Physicians & Clinics
Board of Medical Examiners matters, payor enrollment, physician agreements, and government inquiries for Tennessee physicians and clinics, from a former deputy general counsel at the Department of Health, with a litigation firm behind him.
Eleven years inside Tennessee healthcare regulation, including as deputy general counsel at the Department of Health.
Licensed in Tennessee, with federal practice before the DEA, FDA, and HHS nationwide.
The healthcare division of Litson PLLC, ready if a matter reaches court.
How we approach it
A physician-owned clinic answers to more than one regulator at once, and the questions tend to arrive on their own schedule rather than yours. The Board of Medical Examiners licenses the physicians, the payors decide when and whether the practice gets paid, the DEA sets the rules for prescribing, and federal and state agencies reserve the right to ask about any of it. Matt Gibbs spent more than eleven years inside Tennessee’s healthcare regulatory system, including as deputy general counsel at the Department of Health, where the disciplines under his team’s watch included medicine alongside pharmacy, nursing, and healthcare facilities, so the way a Board reviews a physician’s file is familiar ground.
That familiarity changes the pace of the work. When a complaint or records request arrives, the first step is understanding what the reviewer is actually asking and which records the agency is entitled to receive, because a complete and accurate first response tends to shape everything that follows. When the question is about revenue, the work is enrolling providers with medical insurance carriers and keeping the credentialing files current, a process that takes months and months and rewards the practices that start early. And when a physician is handed an employment or partnership agreement, the review focuses on the terms that matter most once the first year is behind you: compensation formulas, restrictive covenants, tail coverage, and termination.
Some matters need more than regulatory counsel. A civil investigative demand, a subpoena, or a payor audit that turns into an allegation of improper billing calls for a litigation team, and RxLaw Group is the healthcare division of Litson PLLC, whose founding partners spent years prosecuting and defending federal healthcare fraud cases. The physician keeps one point of contact throughout, while the firm scales to whatever the matter requires. Telehealth prescribing deserves its own mention, since the federal flexibilities that allow controlled substances to be prescribed remotely currently run through December 31, 2026 with a permanent rule still pending, and practices built on that model benefit from planning for the next version of the rule before it arrives.
What we handle
Licensing, payment, contracts, and the inquiries that arrive without warning.
Complete, accurate responses to the Board of Medical Examiners, and licensure questions handled before they become complaints.
Enrolling physicians and advanced practice providers with medical insurance carriers and keeping the files current.
Compensation, restrictive covenants, tail coverage, and termination terms reviewed before you sign.
Remote prescribing models reviewed against current federal flexibilities and the rule that will replace them.
Civil investigative demands, subpoenas, and payor audits answered with the right records and the right context.
Defense of billing and fraud allegations with Litson PLLC’s federal litigators behind the practice.
A Board investigation, a government inquiry, or a fraud allegation is handled on an hourly or retainer basis with a clear scope and estimate before work begins. Members get unlimited questions, agreement and policy review, and credentialing on one flat monthly fee, which is where most of a practice’s legal needs actually live.
Common questions
You are allowed to respond on your own, and many physicians do, but the response is the Board’s first and often lasting impression of how the practice operates. A short conversation before you answer helps you understand what prompted the complaint, which records the Board can request, and how to present the context an investigator may not have. In most cases it makes the response cleaner for everyone involved, the investigator included.
Enrollment with medical insurance carriers takes months and months, and the timeline is set mostly by the carriers themselves. What can be controlled is the quality of the application, the completeness of the supporting file, and how quickly follow-up requests are answered, which is where most delays actually come from. Starting the process well before a provider’s first day of seeing patients is the single biggest time saver.
Membership covers the questions, agreement and policy review, and credentialing work that surround a matter, and it is the reason most members never face one. An active investigation, civil investigative demand, payor audit dispute, or fraud allegation is a separate engagement, scoped and estimated up front on an hourly or retainer basis, so there is never a surprise about what is covered.
For now, yes, under the federal flexibilities that currently run through December 31, 2026, so long as the state and federal prescribing requirements are followed. A permanent federal rule is still pending, and its details may change the registration and in-person requirements for telehealth prescribers. Practices built around remote prescribing benefit from reviewing their model now, so any change in the rule can be handled on a schedule.
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