The Healthcare Businesses and Providers We Serve

Practices and Organizations We Represent

• Physician Group Practices and Multi-Specialty Clinics
• Home Health and Hospice Organizations
• Ambulatory Surgery Centers and Freestanding Diagnostic Facilities
• Behavioral Health and Substance Use Treatment Providers
• Telemedicine Platforms and Digital Health Companies
• Durable Medical Equipment and Prosthetics Suppliers
• Independent Pharmacies and Compounding Operations
• Urgent Care and Walk-In Clinic Operators
• Dental and Oral Surgery Group Practices
• Non-Physician Healthcare Investors and Management Companies
• Nonprofit Healthcare Organizations and Community Health Centers

Legal Matters We Handle for Our Clients

• False Claims Act Defense and Federal Investigation Response
• Medicaid Audit and MFCU Investigation Management
• Physician Non-Compete Disputes and Employment Agreement Review
• MSO Structuring and Non-Physician Ownership Compliance
• Anti-Kickback Safe Harbor Analysis and Referral Arrangement Review
• Stark Law Compensation Review and Restructuring
• Healthcare Business Formation and Ownership Documentation
• Medical License Defense Before State Licensing Boards
• Telemedicine Compliance and Interstate Licensure Compact Filing
• Practice Acquisitions and Healthcare Transaction Due Diligence

How Federal and State Fraud Enforcement Works in Indiana

Federal billing enforcement runs through the U.S. Attorney’s Offices for the Southern and Northern Districts, both active in False Claims Act matters involving home health billing, opioid prescribing and diagnostic testing fraud. Most cases begin with a whistleblower filing, which means the investigation is often well along before the provider receives any notice. Knowing how False Claims Act exposure develops in this state is something every Indiana healthcare business should understand before a notice arrives.

The Attorney General’s Medicaid Fraud Control Unit operates independently from federal agencies and investigates billing fraud and provider misconduct through the state Medicaid program. When federal and state inquiries run at the same time, each can affect the other if not handled together. A healthcare fraud lawyer who understands how both tracks operate is the practical answer at that point.

State-Level Regulations That Affect How Practices Operate

Most facility types, including ambulatory surgery centers and freestanding diagnostic facilities, operate without a Certificate of Need requirement here. That lowers the barrier to entry but brings closer scrutiny to independent operators, particularly around billing. DEA oversight of controlled substance prescribing has also increased in recent years, creating real licensing exposure for primary care and pain management providers. Our licensing defense team handles board matters that develop out of these situations regularly.

Medicaid billing obligations and medical waste compliance carry distinct documentation requirements that vary by facility type and are worth reviewing before a state inspection or audit. For practices with non-physician ownership involved, understanding who can legally own a medical practice in this state is a foundational question that shapes how the entire business gets structured. The state participates in the Interstate Medical Licensure Compact, which affects how telemedicine providers manage cross-state licensing obligations. Physician non-compete agreements are enforceable under the right conditions and employment contracts that look straightforward often contain provisions that create problems when a provider exits.

Starting a Healthcare Business in Indiana – What the Legal Process Involves

Whether it is a clinic, a home health agency or a medical spa, launching a healthcare business in Indiana involves legal requirements that go well beyond standard business formation. Entity selection, ownership structuring and licensing all need to be in place before operations begin. Providers looking at starting a home health agency or opening a med spa in Indiana face distinct regulatory steps for each practice type that are best addressed before the doors open.For any business where non-physician ownership is involved, the corporate practice of medicine doctrine determines how the structure gets built, whether an MSO is required and what compliance obligations apply from day one. Similarly, providers building a telehealth platform need to address cross-state licensing, prescribing protocols and patient agreement requirements as part of that setup process. Getting these decisions right at formation is significantly less costly than correcting them mid-operation.

Why Indiana Healthcare Providers Trust Dike Law Group

Founding attorney Doris Dike spent years managing compliance and legal operations inside healthcare organizations before building this firm. That experience shapes how client matters are handled here. Our attorneys understand how healthcare businesses operate day to day, which means the legal guidance we provide is grounded in how this industry actually works. An Indiana healthcare fraud defense attorney who already knows a practice’s structure and compliance history approaches a government matter differently than one meeting the client for the first time.