About Us
Leprechaun, LLC is the market leader in outsourced HCC management for Medicare Advantage plans.
We were founded in 2005 and are privately-held, Our corporate office is
located in Fort Worth, Texas,
and our branch office is located in San Juan, Puerto Rico. Leprechaun is led by a seasoned team of experienced executives 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.
What's New
Leprechaun Unveils New Logo and Brand Identity
Leprechaun, LLC formally unveiled a new brand identity today that represents a significant milestone in the Company's history and further solidifies the Company's position as a medical technology solutions company. The technologies