Leprechaun HCC Risk Adjustment Course for Physicians

In an era of accelerating medical costs and flat payments from CMS, accurately reflecting the health status of your members through proper HCC (Hierarchical Condition Category) management is the only way for your Medicare Advantage plan to remain financially viable in the Part D era. 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 online education program offered only to Leprechaun clients. For minimal cost, Leprechaun currently offers training to your providers in one of 11 specialty areas: • Cardiology • Critical Care Medicine • Endocrinology • Gastroenterology • General Surgery • Geriatrics (Sample) • Hematology-Oncology • Infectious Disease • Nephrology • Primary Care • Pulmonary Medicine

The Medicare risk adjustment payment system uses clinical coding information (HCCs) to calculate risk premiums for Medicare Managed Care Organizations. The single most important action your plan can take to improve both quality of care and ensure proper payments from CMS is mastery of the HCC system. Leprechaun™ HCC management solutions will help you be proactive in managing your HCC performance, working with providers to ensure complete and accurate coding — to find legitimate payments that every Medicare Advantage plan currently fails to recognize. 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. For more information or to schedule a demonstration, please contact Business Development at (888) LEP-MED1 today.