Our client is one of the few independent, community-based, providers of integrated addiction treatment and primary care services in the United States, serving New Yorkers with substance use disorder who are disproportionately low-income. Without the resources of major healthcare systems, many independent providers had faced challenges with New York State’s Medicaid redesign transition, as they had gone from billing most of their services through a single-payer (the State) to billing around ten different managed care payors. Our client estimated they had lost 5% in revenue during the transition, an amount that was the difference between operating surplus and loss for this non-profit organization. They were also implementing a new electronic health record system. The CEO hired Anoteros to evaluate the end-to-end revenue cycle process and provide recommendations for improvement.