Case Study: Englender, Sper & Drasnin MDs, Inc. reduces self-pay balances and improves workflow with AthenaHealth Inc.'s real-time adjudication

Pediatric Practice Uses Real-Time Adjudication to Reduce Self-Pay Balances

Englender, Sper & Drasnin, MDs, Inc., a five-physician pediatric practice with one main office, faced persistent billing and practice-management problems—slow claims processing, frequent invalid insurance IDs, heavy staff time on eligibility checks and denials, and a reliance on an outside vendor for reports—leaving them without timely insight into performance and growing self-pay balances.

They implemented athenahealth’s athenaCollector with real-time adjudication and a payer rules engine, allowing instant eligibility checks and on-screen error flags so staff can fix claims at point of service. The practice now receives adjudication responses in seconds, collects patient responsibility at checkout, runs internal A/R and performance reports, and has reduced self-pay balances, improved cash flow, and a more efficient workflow supported by ongoing system upgrades and training.

Englender, Sper & Drasnin MDs, Inc

Brenda Dunham

Billing Manager