Professionals

Linda Fotheringill
Co-Founder and Partner
T: 410-296-1552 ext 101

Linda Fotheringill is a nationally recognized expert on denial and appeals management and a partner in the law firm of Fotheringill & Wade, LLC. Ms. Fotheringill successfully assists hospitals across the country in overturning “hopeless” denials and generating millions of dollars in revenue that would otherwise be lost. She also represents clients in insurance contract disputes and medical malpractice litigation.

Ms. Fotheringill began her career as a hospital-based physician assistant in the areas of general surgery, oncology, neurosurgery and trauma. She also brings to Fotheringill & Wade 14 years of experience in the insurance industry as a claims representative with Medical Mutual Liability Insurance Society of Maryland.

As a nationally recognized expert, Ms. Fotheringill has published numerous articles on appeals and payment recovery in hospital case management, hospital access management, and hospital payment and information management. She co-founded the Denial Management Institute, serves on the editorial board of the RAC Monitor, and has provided denial management education for such organizations as the American Hospital Association, the California Hospital Association, the Missouri Hospital Association, the Indiana Hospital Association, and the Georgia Hospital Association. She regularly serves as a guest speaker and presenter at the national and regional chapters of the Healthcare Financial Management Association (HFMA), the National Association of Healthcare Administration Management (NAHAM) and at the American Association of Healthcare Administrative Management (AAHAM) and its affiliate chapter in California.

Ms. Fotheringill graduated cum laude from the University of Baltimore School of Law and holds memberships in the American Association of Healthcare Administration Management (AAHAM), the Healthcare Financial Management Association (HFMA), the Maryland State Bar Association, and the American Bar Association.

Education

J.D., University of Baltimore School of Law, Baltimore, MD, cum laude
B.S., Towson State University
Physician Assistant Surgical Internship, Sinai Hospital
Physician Assistant, Essex Community College

Admitted to Practice

Maryland

Tracy A. Wade
Co-Founder and Partner
T: 410-296-1552 ext 106

Tracy Wade is a co-founder and partner in the law firm of Fotheringill & Wade, LLC.  Throughout her career, she has focused exclusively on the representation of hospitals and health care providers in their disputes with medical insurance carriers, managed care organizations and government programs such as Medicare, Medicaid and what was formerly the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) and is now TRICARE.

In her current role, Ms. Wade assists hospitals across the country with third-party payer revenue recovery, generating millions of dollars in revenue by resolving denied and underpaid medical insurance claims for her clients through written appeals and arbitration.  Ms. Wade acted as lead developer and project manager for Quantum Appeals®, a superior denial management and tracking software that provides a comprehensive, systematic way to fight and prevent third-party payer denials.

Ms. Wade brings extensive legal and denial management experience to her position at Fotheringill & Wade, LLC, dating back to her work as a registrar in the emergency departments of the Cleveland Clinic Foundation and the University of California at Los Angeles Medical Center. As a hospital registrar, she gained an understanding and appreciation of fundamental hospital insurance issues, while working her way through undergraduate and law school.   Ms. Wade has served as a guest speaker and presenter at the national and regional chapters of the Healthcare Financial Management Association (HFMA), the National Association of Healthcare Administration Management (NAHAM) and at the American Association of Healthcare Administrative Management (AAHAM).

Ms. Wade graduated from Cleveland-Marshall College of Law and is admitted to practice before the Court of Appeals of Maryland, the U.S. District Court for the District of Maryland, the Supreme Court of California and the U.S. District Court for the District of California. She is a member of the American Association of Healthcare Administration Management (AAHAM), the Healthcare Financial Management Association (HFMA), the Maryland State Bar Association, the California State Bar Association and the American Bar Association.

Education

J.D., Cleveland-Marshall College of Law, Cleveland, OH

Admitted to Practice

Maryland
Washington, D.C.
California

Kelley Regan Costello
Associate Attorney
T: 410-296-1552 ext 159

Kelley Regan Costello is an associate attorney at Fotheringill & Wade, LLC.  Ms. Costello represents and counsels health care providers in their disputes with medical insurance carriers and managed care organizations. Ms. Costello focuses her work on resolving denied and underpaid facility claims and counseling on compliance matters.

Ms. Costello graduated from the University of Baltimore School of Law. While in law school, she served as a student clerk to a Baltimore City judge and was employed full-time as a law clerk for a private law practice. Prior to law school Ms. Costello gained litigation and business dispute experience as a paralegal at Miles & Stockbridge, P.C., a prominent regional law firm with offices located across Maryland and Washington, D.C.   Ms. Costello is admitted to the State Bar of Maryland and holds memberships in the Maryland State Bar Association and the Healthcare Financial Management Association (HFMA).

Education

J.D., University of Baltimore School of Law, Baltimore, MD
B.A., St. Mary’s College of Maryland, St. Mary’s, MD

Admitted to Practice

Maryland

Publications/Presentations

The Revenue Cycle Leader’s Role in Controlling Contract Profitability.  HFMA South Carolina, Annual Revenue Cycle Forum, September 9, 2014.

Lindsey Frank
Associate Attorney

Lindsey N. Frank is an associate attorney with Fotheringill & Wade, LLC. Ms. Frank represents and counsels health care providers in their disputes with commercial insurance carriers, managed care organizations and government payers. She has extensive experience resolving denied and underpaid facility claims.

Ms. Frank graduated from the University of Baltimore School of Law magna cum laude and holds a Bachelor of Arts in Journalism from the University of Maryland at College Park. Prior to joining Fotheringill & Wade, LLC, she was employed at a private practice law firm where she gained experience in civil litigation, contract negotiation, corporate law, and appellate practice. Ms. Frank is a Certified Professional Compliance Officer (CPCO) in healthcare compliance.   She has also received training and is certified in Mediation under Title 17 of the Maryland Rules of Procedure. Ms. Frank is admitted to the State Bar of Maryland and holds memberships in the Maryland State Bar Association and the Maryland State Bar Association Health Law Section.

Education

J.D., University of Baltimore School of Law, Baltimore, MD
B.A., University of Maryland, College Park, MD

Admitted to Practice

Maryland

Emily Gillingham
Associate Attorney

Emily M. Gillingham is an associate attorney at Fotheringill & Wade, LLC.  Ms. Gillingham represents healthcare providers in the appeal of denied and underpaid facility claims. Ms. Gillingham’s primary area of focus is Maryland insurance law; she has experience with both commercial and governmental payers.

Ms. Gillingham graduated magna cum laude from Michigan State University College of Law.  She holds a Bachelor of Arts from Eastern Michigan University, where she graduated summa cum laude.   Ms. Gillingham is admitted to the Maryland Bar.

 

Education

J.D., Michigan State University College of Law, East Lansing, MI, magna cum laude

B.A., Eastern Michigan University, Ypsilanti, MI, summa cum laude

 

Admitted to Practice

Maryland

Lauren Hamilton
Associate Attorney
T: 410-296-1552 ext 128

Lauren Hamilton is an associate attorney at Fotheringill & Wade, LLC. Ms. Hamilton represents and counsels health care providers in their disputes with commercial insurance carriers, government payers and managed care organizations. Ms. Hamilton’s primary area of focus is on the Maryland Medical Assistance Program and the managed care organizations in Maryland.

Ms. Hamilton graduated cum laude from the University of Baltimore School of Law and holds a Bachelor of Arts degree in Political Science and Criminal Justice from Elizabethtown College. While in law school, Ms. Hamilton gained practical experience thought the school’s Disability Law Clinic and through her internship with the Health Education and Advocacy Unit at the Maryland Office of the Attorney General. She is admitted to the State Bar of Maryland.

Education

J.D., University of Baltimore School of Law, Baltimore, MD
B.A., Elizabethtown College, Elizabethtown, PA

Admitted to Practice

Maryland

Heather Holgate
Associate Attorney
T: 410-296-1552 ext 124

Heather Rochelle Holgate is an associate attorney at Fotheringill & Wade, LLC. Ms. Holgate represents and counsels health care providers in disputes with commercial insurance carriers, government payers, and managed care organizations. Ms. Holgate focuses her work on resolving denied and underpaid facility claims. Her areas of focus include a variety of commercial payers as well as government payers (TRICARE, Medicare, Medicaid, Veteran’s Affairs).

Prior to joining Fotheringill & Wade, LLC., Ms. Holgate represented clients at a Maryland based firm focusing on the areas of Medicaid eligibility, Social Security disability and Veteran’s Benefits. She also volunteered with local programs providing legal advice and representation to homeless and impoverished Veterans.

Ms. Holgate graduated from Rutgers University with a major in History and a double minor in Classical Studies and Religion. She received her Juris Doctor from the Duquesne University School of Law. While in law school, Ms. Holgate gained practical experience through the school’s Civil Rights Clinic and an externship with the Hon. Donetta Ambrose in the US District Court for the Western District of Pennsylvania. She is admitted to practice in Maryland, the District of Columbia, and before the Board of Veterans Appeals.

Education

J.D., Duquesne University School of Law, Pittsburgh, PA
B.A., Rutgers University, New Brunswick, NJ

Admitted to Practice

Maryland
District of Columbia
Board of Veteran Appeals

Sarah C. Mendiola
Associate Attorney
T: 410-296-1552 ext 110

Sarah Mendiola is an associate attorney at Fotheringill & Wade, LLC. Ms. Mendiola is also a licensed nurse in the State of Maryland and a Certified Professional Coder (CPC).  Ms. Mendiola’s work focuses on the appeal of claim denials by the Centers for Medicare and Medicaid (CMS) contractors, commercial insurers and the Maryland Medical Assistance Program.  Ms. Mendiola has experience with both traditional Medicare denials and Medicare Advantage denials.  She represents clients at Administrative Law Judge hearings and has obtained favorable results for claim denials from Zone Program Integrity Contractor (ZPIC) audits.

Ms. Mendiola came to Fotheringill & Wade after many years of performing direct patient care as a Licensed Practical Nurse (LPN).  Ms. Mendiola graduated from the practical nursing program at Walter Reed Army Medical Center and served on active duty in the United States Army for six years as a nurse.  During that time, she supervised the paraprofessional staff in two units at a large Army medical center. At the completion of her military duty Ms. Mendiola was employed as an LPN at Mercy Medical Center.  She has also worked as a Law Clerk for the Baltimore City States Attorney’s Office.

Ms. Mendiola graduated magna cum laude from the University of Baltimore School of Law.  She holds a Bachelor of Arts in jurisprudence from the University of Baltimore, where she graduated summa cum laude.   Ms. Mendiola is admitted to the Maryland Bar and a member of the American Bar Association’s Health Law Section.

Education

J.D., University of Baltimore School of Law, Baltimore, MD

  • Honors: Magna cum laude, University of Baltimore School of Law Scholarship

B.A., University of Baltimore, Baltimore, MD

  • Honors: Summa cum laude, University of Baltimore Scholarship

LPN, Walter Reed Army Medical Center, Washington D.C.

  • U.S. Army Practical Nurse Course

Admitted to Practice

Maryland

Publications/Presentations

The Revenue Cycle Leader’s Role in Controlling Contract Profitability
Healthcare Financial Management Association (HFMA), Hudson Valley NY Chapter, Annual Institute, April 7, 2016

Medicare Advantage: Increasing Enrollments Demand Increased Provider Attention
Healthcare Financial Management Association (HFMA), Virginia-DC Chapter, March 24, 2016

Medicare Advantage: Increasing Enrollments Demand Increased Provider Attention
American Association of Healthcare Administrative Management (AAHAM), National, March 16, 2016 (Webinar).

Completing the Circle-Prevention and Appeal of Costly Coding Denials
AAPC, Baltimore East Chapter, October 22, 2015.

Navigating the Nebulous Path Through Exchange Plan Denials
American Association of Healthcare Administrative Management (AAHAM), Maryland Chapter, Annual Institute, September 15-17, 2015.

Defending Against ZPIC or other Potential Fraud Investigation by the OIG
American Association of Healthcare Administrative Management (AAHAM) and Healthcare Financial Management Association (HFMA), Minnesota Chapter, 2015 Joint Healthcare Summer Institute, August 12, 2015.

Completing the Circle: The Importance of CDIS Participation in the Denial Management Process
Association for Clinical Document Improvement (ACDIS), 2015 ACDIS Conference, May 19, 2015.

Defending Against a ZPIC or other Potential Fraud Investigation by the OIG
Healthcare Financial Management Association (HFMA), Iowa Chapter, Spring Meeting, April 16-17, 2015.

Medicare Settlement & Impact of AHA Suits
American Association of Healthcare Administrative Management (AAHAM), Maryland Chapter,  Legislative Updates Meeting, October 10, 2014.

Taking Charge of Your Revenue by Taking Charge of Your Managed Care Contract Terms, The Hospital and Healthsystem Association of Pennsylvania, August 13, 2014.

The Role of Patient Access in Denial Prevention and Intervention.  The American Association of Healthcare Administrative Management (AAHAM), Maryland Chapter, May 16, 2014.

White Paper: Zone (Program Integrity Contractor) Defense: Successfully Navigating ZPIC Audits
Sarah Mendiola, Esq., Linda Fotheringill, Esq., Washington & West, LLC

Gail F. Robinson
Associate Attorney
T: 410-296-1552 ext 115

Gail Robinson is an associate attorney with Fotheringill & Wade, LLC.  Ms. Robinson represents health care providers in the appeal of commercial and managed care reimbursement disputes, contract and third-party payer audits and consulting.

Prior to joining Fotheringill & Wade, LLC, Ms. Robinson served as counsel and reimbursement analyst for a hospital advocacy firm  in appealing and managing government and commercial claim denials.   Ms. Robinson’s career has included experience as a general business lawyer in the corporate, transactional, and securities departments of Miles & Stockbridge, P.C., a prominent regional law firm with offices located across Maryland and in Washington, D.C., and Rosenberg, Martin, Greenberg, LLP, a prominent Baltimore law firm. Ms. Robinson left the private practice of law to serve as general counsel to a network integration and software development firm.  She brings over 15 years experience representing clients in all types of transactional and operational business matters.

Ms. Robinson graduated from the University of Maryland School of Law.  She earned her B.A. from Dickinson College in Carlisle, PA. Ms. Robinson is admitted to practice in Maryland and is a member of the Maryland Bar Association.

 

Education

J.D., University of Maryland School of Law, Baltimore, MD
B.A., Dickinson College, Carlisle, PA
Maryland Basic Mediation Certification

Admitted to Practice

Maryland

Joyce Y. Gross, MD, FACP
Senior Medical Director
T: 410-296-1552 ext 102

Joyce Y. Gross M.D. is Senior Medical Director at Fotheringill & Wade, LLC.  Dr. Gross is board certified in Internal Medicine and has been a fellow of the American College of Physicians since 1986.  She was an assistant professor in Medicine at West Virginia University Hospital and the University of Maryland Hospital. She subsequently maintained a private practice in Internal Medicine.

Dr. Gross is responsible for multiple tasks including auditing medical records for compliance with medical necessity and documentation requirements of Medicaid, Medicare, and commercial insurers.  She provides written analysis for cases that do not meet relevant criteria or that raise quality of care concerns.  Dr. Gross testifies in Administrative Law Judge (ALJ) hearings and Medicaid hearings when cases meet criteria. In addition, she assists with training of all clinical reviewers and quality assurance for Fotheringill & Wade clinical staff.

Dr. Gross obtained a Bachelor of Science in Biochemistry with High Honors from the University of Maryland College Park and her Doctorate of Medicine from the University of Maryland School of Medicine. She completed a three year residency in Internal Medicine at the University of Maryland Hospital and the Baltimore Veterans Administration Hospital. She was inducted into the Alpha Omega Alpha National Medical Society.  Dr. Gross published several articles and book chapters while working in academic medicine.  Additionally she participated in multiple academic presentations including grand round conferences and continuing education courses.

As an assistant professor of Medicine, Dr. Gross performed multiple tasks including supervising medical students and residents in both the outpatient and inpatient settings.   This included attending physician on the inpatient medical units and the medical consultation service.  She was recognized for her thoroughness, diagnostic skills, and ability to teach both the science and art of medicine.   Dr. Gross co-directed the Hypertension Diagnostic Group at West Virginia University Hospital and assisted in reorganizing as well as co-directing a multidisciplinary clinic, University Health Center, at the University of Maryland. University Health Center was a complex outpatient facility with over 30,000 annual visits and served as a primary teaching site for general medicine.

Dr. Gross maintained a private practice in Internal Medicine throughout her academic career and went into full time private practice in 1990.

Education

Medical Degree, University of Maryland School of Medicine
B.S., University of Maryland College Park

  • Major: Biochemistry

 

Credentials

Fellow of the American College of Physicians

Board Certified, Internal Medicine

Areas of Expertise

Internal Medicine

Publications/Presentations

AI-Ibrahim, MS, Gross, JY. Tobacco use. In: Walker, HK, ed. Clinical Methods, third edition.
Stoneham, Massachusetts: Butterworths, 1990.
Gross, JY. Hematologic considerations. In: Wolfstahl, SD, ed. Medical Perioperative Management.
E. Norwalk: Appleton-Century-Crofts, 1989.
Silverman, H, Gross, JY. Pulmonary assessment. In: Wolfstahl, SD, ed. Medical Perioperative Management.
E. Norwalk: Appleton-Century-Crofts, 1989.
Gross, JY. Another cause for dizziness. Southern Medical Journal, June 1984; 77: (6):772-775.
Gross, JY. Differential diagnosis and therapy of hypokalemia. The West Virginia Medical Journal, March 1984; 80: (3): 51-56.

Professional Memberships

American College of Physicians, Fellow
Alpha Omega Alpha National Medical Society

John Molinaro
Clinical Reviewer
T: 410-296-1552 ext 111

John Molinaro is a clinical reviewer at Fotheringill & Wade, LLC. Mr. Molinaro is responsible for the clinical review of medical records to make determinations of medical necessity, determine the correct interpretation of events as presented by the clinical documentation, develop and present the patient’s clinical status and the treatment provided and how it relates to standards of care and to identify issues of compliance with state and federal regulations.  Mr. Molinaro regularly testifies as an expert witness at Medicare and Medicaid Hearings and conducts research on special topics such as specific conditions, treatments, medical devices, drugs, and other key issues.

Mr. Molinaro obtained a Bachelor of Science degree from the University of Wisconsin and his Physician Assistant degree from Johns Hopkins University.  Prior to joining F&W Mr. Molinaro was a clinical Physician Assistant in emergency rooms, inpatient hospital units, ICUs, outpatient family medicine, and outpatient adult internal medicine settings. Mr. Molinaro also held positions with Johns Hopkins Home Health Care and served as the Clinical Coordinator for the Johns Hopkins Center of the National Institute of Health CAMACS study on HIV.

Mr. Molinaro also brings to his position extensive experience in health policy.  Mr. Molinaro held the position of Regional Coordinator of the Occupational Health Initiative for the National Health Service Corps and was appointed Director of the Office of Occupational and Environmental Medicine for the New Jersey Department of Health. Mr. Molinaro also acted as principal and CEO of a consulting firm which provided services to state and federal agencies and assisted clients with compliance with health-related regulations.

Education

Physician Assistant, Johns Hopkins University
B.S., University of Wisconsin

Areas of Expertise

  • Emergency Medicine
  • Psychiatry
  • Hospital Medicine
  • OB/Gyn
  • Neonatology
  • Radiation Oncology
  • Inpatient Rehabilitation
  • Neurology

Publications/Presentations

New Health Professionals; with Backup, M; Chapter in Reforming Medicine, Pantheon Books, New York, 1984
Social Fate of Children Disfigured by Burns. Amer J of Psychiatry; 135:8; 979-980. 1978.
Screening for Lead Toxicity Among Autobody Workers. Amer J of Ind Med; 3; 405-412:1982.
Pulmonary Function Tests in Clinical Practice. PA 86; (4) 107-115; 1986. (This article won AAPA national award for best clinical article of the year by a physician assistant).
Vascular headaches: A Reexamination. AAPA Recertification Update. Mosby Year Book, Inc.; St Louis, 1991.
Primary Care Approach to Heavy Metal Poisoning. J Am Acad PA; (2) 261-269; 1989.
Emergency Response for Small Towns. Commissioned by the National Association of Towns and Townships to prepare book for use by membership. Subsequently distributed by EPA. 1988

Kimberly A. West, BSN, RN, CCA
Clinical Reviewer
T: 410-296-1552 ext 126

Kimberly West is a clinical reviewer with Fotheringill & Wade, LLC.  Ms. West’s focus is to provide proper clinical review and interpretation of medical records to assist with the appeal of denied Medicare, Medicaid and third party payer claims. Ms. West obtained her Bachelor of Science in Nursing from Towson State University. She is licensed as a registered nurse (RN) in Maryland, is a Certified Coding Specialist (CCS) and an American Health Information Management Association (AHIMA) approved ICD-10-CM/PCS Trainer.

Prior to her employment with Fotheringill & Wade Ms. West’s career in nursing included various direct care and non-traditional nursing positions.  She began her nursing career at the bedside, as a Critical Care Nurse.  She continued her hands-on nursing in the area of Hospice and Skilled Home Health Care before moving to more non-traditional roles including Nurse Liaison, Nurse Manager/Auditor, as well as positions in Healthcare Marketing.

In addition to acting as a clinical reviewer, Ms. West liaises between healthcare industry organizations (CMS, HSCRC, AHIMA, HFMA, AAHAM, etc.) and Fotheringill & Wade’s marketing, training and continuing education departments to facilitate up-to-date information on industry trends and regulatory practices and policies.  Prior to pursuing a career in nursing Ms. West had a successful career with MCI Communications Corporation.  There she held positions in the areas of human resources, training, sales and marketing. During her employment with MCI she was recognized for being among the top 1% of the organizations 19,500+ employees.

Ms. West is a member of American Health Information Management Association (AHIMA), as well as the Maryland and National Chapters of the Healthcare Financial Management Association (HFMA) and the American Association of Healthcare Administrative Management (AAHAM).

Education

B.S., Nursing, Towson State University

AHIMA Approved ICD-10-CM/PCS Trainer

Areas of Expertise

  • Medical Necessity Review
  • Forensic Coding (Inpatient/Outpatient, ICD-9/ICD-10)
  • Medicare/Medicaid Policy/Regulation
  • Expert Witness
  • HIPAA Compliance