Due to the changing healthcare reimbursement landscape, Gulfcoast Oncology Associates (GCO) made the decision to merge with a much larger practice. As part of the merger, GCO was rolled into the existing centralized business offi ce (CBO). Despite the new billing operation, GCO was faced with winding down the current accounts receivable (A/R) and the closing of the practice, to include the closing out of existing obligations. At the time of the merger, the net A/R was considerable. GCO determined the support of a third party revenue cycle management organization was the solution that aligned with the practice’s objective and plan for the wind down.