Medical Billing Companies & Consultants in Plymouth, MA

FrontRunnerHC, Inc. is a healthcare technology company based in Plymouth, Massachusetts. It supports the front end of the revenue cycle, where billing problems often start. The company does not handle billing on an outsourced basis. Instead, it provides a software platform that lets providers check patient and coverage data before claims go out. The goal is to catch the gaps that cause denials and slow payment. Its message to buyers is that denial prevention should begin before the patient arrives for a visit, not after a claim has been rejected.

What the company does

The platform gives organizations quick access to three kinds of patient data: demographics, insurance coverage and financial information. It can find missing details, confirm that existing records are correct and fix errors. Users can run checks one patient at a time in real time, or process large groups of records in batches. Checks can be run at any stage of the care journey, from scheduling and registration through to work after the service. FrontRunnerHC says its platform connects to a very large network of payers, which it presents as a key strength.

• Insurance discovery to find coverage that patients did not report
• Checking insurance eligibility before services are given
• Confirming and updating patient demographic details
• Finding patient financial information to support collections
• Processing patient records one at a time or in batches

Who it serves

Its clients include clinical and diagnostic laboratories as well as a wider mix of healthcare providers. During the pandemic, it also worked with labs, public health groups and other organizations on software for COVID testing. That software handled test scheduling, managed how often people were tested and sent out results, helping schools and employers bring people back safely. Lab-focused buyers may also note that the company attends industry events such as the semi-annual Diagnostic Coverage and Reimbursement Conference in Boston.

How it works with clients

Prospective clients can book an online demo at a time that suits them. The company has staff dedicated to implementation, client operations and account management to help new users get started. FrontRunnerHC has joined athenahealth's Marketplace program, which may matter to practices and organizations already using athenahealth systems. The company has also completed repeated SOC 2 assessments, an independent review of how it protects data. This is important because the platform handles sensitive patient and insurance records.

Background

FrontRunnerHC was founded in 2010. It is a privately held company with a team of about 11 to 50 people, and its headquarters is at Cordage Park in Plymouth. John Donnelly leads the company as President and CEO. FrontRunnerHC has been named more than once to the Inc. 5000 list of fast-growing private companies in the United States. For buyers comparing medical billing vendors, it is best seen as a specialist in patient data and eligibility tools that works alongside billing teams to prevent denials and increase reimbursement. It is not a full-service billing company.