Risk Adjustment Software for ACOs, IPAs & Provider Networks

Managing risk adjustment across multiple practices, providers, and EHR systems can be challenging. For your Accountable Care Organization (ACO), Independent Physician Association (IPA), or provider network, disconnected clinical data, inconsistent coding processes, and time-consuming chart reviews can create significant administrative burdens.

With ForeSee Medical's ESP® platform, you can overcome these challenges using artificial intelligence (AI), Natural Language Processing (NLP), and machine learning to automate clinical record analysis, identify missed HCC conditions, and simplify risk adjustment management across your network. You can reduce manual work, improve coding accuracy, and strengthen value-based care performance—all within one AI-powered platform.

Reduce Manual Chart Reviews and Improve Coding Efficiency

Traditional HCC chart reviews require your coding teams to search through lengthy medical records, specialist reports, hospital summaries, and other clinical documents. When you're managing thousands of patients, these processes consume valuable time and resources.

ForeSee ESP® automatically analyzes structured and unstructured clinical data, identifying potential HCC conditions and presenting actionable insights for review.

With ForeSee, you can:

  • Automate Chart Analysis: Use AI and NLP to review clinical notes, PDFs, specialist reports, and medical records.

  • Identify Missed HCCs: Uncover potentially overlooked chronic conditions that affect risk adjustment accuracy.

  • Accelerate Coding Reviews: Access relevant clinical information without searching entire patient charts.

  • Improve Annual Recapture: Identify previously documented conditions requiring current-year evaluation.

  • Reduce Administrative Work: Allow your coding teams to focus on validating diagnoses instead of locating information.

ForeSee has demonstrated chart review productivity improvements of up to 20x, helping your organization accomplish more with fewer manual steps.

Manage HCC Workflows Across Multiple EHR Systems

Your ACO, IPA, or provider network may work with practices using different EHR platforms. This fragmentation makes it difficult to maintain consistent coding processes, monitor documentation gaps, and track risk adjustment performance.

ForeSee brings clinical information from multiple EHRs and data sources into a more unified risk adjustment workflow, helping you identify and manage coding opportunities across participating practices.

With ForeSee, you gain:

  • Multi-EHR Integration: Analyze clinical information from different EHR platforms and connected data sources.

  • Centralized HCC Visibility: Identify coding opportunities across your provider network.

  • Consistent Coding Workflows: Support standardized HCC identification and validation.

  • Provider-Level Insights: Help your clinicians recognize and document relevant chronic conditions.

  • Operational Reporting: Monitor coding productivity, unresolved diagnoses, and documentation issues.

By reducing your reliance on spreadsheets, disconnected EHR reports, and manual processes, you can improve efficiency and gain greater control over risk adjustment operations.

Improve HCC Coding Accuracy and Documentation Integrity

Accurate risk adjustment requires more than identifying additional HCC diagnoses. Every reported condition must be supported by appropriate clinical documentation.

ForeSee ESP® combines AI-powered disease suspecting with documentation verification, helping you identify missed coding opportunities while reducing the risk of unsupported diagnoses.

With ForeSee's Compliance Module, you can identify potential documentation deficiencies, flag coding discrepancies, and highlight conditions requiring additional review.

You also benefit from CMS-HCC V28 optimization and Smart Recapture capabilities, helping your organization maintain accurate risk adjustment practices as coding requirements evolve.

Verify Clinical Evidence Instantly With InstaVu®

Finding the documentation supporting an HCC diagnosis can be one of the most time-consuming parts of chart review.

With ForeSee's proprietary InstaVu® technology, you get one-click access to the original medical record supporting an identified condition.

Instead of searching through multiple documents, your coding team can navigate directly to the relevant page, where supporting clinical information is highlighted.

InstaVu® helps you:

  • Reduce time spent searching medical records.

  • Quickly validate potential HCC diagnoses.

  • Improve coding accuracy and documentation quality.

  • Accelerate prospective and retrospective reviews.

  • Strengthen compliance and audit preparation.

By making supporting evidence immediately accessible, ForeSee helps your coding professionals work faster while maintaining control over final coding decisions.

Strengthen Value-Based Care Performance Across Your Network

Your success in value-based care depends on accurate documentation, efficient workflows, and consistent performance across participating providers. With ForeSee, you can improve visibility into coding opportunities, reduce administrative workload, and support more consistent chronic condition documentation across your network. You also benefit from a secure platform backed by HITRUST r2 Certification for ForeSee ESP® hosted on AWS, reinforcing the protection of sensitive healthcare information.

Reduce Chart Review Time. Unify HCC Workflows. Improve Risk Adjustment.

Managing risk adjustment across multiple EHRs shouldn't require endless spreadsheets, disconnected systems, and manual chart reviews. With ForeSee Medical, you can automate clinical analysis, streamline HCC workflows, and improve coding accuracy across your ACO, IPA, or provider network—all within one AI-powered platform.

SEE how it works