Fotheringill & Wade, Llc

Founded in 2002 by nationally-recognized denial and appeals management experts Linda Fotheringill and Tracy Wade, Fotheringill & Wade, LLC (F&W) is a law firm focused exclusively on advising and representing hospitals and health systems at each stage of the denial and appeals management process. In order to provide hospitals with the legal and clinical advisement necessary at each stage, the staff at F&W is an interdisciplinary team comprised of attorneys, physicians, registered nurses, certified coders and recovery specialists. Quantum Appeals© (QA), a proprietary software developed in conjunction with leading technologists, allows F&W attorneys and clinicians to work collaboratively to develop innovative strategies to recover wrongfully denied and underpaid claims. Unlike many firms in the industry, ensuring that hospitals and healthcare systems effectively manage the denials and appeals process is our singular focus. Our approach to managing denials and appeals involves collaborating with clients at each phase of the process. We advise clients on contract negotiation so that hospitals achieve the most favorable terms with payers. We monitor changes in the legal and regulatory landscape and educate clients regarding their rights and responsibilities under Federal and State laws and regulations. We manage appeals of denied claims and provide consulting services aimed at implementing denial prevention strategies. Our services can be tailored to supplement the efforts of a hospital’s internal staff or we can completely handle your denial and appeal needs. We will arbitrate, litigate, or proceed to an administrative hearing, should such action be needed to bring a claim to a successful conclusion. No matter how you chose to partner with us, our team of experts can give you the sophisticated, comprehensive support you need.