AI-Powered Risk

Adjustment Software

Use AI to Improve Your RAF Scores

with Accuracy, Productivity, and Compliance

Learn More

AI-Powered Risk

Adjustment Software

Use AI to Improve Your RAF Scores

with Accuracy, Productivity, and Compliance

RAF Optimization. Productivity. Compliance.

ForeSee Medical helps healthcare organizations achieve meaningful RAF optimization and accuracy by using AI to surface accurately supported conditions directly from the EHR. By automating chart analysis and linking every finding to clinical evidence, ForeSee’s risk adjustment software dramatically improves coder and clinician productivity—eliminating manual chart hunting while keeping humans in control. The result is faster, more consistent coding, stronger documentation integrity, and audit-ready compliance without disrupting existing workflows.

How It Works

RAF Optimization.

Productivity. Compliance.

ForeSee Medical helps healthcare organizations achieve meaningful RAF optimization and accuracy by using AI to surface accurately supported conditions directly from the EHR. By automating chart analysis and linking every finding to clinical evidence, ForeSee’s risk adjustment software dramatically improves coder and clinician productivity—eliminating manual chart hunting while keeping humans in control. The result is faster, more consistent coding, stronger documentation integrity, and audit-ready compliance without disrupting existing workflows.

How It Works

A sample of EHRs we integrate with:

Effortlessly Align With Your

Value-Based Care Strategy

ForeSee Medical is built to integrate seamlessly with today’s leading value-based care models—including Medicare Advantage, MSSP ACOs, ACO REACH (including High Needs Population ACOs), and the new ACO Primary Care Flex (PC Flex) model—while also supporting advanced specialty programs such as CMS kidney models (e.g., Kidney Care Choices) for nephrology groups and oncology value-based arrangements like CMS’s Enhancing Oncology Model (EOM) and other OCM-inspired contracts.

Use AI to Improve Your RAF Scores with

Accuracy, Productivity, and Compliance

RAF OPTIMIZATION

V28 demands greater documentation precision. ForeSee surfaces clinically documented HCCs with exact source proof

— improving accuracy, consistency, and defensible RAF performance.

PRODUCTIVITY

Manual chart review slows teams, increases fatigue, and risks missed revenue. ForeSee scans the full patient record across multiple data sources

— surfacing relevant conditions to accelerate accurate review.

COMPLIANCE

Unsupported diagnoses create audit exposure. Every suggested HCC includes sentence-level documentation support

— ensuring transparency and audit readiness.

AI-powered Software that Strengthens Expert Judgment — Not Replaces It

Use AI to Improve Your RAF Scores with Accuracy, Productivity, and Compliance

RAF OPTIMIZATION

V28 demands greater documentation precision. ForeSee surfaces clinically documented HCCs with exact source proof

— improving accuracy, consistency, and defensible RAF performance.

PRODUCTIVITY

Manual chart review slows teams, increases fatigue, and risks missed revenue. ForeSee scans the full patient record across multiple data sources

— surfacing relevant conditions to accelerate accurate review.

COMPLIANCE

Unsupported diagnoses create audit exposure. Every suggested HCC includes sentence-level documentation support

— ensuring transparency and audit readiness.

AI-powered Software that Strengthens Expert Judgment

— Not Replaces It

CASE STUDY

ForeSee outperforms EHR features to boost HCC coding accuracy,

quality and financial performance in value-based care.

A South Florida primary care practice focused on value-based care struggled with RAF scores that did not fully reflect patient acuity despite using EHR recapture workflows. By implementing ForeSee’s AI-powered platform to analyze unstructured data—such as hospital summaries and specialist notes—the practice uncovered missed conditions, improving RAF accuracy, documentation precision, and compliance.

CASE STUDY

ForeSee outperforms EHR features to boost HCC coding accuracy, quality and financial performance in value-based care.

A South Florida primary care practice focused on value-based care struggled with RAF scores that did not fully reflect patient acuity despite using EHR recapture workflows. By implementing ForeSee’s AI-powered platform to analyze unstructured data—such as hospital summaries and specialist notes—the practice uncovered missed conditions, improving RAF accuracy, documentation precision, and compliance.

Testimonials

“ForeSee Medical’s platform delivered accurate clinical insights and enabled more patient time—boosting shared savings, patient volume, and coding accuracy.”

Derek Marcusky

Practice Manager

Elite Healthcare Partners

“Audit results show the accuracy is spot on. The quality indicators make it easy to evaluate each suspect, and the platform is extremely user-friendly. It’s been exciting to see how powerful and effective ForeSee really is.”

Sheri Knutson
Certified Coder
Pine Park Health

It’s been extremely valuable to have Emily (account manager) from the beginning to today. It’s rare to have an implementation partner that’s consistent throughout the whole experience in terms of who they are, but also consistent in their level of accessibility.

Alex Tong
Product Manager
Pine Park Health

“We chose ForeSee Medical for its NLP-driven ability to uncover all relevant data—including conditions not yet reported this year. It’s now integral to our Medicare Advantage workflow, giving us a complete view of each patient’s health status. ForeSee surfaces everything we need to address, allowing us to thoroughly review every patient—not just the last note.”

Jim Moore
Director of Operations
BeWell Clinic

“The tool helps our team stay ahead—sometimes by a week—while improving care quality and coding accuracy. With HCC model changes, it’s essential for surfacing high-cost conditions at the point of care. The service is exceptional, and they consistently act on our feedback to enhance reporting.”

Director of Coding and Risk Adjustment
South Florida

“ForeSee pays for itself through labor-savings alone. The compliance benefits, workforce satisfaction, and revenue optimization are just easy bonuses.”