Leprechaun Solutions will support Medicare Advantage plans in being proactive with the management of their HCC performance.
Leprechaun helps improve the management of the risk profile for Medicare Advantage plan membership to ensure proper and timely payment from Medicare and facilitates improved quality of care for your members.
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.
What's New
Leprechaun Risk Adjustment Data Validation (RADV)Audit Solution
Oct.2008 - Leprechaun, LLC formally presented their Audit Support Solution to support Medicare Advantage health plans during the RADV audit process. From direct experience in the RADV audit pilot, Leprechaun has developed an innovative, refined process to provide a broader solution with the goal of optimizing HCC validation within a very constrained time frame. Read More