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From the Blog

Blog
What Is EHR Software? And Must-Have Features for Interoperability
Benefits of Machine Learning in Healthcare
What is HL7s FHIR Standard?
Big Data Analytics in Healthcare
Understanding Next Gen ACO
Medicare Advantage Growth Higher for 2020
Medicare Telehealth Surges with COVID-19
The Impact of COVID-19 on MA Payer Risk Scores
Benefits of a Prospective Payment System
Improving Coding Productivity Standards
The Future of Clinical Interoperability in Healthcare
Retrospective Review Pitfalls
Cloud Computing in Healthcare
Cures for Note Bloat
ONC’s Cures Act Final Rule: First Wave Begins
Code Recapture vs New Disease Discovery
What is the Purpose of the Coding Intensity Adjustment
Capturing HCC Opportunities with Decreased Patient Volumes
Strategic Planning Items for 2021
CMS Direct Contracting
Information Blocking Rule Takes Effect
Investment Trends in Healthcare AI
Dual Eligible Medicare Advantage Patients Faced Less Care Disruptions During COVID Compared to Traditional Medicare
Retrospective Chart Review Raises Concerns with Regulators
A Few Words with ForeSee Medical CEO Dr. Seth Flam
Advantages of Evolving to Concurrent Coding Review
When Health Plans Need an Insurance Policy
CMS Spends More Per Beneficiary on Medicare Advantage
Not Adjusting the MA Benchmark Means Potential Costs to Seniors
Obesity Rates Are Rising - Are Your RAF Scores?
Keeping the Problem List Accurate
More Medicare Options in 2022 Than Ever
Best Practices for RA Compliance
CMS Ends RAPS for Risk Adjustment - Are You Prepared?
Medicare Advantage Growth and Star Ratings Up in 2022
Proposed 2023 MA and Part D Advance Notice
Why Prospective Review Will Be the Industry Standard
CMS Finalizes 8.5% MA Rate Bump in 2023
Health IT Developers Push Toward Interoperability Deadline
Understanding USCDI and Data Exchange
Making Sense of the Medicare Advantage Payment Schedule
How to Improve Your HEDIS Reporting
Medicare Given Historic Powers to Negotiate Drug Prices
ACO REACH Explained
ForeSee App Now on Salesforce App Exchange
MedPAC Considers Standardized MA Plans
Organizations Request Delay of Information Blocking Deadline
Information Blocking Rules in Effect - What’s Expected of Physicians?
Medicare Advantage Growing and Improving
Three Healthcare Trends to Watch in 2023
Ways to Simplify Chart Chasing
MA Plans Resist RADV Final Rule
Primary Care First - Initial Year Review
Key Takeaways from the Medicare Advantage 2024 Final Rule
How the RA Model Will Work Moving Forward
Challenges to Avoid in Medical Coding
CMS Starts Initiative Aimed at Enhancing Primary Care
The Advantages of Capitation Contracts
CMS to Start Dropping Over 2,000 Risk Adjusted Codes in 2024
Members Moving from Traditional Medicare Fueled MA Expansion
Our Take on Dr. Scott Gottlieb’s Op-ed on AI and Physician Roles
Large Language Models in Healthcare: From Concept to Practical Use
Enhancing Risk Adjustment Accuracy with AI-Powered Software
Coding Morbid Obesity
The Appeal of Risk Adjusted Payment Models
2025 Medicare Advantage Rule: Expert Insights
Understanding Medicare Advantage Cost Utilization Management
Client Success Story
What the New Quality Rating Calculations Mean fir MA Plans
Discovering New Diseases Through Augmented Intelligence
ForeSee’s ESP Application Continues HITRUST Certification
Navigating AI Bias in Healthcare
Client Case Study
Maximizing Reimbursements While Maintaining Compliance
Two Years On: The Impact of Information Blocking Rules
Key Updates in the 2026 Risk Adjustment Program
Manual Coding vs ForeSee - Which is Faster for Disease Suspecting?

Explainers

Explainers
Natural Language Processing in Healthcare
Risk Score
Value-Based Care
Predictive Analytics in Healthcare
Artificial Intelligence in Healthcare
Population Health Management
Computer Assisted Coding
Medical Algorithms
Clinical Decision Support
Healthcare Technology Trends
APIs in Healthcare
Hospital Workflows
Importance of Data Collection in Healthcare
Difference Between PII and PHI
Evaluation and Management Codes
Condition Counts
Social Determinants of Health
Supplemental Benefits with MA Plans
Different Types of Medicare Classes
HCC Coding Examples
Medical Necessity in Coding