators
• Dental and Oral Surgery Group Practices
• Physical Therapy and Rehabilitation Clinics
• Non-Physician Healthcare Investors and MSO Operators
• Pharmacy Operations and Compounding Pharmacies
• Nonprofit Healthcare Organizations and Rural Health Programs

Legal Problems We Solve for Our Clients

• Medicaid Audit Defense and Overpayment Dispute Resolution
• False Claims Act Defense and OIG Investigation Response
• Telemedicine Licensing and Rural Patient Compliance Structuring
• HIPAA Privacy and Security Rule Implementation
• MSO Agreements and CPOM Compliance Documentation
• Physician Employment and Medical Director Agreement Review
• Anti-Kickback Safe Harbor Analysis and Referral Documentation
• Nonprofit Healthcare Formation and Federal Grant Compliance
• Medical License Defense Before State Licensing Boards
• Practice Acquisitions and Healthcare Transaction Due Diligence

How Federal Fraud Investigations Develop in This Jurisdiction

Federal healthcare fraud matters here typically begin one of two ways: a data-driven billing review that has been running quietly for months or a whistleblower filing from inside the organization. By the time a provider receives an audit notice or records request, the scope of the inquiry is already defined and the earliest response decisions carry the most weight.

As your healthcare fraud lawyer in Corpus Christi, we step in before anything is produced, assess what the inquiry is actually targeting and build a legal response around documented operational reality. Pharmacy billing patterns, home health documentation gaps and referral arrangement structures are the most common focus areas in this jurisdiction. Our Medicare fraud defense team handles these matters from first contact through full resolution, including any state-level inquiries running alongside federal channels.

Telemedicine Compliance for Practices Serving Surrounding Rural Counties

Practices extending care into Jim Wells, San Patricio, Aransas and Kleberg counties carry licensing, prescribing and documentation obligations that differ from in-person care delivery. What payer rules apply, what prescribing restrictions govern remote encounters and what patient agreement language is required all depend on the specific service being delivered and where the patient is located.

Practices that added telemedicine without a reviewed legal framework are carrying gaps that a compliance audit or licensing board review can surface without warning. Getting those structures documented correctly before a problem develops is straightforward when done early and significantly harder mid-operation.

Pharmacy and DME Operations in a High-Volume Medicaid Market

Pharmacy operations and DME suppliers in this market carry specific billing and documentation requirements that reflect the region’s Medicaid volume and federal enforcement focus. Physician order documentation, anti-substitution compliance, prior authorization records and supplier credentialing standards all need to be current and internally reviewed regularly.

Federal data analytics identify billing outliers in high-volume Medicaid markets continuously and practices that have not recently reviewed their internal controls are carrying more exposure than they may recognize. Dike Law Group works with pharmacy and DME operators on compliance reviews and active fraud defense, covering both prevention and response when a government contact arrives.

FQHC and Nonprofit Healthcare Organizations: A Different Legal Standard

Federally qualified health centers and nonprofit healthcare organizations serving the Coastal Bend’s low-income and uninsured populations operate under a legal framework that differs significantly from commercial practice requirements. Cost reporting obligations, federal grant compliance, board governance standards and the billing rules specific to FQHC-designated providers all require ongoing legal attention.

Dike Law Group works with these organizations on formation, compliance structuring and the legal matters that develop from operating under federal and state funding arrangements. The legal demands on community health organizations are distinct and our team approaches them accordingly.