Legal services
Jacobson PLLC provides focused counsel for healthcare providers and organizations across Texas—combining regulatory depth, transactional judgment, and practical guidance you can act on.
Whether you operate a nursing facility, assisted living, home health or hospice agency, or related healthcare business, we help you navigate complex rules, protect reimbursement, and resolve disputes before they threaten your license or operations.
We serve SNF, ALF, Independent Living, Hospice, Home Health, and other HCSSA practices.
Long-term care & QIPP
Counsel for nursing facilities and long-term care providers on Quality Incentive Payment Program (QIPP) participation, survey readiness, licensing, and ongoing Medicare and Medicaid compliance.
Regulatory enforcement & surveys
Defense and strategy in healthcare regulatory enforcement actions, including survey deficiencies, civil monetary penalties, termination threats, and administrative appeals.
Medicare & Medicaid reimbursement
Resolution of reimbursement disputes, payment suspensions, and program integrity matters affecting your cash flow and ability to serve patients.
Transactional & business contracts
Drafting and negotiation of vendor, payer, management, and operational agreements tailored to healthcare regulatory requirements.
Business formation & transactions
Entity formation, restructuring, and purchase or sale of healthcare businesses and related assets—with attention to licensing, change-of-ownership, and continuity of operations.
Employment & risk management
Guidance on workforce issues, policies, and disputes—including matters before the Texas Workforce Commission and internal risk-management programs.
HIPAA & privacy compliance
Practical HIPAA compliance counseling, breach response planning, and policies that support patient privacy without unnecessary operational burden.
Enforcement, audits & appeals
Audits & Medicare program integrity
Defense in audits and reviews by SMRC, UPIC, ZPIC, and RAC contractors, including RUG audits and TPE (Target Probe Educate)—with strategy to limit Medicare rate reduction, overpayment demands, and recoupment.
CMS appeals & dispute resolution
CMS 2567 responses, Plans of Correction, Informal Dispute Resolution (IDR), and CMS appeals—including Responding to immediate jeopardy allegations and protecting your certification.
Ratings & Special Focus Facilities
Nursing Home Compare and Five-Star ratings counsel—whether you have a discrepancy with your rating or simply want to improve your rating—plus representation for SFF (Special Focus Facilities and those on the Candidate list).
Licensing & administrative defense
Administrative law representation across License revocation, Texas Administrative Penalties, Board of Nursing Investigations, NFA (Nursing Facility Administrator) investigations, and Life Safety Code citations.
Fee arrangements are flexible to fit your needs. We can bill by the hour, by the project, or a monthly retainer. Call for details.
Need counsel before a specific agency or board? See our practice experience before federal and state regulators and licensing authorities.
Ready to Discuss Your Matter?
Tell us what you are facing. We will help you understand options, timelines, and next steps—with clear, direct communication throughout.