For more than a decade Fotheringill & Wade, LLC has counseled hospitals and healthcare systems regarding denial and appeals management. We bring to our consulting the perspectives gained as both attorneys and as (former) employees in various positions in the healthcare and insurance industries. Our collective experience includes positions as patient registrar, insurance claims representatives, Licensed Practical Nurses (LPN), Registered Nurses (RN), certified coders, physician assistants and physicians. From our experience we have developed comprehensive consulting services in the following areas:

  • Physician Education for Denial Prevention
  • Coding Education for Denial Prevention
  • Contract Reviews
  • Medical Necessity Denial Management
  • Inpatient and Outpatient Operational Review and Improvement
  • RAC, ZPIC and OIG Proactive Review
  • ICD-10 Readiness

Our consulting services are individually tailored to meet the needs of each facility. Please contact us for information on how F&W can assist your hospital or healthcare system.