About Us
Leprechaun™, LLC is the market leader in outsourced HCC management for Medicare Advantage plans. Founded in 2005 and privately-held, we are located in Fort Worth, Texas, and led by a seasoned team of experienced managers including CEOs and COOs from health plans like your own.
Leprechaun will help your MA plan manage the challenge of risk adjusted payments from CMS. We start by assessing the real dollar impact of inadequate HCC management on your plan with our Rapid Opportunity Assessment (ROA). You can then choose a Leprechaun-managed program, where we conduct the tactically complex work of chart reviews and resubmission on your behalf, or select self-management, where we give you everything you need to succeed using your own personnel.
We take your data, analyze it using our sophisticated predictive modeling tools, and tell you exactly where to look for missing or incorrect HCC information, information that represents lost CMS revenue to which your plan is entitled. Moreover, we help your plan address the root causes of missing and incorrect HCC coding, so the need for retrospective review diminishes over time.
Without a complete and accurate picture of the health risk represented by your members, your Medicare Advantage plan is fighting a losing battle against rising costs and competitors who do a better job of managing their HCC data.
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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.
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