ForeSee Medical, Inc

ForeSee Medical is an AI-powered risk adjustment software that helps healthcare organizations achieve better RAF scores, faster chart reviews, and stronger compliance. It automates chart analysis and links findings to clinical evidence.

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At a glance

Pricing

Custom · Enterprise

Free tier

API

Yes

Skill level

Mixed

About

What is ForeSee Medical, Inc?

ForeSee Medical, Inc. offers AI-powered risk adjustment software designed to increase the profitability of Medicare risk contracts for healthcare organizations. The platform leverages AI, including natural language processing (NLP) and machine learning, to analyze patient data from EHRs, claims, and clinical notes. It surfaces accurately supported conditions, automates chart analysis, and links every finding to clinical evidence, significantly improving coder and clinician productivity. ForeSee ESP® provides prospective decision support and retrospective review options, ensuring evidence-based and accurate Medicare risk adjustment coding. It integrates with leading value-based care models and offers features like InstaVu® for tracking evidence back to patient charts and a Risk Adjustment Analyzer for monitoring patient risk scores in real-time. The software aims to simplify complex workflows, enhance documentation integrity, and ensure audit-ready compliance.

Best used for

Ideal for healthcare organizations, providers, and coders who need to optimize Medicare risk contracts, streamline chart reviews, and ensure robust compliance. Especially valuable for those participating in value-based care models like Medicare Advantage and MSSP ACOs, seeking to improve financial performance and documentation integrity.

Common actions

optimize risk adjustment

improve RAF scores

automate chart review

enhance coding accuracy

ensure compliance

Capabilities

Key features

AI-powered risk adjustment
Automated chart analysis
Natural Language Processing (NLP)
Prospective decision support
Retrospective review options
EHR integration
Risk Adjustment Analyzer

Target Audience

doctornurse

Integrations

Not yet documented

Pricing & Plans

Custom · Enterprise

Not publicly disclosed. Check foreseemed.com for current pricing.

FAQs

What types of data does ForeSee Medical's risk adjustment software analyze?

ForeSee Medical's software analyzes a wide range of data sources, including EHR data, claims, clinical notes, lab results, medication histories, and prior encounters. It combines structured fields with unstructured narrative documentation to provide a comprehensive view of patient complexity and disease burden, improving risk score accuracy and clinical insight.

How does ForeSee Medical support compliance and audits?

The software helps organizations prepare for audits like RADV by validating diagnosis support, ensuring documentation meets regulatory requirements, and maintaining clear evidence trails. By reducing unsupported or incomplete diagnoses and improving documentation consistency, it lowers audit risk and helps organizations withstand increased regulatory scrutiny.

Does ForeSee Medical offer any special programs for professional organizations?

Yes, members of AAPC (American Academy of Professional Coders) are eligible to receive one month free of ForeSee Medical’s risk adjustment tool. This offer also includes no fees for training or technical support, providing a valuable benefit for coding professionals.

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