Get the contract right.
Then collect on it.
I fix the services agreements and professional-fee revenue cycles that physician groups, hospitals, and healthcare AI companies depend on. Book 30 minutes and bring the problem.
Payments collected within 120 days of service
April-to-June average: 76% in 2024, 85% in 2025.
View the monthly data
| Apr 2024 | 74% |
| May 2024 | 78% |
| Jun 2024 | 75% |
| Jul 2024 | 81% |
| Aug 2024 | 82% |
| Sep 2024 | 78% |
| Oct 2024 | 74% |
| Nov 2024 | 77% |
| Dec 2024 | 77% |
| Jan 2025 | 87% |
| Feb 2025 | 87% |
| Mar 2025 | 78% |
| Apr 2025 | 84% |
| May 2025 | 85% |
| Jun 2025 | 86% |
From the four-hospital surgery group where I led operations, 2020 to 2025.
Yale MPH | HFMA CRCR | U.S. Navy Medical Service Corps | SDVOSB
Selected work
Surgery group, 2020 to 2025
Contract strategy and negotiation
A regional PACE plan offered a Medicare-based rate.
- Starting pointThe plan’s Medicare-based offer
- Our workNegotiated the rate schedule
- ResultA higher Medicare-based rate, agreed
Surgery group, 2020 to 2025
Revenue cycle build
Outsourced billing was missing visits.
I made the business case, then designed, staffed, and ran the in-house build.
- 7
- in-house coders within 9 months
- 1,300+
- missing visits remediated
Physician group, 2024 to 2025
FMV and operating models
A physician group faced a hospital contract renewal.
- BuiltFMV and operating models
- ApprovedClient sign-off to share
- ReviewedHospital executive review and revisions
For healthcare AI companies
Test your product against a real billing workflow before the pilot.
Pilots stall when a product misses how coders, billers, and administrators work. I’ve run that workflow, so I can show you where yours will break.
I moved a physician group’s professional-fee revenue cycle from an outsourced vendor to an in-house team with coding, billing, A/R, and management controls.
When a vendor transition stalled on data-export access, I cleared the access and saw the offboarding through to a vendor-confirmed data download.
When source-system problems made Days in A/R unreliable, I stopped reporting it to executives until the data could support a decision.
- Intro callYour workflow question
- WalkthroughWho does each step
- FindingsGaps ranked by pilot risk
- Monthly reviewProgress and next decisions
For physician groups and MSOs
Stay independent. Collect what you bill.
A Revenue Cycle Diagnostic shows where your professional-fee revenue cycle loses cash and what each fix is worth, in 2 to 4 weeks.
I built payer-contract counterproposals with physician owners and pushed the contracting organization to correct inconsistent compensation exhibits.
I led an administration and revenue cycle team of 24, including remote coders.
For hospitals and health systems
Your physician-services agreement has to hold up in an audit and a board review. I work on physician-services economics, contracts, and professional-fee revenue cycle for employed and aligned groups.
I grew one physician group from one hospital agreement to four, across three health systems.
Pick a starting point.
I take two clients at a time.
Revenue Cycle Diagnostic
For: Physician groups and MSOs
Scope: Professional-fee charge capture, charge lag, denials, A/R, payment velocity, staffing
You get: Findings ranked by dollar value and a 90-day plan
Timeline: 2 to 4 weeks
Diagnostics start at $12,500.
Operator Advisory Retainer
For AI companies: Workflow validation, briefings on how providers buy, implementation planning
For physician groups and MSOs: Monthly operating review, KPI pack, contract and payer strategy
You get: A monthly review with written findings
Timeline: Month to month, up to 15 hours
Retainers start at $3,000 per month.
Contract and FMV Project
For: Physician groups, MSOs, and hospitals
Scope: Services agreement strategy, compensation and coverage models, FMV analysis and support, negotiation preparation
You get: A model with visible assumptions, scenario comparison, and negotiation decision points
Timeline: 3 to 6 weeks for one agreement or model
Projects start at $10,000.
FMV analysis and support, not an independent valuation opinion.
About
Gabe Forrey
From 2020 to 2025, I was contract COO for a four-hospital trauma and acute care surgery group and led the operating infrastructure of the enterprise. I negotiated financial and commercial terms directly with hospital CFOs. Before that, I served in healthcare administration and operations in the U.S. Navy Medical Service Corps from 2011 to 2021 and earned three Navy and Marine Corps Commendation Medals.
At a Navy hospital, a command commendation credits me with a $2.9M reduction in purchased-care costs and the hospital’s first 100% compliance across all 28 data-quality metrics.
Book a consultation
Thirty minutes. Bring the contract, the spreadsheet, or the workflow that isn’t working. I reply within two business days.