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


Convenient Web-based Training from Leprechaun

The secret to successful long-term risk adjustment for your Medicare Advantage plan is to properly educate your providers as to the value of complete and accurate coding of every member, every year. Historically, providers have coded for payment, which simply doesn't work well in the new world of 100 percent risk-based plan compensation, where complete and accurate coding of every patient on an annual basis is imperative.

Leprechaun University is our Web-based education program offered only to Leprechaun clients. For minimal cost, Leprechaun currently offers training to your providers in one of 13 specialty areas:

  • Cardiology
  • Comprehensive Diabetes Assessment Training
  • Critical Care Medicine
  • Family Practice
  • Endocrinology
  • Gastroenterology
  • General Surgery
  • Geriatrics
  • Hematology-Oncology
  • Infectious Disease
  • Internal Medicine
  • Nephrology
  • Pulmonary Medicine

Because Leprechaun has analyzed your plan's claim data, our courses provide each provider with a picture of how their diagnoses compare with their peers in your plan, something no other risk management tool offers.

Course Details

The Leprechaun Risk Adjustment Course for Physicians is a Web-based tool that:

  1. Teaches physicians the basics of HCC Risk Adjustment including
    1. The genesis of the HCC program
    2. The rationale behind the HCC-based risk management program
    3. The basic structure of the Hierarchical Condition Category system and how it relates to more familiar coding systems such as ICD-9-CM and CPT codes
  2. Introduces physicians to coding challenges specific to their specialties
  3. Shows physicians their own historical coding patterns and compares them to those of their regional peers
    1. Specific coding issues from those patterns will be highlighted and will be specifically addressed in the course material
  4. Tests physicians' understanding of the material and allows them to obtain continuing education credit after passing an examination


Each course offers one (1) hour of CME through the American Public Health Association (APHA). Leprechaun will work with your Medical Director(s) and Network Management to pinpoint the most important primary care physicians and high-volume specialists in your network - the ones that must take this course.

Improving coding for just one physician will pay for this entire program. Contact your Account Manager today for more information (1-888-LEPMED1).