Leprechaun HCC Management · Leprechaun, LLC · 6000 Western Place, Suite 900 · Fort Worth, TX 76107 · Phone (817) 231-7000 · Fax (817) 231-7099


Articles

Capitalize on the Medicare Advantage Opportunity

"To ensure proper coding, and thus maximize revenue in the new risk-adjustment model, Taggart recommends investing in technology and services that can identify incorrect patterns in provider coding and retrain physicians in order to improve accuracy going forward."


Medicare Advantage Program Payment System

"The payment rate for an enrollee is the base rate for the enrollee's county of residence, multiplied by the enrollee's risk measure, also referred to as the CMS-HCC weight."
HCC Management Prospective Risk Adjustment Retrospective Chart Review CMS Risk Adjustment Data Validation RADV Audit Rapid Opportunity Assessment