About Us

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Fotheringill & Wade, LLC’s practice is focused exclusively on advising and representing hospitals and health systems at each stage of the denial and appeals management process. We appeal denied and underpaid claims, advise clients on achieving favorable contract terms with payers, educate clients regarding their rights and responsibilities under Federal and State laws and regulations, and provide consulting services geared toward implementing denial prevention strategies. Our goal is to ensure that hospitals are adequately reimbursed for the services they provide.

News & Events

CMS has announced that the Office of Medicare Hearings and Appeals (OMHA) will be expanding its current Settlement Conference Facilitation (SCF) program to reach additional providers and suppliers. Medicare Part A and Medicare Part B providers and suppliers who have OMHA or Medicare Appeals Council (Council) appeals pending may be eligible to participate in the expanded SCF process. Read More

The Centers for Medicare & Medicaid Services (CMS) is extending the deadline for appellants to submit an expression of interest (EOI) for the Low Volume Appeals (LVA) Initiative to June 8, 2018.  Appellants with either an odd or an even NPI, that meet the eligibility criteria, should submit an EOI between April 12, 2018 and June 8, 2018.  Details about the process, including a fillable EOI, are available here.