To Reach Shared Savings
Increase the Profitability of Your
Medicare Risk Contracts
To Reach Shared Savings
Increase the Profitability of Your
Medicare Risk Contracts
Increase the Profitability of Medicare Risk Contracts
Perfect Risk Adjustment Scoring
Fast, Accurate and Compliant
Reduce Clerical Bottlenecks for Coders and Providers
Discover New Disease Using NLP and Machine Learned AI
Seamless EHR Integration with Standard Formats
Works at the Point of Care
Supports Prospective Workflows - Not Just Recapture
Increase RAF Value Capture
and Temporary Pause
The client's improved performance and accuracy attracted a large value based healthcare organization, resulting in acquisition in 2023. As part of the acquisition, the client was required to transition to a new EHR platform. The adoption took approximately one year. During this time, ForeSee Medical services were paused.
An analysis performed at the conclusion of the pause revealed a RAF score decline of 14.2 basis points. Without the use of ForeSee in 2023, the client relinquished some of the gains they achieved with ForeSee during the prior year.
“Simply put, for us ForeSee is a game changer. Our clinicians take documentation accuracy really seriously. Now they know that diagnoses are confidently validated, and they have immediate one click access to the source documents for verification. It makes a huge difference. We’re able to reveiw records at a pace that would have been unimaginable previously. This has got to be one of the better examples of AI clearly enhancing human performance.”
Group Medical Director
South Florida
“Simply put, for us ForeSee is a game changer. Our clinicians take documentation accuracy really seriously. Now they know that diagnoses are confidently validated, and they have immediate one click access to the source documents for verification. It makes a huge difference. We’re able to reveiw records at a pace that would have been unimaginable previously. This has got to be one of the better examples of AI clearly enhancing human performance.”
Group Medical Director
South Florida
“Finally, our claims reflect the accurate disease burden of our value-based care population, and we are achieving the RAF score that is appropriate. We are now aware of diagnoses at the point of care and this is improving our quality of care and accuracy of coding. Also, the level of service that ForeSee provides is exceptional. ForeSee has been very responsive with regard to requests for additional training and when asking for ways to improve utilization by our providers. The natural language processing is second to none, and the accuracy of the negation is what surprised me the most. There are few, if any, software programs that are as easy to use or as accurate.”
Dr. Wade Brosius
Group Medical Director
Pottstown Medical Specialists
The accuracy is very spot on from the audits and reviews that I’ve been working with. I love the stars and the
bars to show the quality of the suspect or the rationale. Everything I’ve looked at so far has been really user
friendly. So this has been quite enlightening for me and it’s pretty exciting that this (ForeSee) is out there
and the way it works is pretty amazing.
Sheri Knutson
Certified Coder
Pine Park Health
“From a coding perspective the tool had given the team the opportunity to get ahead of the next day's schedule, as
far ahead as a week. It’s improving our quality of care and the accuracy of our coding. With the change in the HCC
risk model I anticipate this software to be crucial in assisting in unveiling conditions identified by CMS which would have a high cost of care if there’s no intervention. We are now aware of diagnosis at the point of care. The level of service has been exceptional. They listen to recommendations and it helps to mold the reporting data. They’re very malleable when it comes to recommendations and enhancements.”
Director of Coding and Risk Adjustment
South Florida
It’s been extremely valuable to have Emily (account manager) from the beginning to today. I think it’s actually
pretty rare to have an implementation partner that is consistent throughout the whole experience in terms of who they are, but also consistent in their level of accessibility.
whole experience.”
Alex Tong
Product Manager
Pine Park Health
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