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Last updated on April 18, 2014 at 1:21 EDT

Examination Management Services, Inc. (EMSI) Acquires Leprechaun

August 2, 2012

EMSI broadens Medicare Advantage service offerings to become full-service partner to the Medicare Advantage plan market

Scottsdale, AZ (PRWEB) August 02, 2012

Examination Management Services, Inc. (EMSI), the market leader in medical information, risk management and investigative services, today announced the acquisition of LepMed, Inc. (doing business as Leprechaun), a leading provider of risk identification and adjustment services to Medicare Advantage health plans and related industries.

Leprechaun pioneered the use of clinically based algorithms to identify members whose risk adjustment scores do not reflect their actual diagnoses. Since 2009, EMSI has been a recognized market leader in risk adjustment solutions for MA plans, offering Healthy House Calls (in-home health evaluations) and chart retrieval services. The acquisition of Leprechaun will further advance EMSI´s portfolio of service offerings for Medicare Advantage and Medicaid plans.

EMSI president, chairman and CEO Mark Davis commented, “At its heart, this acquisition strengthens our commitment to align our services with our clients’ business needs. By building on the success Leprechaun has had with its data analytics, coding and risk adjustment support capabilities, we enhance the solutions we have built to help Medicare Advantage plans be compliant with CMS guidelines.”

“As we move forward with the integration of our services, our now mutual customers can expect measurable and tangible benefits, with an integrated end-to-end service offering for prospective and retrospective review coupled with HCC management services. Leprechaun´s customers can also expect EMSI´s continued support and investments in improving the operating platforms with which they are accustomed to working,” said Robert Brook, president of EMSI´s Healthcare Services Division.

The acquisition agreement was signed on August 2. Terms of the deal were not disclosed. No interruption of service to Leprechaun customers will occur.

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About EMSI

Examination Management Services, Inc. (EMSI) provides medical information, risk management and investigative services to the insurance, healthcare, legal, wellness and business communities, empowering customers with comprehensive information to help them make informed decisions and improve the lives of those they serve. We are the largest provider of medical record retrieval services and a leading provider of mobile examination, application fulfillment and claim investigation services. Building on 38 years of unwavering commitment to outstanding customer service, continuous quality improvement and creative service options, we partner with our customers to increase profits, enhance productivity and promote rapid growth. For more information, visit EMSI on the Web at http://www.emsinet.com.

About Leprechaun, LLC

Leprechaun is a medical information technology company providing risk identification and adjustment services to health plans and to providers participating in Medicare Advantage and related industries. Leprechaun has been a pioneer and industry leader in the use of clinically based algorithms to identify members whose risk adjustment scores do not reflect their actual diagnoses. Leprechaun has also taken the lead in prospectively evaluating Medicare Advantage members and in linking claims, clinical data and accepted standards or care in such a way as to make risk adjustment a driver, not just of appropriate reimbursements, but also of quality patient care. Effective August 2, 2012, Leprechaun now operates as part of the Healthcare Services Division of Examination Management Services, Inc. (EMSI).

For the original version on PRWeb visit: http://www.prweb.com/releases/prweb2012/8/prweb9748365.htm


Source: prweb