HCC management is the single most important strategic priority for Medicare Advantage plans. Is your plan ready?
In an era of accelerating medical costs and flat payments from CMS, accurately reflecting the health status of your members through proper HCC (Hierarchical Condition Category) management is the only way for your Medicare Advantage plan to remain financially viable in the Part D era.
The Medicare risk adjustment payment system uses clinical coding information (HCCs) to calculate risk premiums for Medicare Managed Care Organizations. After a lengthy phase-in, risk adjustments on payments reached 100% in 2007.
An MCO without an accurate picture of its members' health status will face near-insurmountable obstacles to providing patient care of the highest quality.
Don't let it be your plan.
The single most important action your plan can take to improve both quality of care and ensure proper payments from CMS is mastery of the HCC system.
Leprechaun™ HCC management solutions will help you be proactive in managing your HCC performance, working with providers to ensure complete and accurate coding — to find legitimate payments that every Medicare Advantage plan currently fails to recognize.
Already in use by our clients at numerous plans across the country, Leprechaun is identifying and retrieving tens of millions of dollars of incremental revenue from documented-but-unclaimed diagnoses, making it a next generation solution to today's greatest Medicare Advantage plan challenge.
For more information or to schedule a demonstration, please contact Charles Gaughan at (817) 231-7060 today.
Want more information?
Enter your email address below, and we'll send a handy checklist you can use to assess your HCC readiness, plus the opportunity to save significantly on Leprechaun Rapid Opportunity Assessment for your plan.
What's New
We've Moved!
Due to the demand for our HCC management outsourcing services, we've outgrown our existing space.
As of May 7, 2007, our new address is
- Leprechaun, LLC
- 6000 Western Place, Suite 900
- Fort Worth, TX 76107
Our phone and fax numbers remain the same.