Enjoin Pediatrics, powered by
Mid-RCM solutions built exclusively for neonatal and pediatric complexity
The complexity of care delivered in children’s hospitals and pediatric departments requires specialized expertise. Powered by the Pediatric Resource Group, Enjoin’s tailored solutions deliver measurable operational and quality outcomes.
Enjoin Pediatrics powered by
The only mid-RCM pediatric-focused healthcare consulting company in the country.
Pediatric and neonatal populations demand specialized clinical, operational, and reimbursement strategies. Enjoin + PRG partners directly with children’s hospitals and health systems to build, optimize, and operationalize programs that improve documentation, utilization, and care delivery.
Specialized pediatric expertise in clinical and reimbursement complexities others may miss:
- Understanding of age-specific physiology & disease presentation
- Expertise in navigating APR-DRG–driven severity capture
- Experience supporting high-acuity populations, such as the NICU
- Insight into best practices in pediatric status determination (inpatient vs observation) and denials prevention
Pediatric & Neonatal Solutions
CDI Programs
- Pre-bill and post-bill CDI reviews
- Pediatric CDI program development or expansion
- Education to CDIS, coders, and clinicians
- CDI assessments & audits
- Operations: workflow, templates, financial tracking
- Creation of pediatric clinical definitions
Physician Advisor Programs
- Physician Advisor program design & implementation
- Comprehensive support of:
- Status Determination (inpatient vs observation)
- Peer-to-peer (P2P) & denials prevention
- CDI query follow-up and education
- Length-of-stay & discharge barrier management
- Physician Advisor & UR team interface
Pediatric-Directed Expertise
The pediatric expertise and real-world experience of the Enjoin + PRG team bring unmatched credibility and consistently proven outcomes for children’s hospitals.
Dr. Balkian, a nationally recognized leader in pediatric CDI, built the CDI and Physician Advisor programs at CHLA and led the hospital’s transition to the APR-DRG reimbursement model. His experience spans utilization management, patient throughput, denials, and inpatient access—bringing a comprehensive, system-wide perspective to pediatric revenue integrity.
At Enjoin, he leads a team of pediatric CDI specialists, coders, and Physician Advisors who actively practice and hold leadership roles at many of the nation’s top children’s hospitals, ensuring every engagement is grounded in real-world clinical expertise.
“Pediatrics is fundamentally different in how care is provided, documented and reimbursed. Partnering with pediatricians and clinical leaders who know this space is critical to accurately capture the complexity of these patients.”
Dr. Ara Balkian, MBA
Executive Vice President, Pediatrics at Enjoin
Decades of Partnering with Leading Hospitals and Health Systems
Why Children’s Hospitals Choose Enjoin
- Our team brings 150+ years of combined clinical experience across 7+ specialties, with practicing, board-certified physicians engaging directly with your clinical teams, building trust, driving alignment, and ensuring documentation reflects true clinical intent.
- Powered by EnFORM+, our AI-driven platform, we combine advanced prioritization with clinical expertise to focus on the cases that matter most, turning complex data into clear, actionable opportunities.
- With nearly four decades of experience, we don’t just deliver results, we build programs that last. Through embedded support and structured education, we strengthen your team’s capabilities over time.
- Our approach delivers measurable, defensible results, including an average 800% ROI, improving accuracy, reducing denials, and driving meaningful financial outcomes without disrupting workflows.