The three of us met and spent over 20 years working together at Triage Consulting Group, which had over 800 hospital clients — including large national and regional health systems, university hospitals, cancer treatment centers, children’s hospitals, public hospitals, small community hospitals, and critical access hospitals — and was primarily focused on the review of hospital reimbursement for the purpose of identifying and recovering payment variances. 221Consulting is a nostalgic nod to Triage’s old San Francisco address at 221 Main Street, where we first met.
01. Litigation/Arbitration Support
We simplify damages claims with full analysis, pricing across all product lines, detailed calculations, documentation, and expert testimony—backed by 75+ years of revenue cycle experience.
02. Remibursement and DAMAGES analysis
If you’re pursuing arbitration or litigation with a payer, 221Consulting offers underpayment analysis, claim aggregation, strategic guidance, and support through pre-litigation steps—all grounded in deep expertise with payer-provider disputes and regulatory frameworks.
03. Payment recovery and
Revenue cycle consulting
With deep experience across hospital finance, billing, and collections, we offer expert revenue cycle consulting—specializing in underpayment recovery, denial analysis, and accelerating revenue from open and zero-balance claims.
Leadership

jeff coolican

troy donoviel

Brett ferry
Features
Where We Excel
Knowledge
Our 75+ years of combined experience in payment recovery consulting has allowed us build intricate and detailed knowledge of hospital billing and payer claim adjudication practices across nearly every payer and product line.
Client Service
All of our work is based on client referrals. Forming meaningful client relationships is the only way we succeed.
Value
We believe a relentless focus on value and efficiency makes us a compelling candidate for any revenue cycle consulting project.