Products

ForeSee Medical Risk Adjustment
ForeSee Medical
Documentation & Scribing
ForeSee Medical's risk adjustment software uses proprietary disease algorithms and machine-learned natural language processing to rationalize patient data, discover diseases from text notes, and empower with HCC risk adjustment support.

See all 1 product →

About ForeSee Medical

ForeSee Medical is a healthcare AI company that develops a specialized software platform designed to optimize Hierarchical Condition Category (HCC) coding and risk adjustment for healthcare organizations. Their platform leverages proprietary disease algorithms, machine learning, and natural language processing (NLP) to analyze patient data, including unstructured clinical notes and EHR data, to identify, validate, and document chronic conditions in real-time. This technology aims to empower providers, health plans, and other healthcare entities to achieve accurate HCC coding, improve RAF (Risk Adjustment Factor) scores, and ensure compliance with CMS regulations, particularly within value-based care models like Medicare Advantage.

The company’s solutions, such as the ForeSee App and ForeSee ESP®, provide clinical decision support at the point of care, streamlining workflows and reducing administrative burden. By integrating seamlessly with existing EHR systems, ForeSee Medical’s platform helps physicians and coders to accurately capture patient acuity, identify missed diagnoses, and generate audit-ready documentation. This approach shifts the focus from retrospective review to a more proactive, concurrent review method, enhancing efficiency and improving the profitability of Medicare Advantage risk contracts.

Focus Areas

AI-powered risk adjustment HCC coding natural language processing (NLP) value-based care EHR integration clinical decision support audit compliance prospective coding

Business Intelligence

TechnologyCloud-based, AI-driven natural language processing (NLP), machine learning, proprietary disease algorithms, integrates with EHRs and FHIR APIs

What Physicians Need to Know

Specialization: Risk Adjustment & HCC Coding
ForeSee Medical specializes in AI-powered risk adjustment software designed to optimize Hierarchical Condition Category (HCC) coding and improve Risk Adjustment Factor (RAF) scores. They support various value-based care models, including Medicare Advantage, MSSP ACOs, ACO REACH, and specialty programs like CMS kidney and oncology models.
Key Differentiator: AI-Driven Disease Discovery
Unlike traditional recapture methods, ForeSee Medical's AI engine, powered by natural language processing (NLP) and machine learning, excels at 'disease discovery.' It scans both structured and unstructured data (like physician notes and PDF documents) across a patient's entire medical record to identify previously undiagnosed or undocumented chronic conditions, leading to more accurate and comprehensive patient health profiles.
Technology Stack: Advanced AI & NLP
Their core technology relies on advanced AI, machine learning, and natural language processing (NLP). The NLP engine is built on a machine learning platform to understand over 20,000 complex medical terms and accommodate variations in terminology. It processes clinical notes, extracts patient chart information, codifies it into structured data, and creates a longitudinal patient record.
Key Differentiator: Physician-Centric Design & InstaVuu00ae
Developed by physicians and coders, their ForeSee ESP platform is cloud-based and designed for ease of use. A key feature, InstaVuu00ae, allows physicians to click links that track evidence directly back to the patient chart, including data extracted from text notes, providing decision support and transparency.
Compliance & Audit Readiness
ForeSee Medical's software helps healthcare organizations maintain compliance with CMS standards and reduce audit risk by ensuring clinically appropriate and up-to-date documentation. It flags inaccurate or outdated codes and provides audit-ready documentation trails.
Workflow Efficiency: Point-of-Care & Retrospective
The platform supports both prospective (point-of-care) and retrospective risk adjustment workflows. It automates chart analysis, reducing manual review time from hours to minutes, and provides real-time clinical decision support to improve coder and clinician productivity.
Physician Tip

For physicians, ForeSee Medical's tools are designed to streamline documentation and coding without disrupting existing workflows. The system's AI-powered insights, delivered at the point of care, help identify and accurately document chronic conditions, ensuring that patient acuity is fully reflected. The InstaVuu00ae feature is particularly valuable as it provides direct links to supporting evidence within the patient chart, fostering confidence in coding decisions and reducing the burden of manual chart review. This allows physicians to focus more on patient care while improving RAF scores and compliance. The system also helps flag inaccurate or outdated codes, ensuring documentation is always current and defensible.

ForeSee Medical's ForeSee ESP platform is cloud-based and designed for seamless integration with today's leading Electronic Health Record (EHR) systems. It adopts integration and interoperability standards, including FHIR APIs, and can process patient data in various formats. They have also partnered with platforms like Vim to deliver insights directly into provider workflows within the EHR.

Products by ForeSee Medical

1 product in the directory

ForeSee Medical Risk Adjustment
ForeSee Medical
Documentation & Scribing
ForeSee Medical's risk adjustment software uses proprietary disease algorithms and machine-learned natural language processing to rationalize patient data, discover diseases from text notes, and empower with HCC risk adjustment support.

Videos

News, demos, and interviews about ForeSee Medical.

Loading videos...

Videos load interactively. If none appear, search YouTube for ForeSee Medical →

View all on YouTube

Press & Coverage

Business Wire
ForeSee Medical and Vim Announce Strategic Partnership to Enhance Risk Adjustment and Streamline Provider Workflows
ForeSee Medical Inc. and Vim have partnered to integrate ForeSee Medical's AI-powered risk adjustment technology into Vim's provider enablement platform, aiming to improve patient insights and streamline provider workflows at the point of care.
2025-06
Business Wire
ForeSee Medical's ESPu00ae Application Achieves HITRUST r2 Certification, Demonstrating Commitment to Cybersecurity and Information Protection
ForeSee Medical's ESPu00ae Application has achieved HITRUST r2 Certification, demonstrating its commitment to cybersecurity and protecting sensitive information for its HCC Risk Adjustment Software for Medicare Advantage.
2026-07
ForeSee Medical Blog
Large Settlement Highlights MA Documentation Risk - This Effects Payers and Providers
A recent $14.1 million civil settlement involving Medicare Advantage diagnosis codes highlights the significant risks associated with MA documentation and the importance of accurate coding for both payers and providers.
2026-08
ForeSee Medical Blog
Medicare's AI Pilot and Its Impact on Risk Adjustment
Medicare's new Wasteful and Inappropriate Services Reduction (WISeR) Model will test AI tools for approving or denying Medicare services, raising questions about AI governance and its impact on risk adjustment and compliance.
2026-01
ResearchGate
The Role of Artificial Intelligence in Modern Healthcare Systems
This research paper examines the applications of AI in healthcare, including medical imaging, clinical decision support, and predictive analytics, highlighting how AI-driven systems can achieve diagnostic accuracies comparable to or exceeding human specialists.
2026-08
GlobeNewswire
NLP in Healthcare & Life Sciences Market by Offering, Technology, End User - Global Forecast to 2031
The Natural Language Processing (NLP) in healthcare & life sciences market is projected to grow significantly, driven by the increasing adoption of generative AI, medical large language models, and cloud-based healthcare AI platforms.
2026-09
Startup Fundraising
ForeSee Medical has raised $49M in disclosed funding, most recently at Series B.
ForeSee Medical has successfully raised $49 million in disclosed funding, with its most recent round being Series B.
2026-07
Business Wire
ForeSee Medical's ESPu00aeApplication Continues HITRUST r2 Certification to Further Mitigate Risk in Third-Party Privacy, Security, and Compliance
ForeSee Medical announced that its ESPu00ae Application has renewed its HITRUST r2 Certification, demonstrating ongoing commitment to mitigating risks in third-party privacy, security, and compliance.
2024-08

Frequently Asked Questions

ForeSee Medical offers an AI-powered risk adjustment platform, including 'The ForeSee App' and ForeSee ESPu00ae, that utilizes natural language processing (NLP) and machine learning to analyze patient data from EHRs. These tools identify missed, under-documented, or inconsistently captured conditions, suggest clinically relevant diagnoses, and optimize HCC coding for improved RAF scores and compliance.
ForeSee Medical's AI-powered software is designed to ensure compliance with CMS standards by linking every finding to clinical evidence, providing audit-ready documentation, and staying updated with coding guidelines. They also address AI bias by advocating for transparent and explainable AI, inclusive algorithm design with diverse stakeholder involvement, regulatory oversight adherence, and continuous monitoring with feedback loops.
ForeSee Medical offers tiered pricing for its services, starting around $1.51 USD per member per month, with actual pricing determined by contract specifications. They also have partnerships, such as with the AAPC, where members can receive one month free with no fees for training or technical support.
ForeSee Medical emphasizes strong customer support, viewing themselves as a partner rather than just a software vendor. They provide responsive and knowledgeable account managers who offer training, answer workflow questions, and provide guidance on risk adjustment initiatives to ensure effective use of their platform.
Yes, ForeSee Medical's platform is designed to integrate seamlessly with existing EHR systems, processing patient data in various formats, including FHIR APIs. They have a strategic partnership with Vim, a provider enablement platform, to integrate their AI-powered risk adjustment technology directly into provider workflows within EHRs.
ForeSee Medical was founded in 2017 by a team of healthcare veterans, including board-certified physicians, who previously created MediTouch, a top-rated cloud-based EHR. The company has successfully raised approximately $49 million across nine funding rounds, indicating investor confidence and a commitment to innovation in AI-powered risk adjustment.

Related Companies

OpenAI is an American artificial intelligence (AI) company that conducts research and develops advanced AI models. While widely known for its generative AI models like ChatGPT and DALL-E, OpenAI has significantly expanded its focus into the healthcare sector. The company’s mission is to ensure that artificial general intelligence (AGI) benefits all of humanity, and this […]

Blaze.tech is an AI-powered, no-code platform that enables healthcare organizations to rapidly build and deploy custom, HIPAA-compliant web applications and internal tools without writing any code. This platform is designed to improve operations and productivity by allowing non-technical personnel, including physicians and administrative staff, to create tailored software solutions. These solutions can range from patient […]

ClaireMed is a Toronto company that makes Claire, an AI clinical partner for physicians. Claire conducts pre-visit patient intake, organizes the history and clinical context, and prepares physician-owned draft notes and supported clinician forms. Physicians review, edit and sign the final documentation and retain responsibility for clinical decisions.

Exetazo is a health technology company focused on improving access to medical care, particularly for the uninsured and underinsured, by reducing costs without compromising quality, empathy, safety, or clinical judgment. They offer healthcare services via video consultations, emphasizing transparent pricing and a consistent physician experience. Their model allows patients to book visits with the same […]

NoteMD is an AI-powered clinical documentation solution designed to streamline the medical note-taking process for physicians. It acts as an AI medical scribe, capturing patient interactions in real-time during consultations and automatically generating structured SOAP (Subjective, Objective, Assessment, Plan) notes within seconds. This significantly reduces the administrative burden on clinicians, allowing them to focus more […]

Steer Health is an AI-powered growth and automation platform designed to optimize patient experiences and enhance revenue for healthcare organizations. The company’s platform utilizes artificial intelligence to automate various administrative tasks, including eligibility checks, referrals, payments, and patient intake. This automation facilitates personalized online scheduling, appointment reminders, and patient communication services, ultimately aiming to improve […]

AI Tool Finder
AI-powered search. Results may not be comprehensive.