What Positive Results LLC does

Positive Results LLC is a privately-held U.S. medical billing services provider founded in February 1998 in Western Massachusetts and now operating from offices in Holyoke, MA and Virginia Beach, VA (the latter branded 'Beach Billing powered by Positive Results'). The firm delivers outsourced revenue cycle management to medical practices across urgent care and multiple specialty verticals (ophthalmology, podiatry, cardiology, pain management, general surgery, bariatrics, family medicine, internal medicine, otolaryngology, sleep medicine, and occupational medicine/workers' compensation).

The service offering is structured as an integrated suite of modules covering the full revenue cycle: Coding Review by Certified Professional Coders, daily Payment Posting with EFT setup and remote deposit scanning within 48 hours, aggressive Review & Follow Up on EOBs and aged A/R, customizable Reporting & Reconciliation through an SSL-encrypted secure client portal, full-service Contracting & Credentialing including CAQH maintenance, in-house Patient Communication with local phone numbers, and dedicated workers' compensation billing. The underlying technology stack combines a secure web-based client login portal, electronic payment processing with payer and clearinghouse integration, and standardized HIPAA-compliant infrastructure with designated Compliancy Officers at each location, business associate agreements, and annual third-party audits.

The company operates a B2B sales-led and inside-sales go-to-market, acquiring clients through direct outreach, a toll-free number, a professional website with specialty landing pages, and client testimonials. Revenue is earned on a transaction-fee basis as a percentage of client collections rather than charges, with co-pays and self-pay amounts typically excluded from fee calculations. The firm is founder-owned, with no external institutional investment, and is led by CEO Candice Michaelsen (who succeeded founder Georgia J. LeSiege upon her 2022 retirement) supported by VP of Operations Chad R. Donnelly and an Administrator, Office Manager, and Office Administrator across the two locations.

Name

Positive Results LLC

Legal name

Positive Results, LLC

Website

https://positiveresultsbilling.com

Company type

Private

Founded year

1998

Operating status

Operating

Headcount range

11–50 employees

Short description

Positive Results LLC is a U.S. medical billing services provider founded in 1998, offering full revenue cycle management to urgent care centers and specialty practices from offices in Holyoke, MA and Virginia Beach, VA, on a percentage-of-collections fee model.

Ownership category

akta.pro rank

Product category

Medical Billing Services

NAICS

Business Service Centers (56143)

SIC

Hospital & Medical Service Plans (6324), Services-Health Services (8000)

akta.pro primary industry

Medical Coding, Billing & Clinical Documentation Support (BPAAAFAD)

akta.pro secondary industries

Claims Management, Scrubbing & Clearinghouse (HLACACAB), Eligibility & Benefits Verification (HLACACAD)

Keywords

• Medical billing services
• Revenue cycle management
• Healthcare claims processing
• Medical coding review
• Accounts receivable management

Headquarters

HQ city

Holyoke

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales

Revenue model

1. Medical Billing Services: The company earns revenue by providing comprehensive medical billing services to healthcare practices. Fees are calculated based on collections rather than charges, with co-pays and self-pay amounts typically excluded from fee calculations. The revenue model incentivizes maximizing collections for clients.

Pricing tiers

Go-to-market motion2 records

Distribution channels2 records

Marketing channels6 records

Core offering

Positive Results LLC is a medical billing services provider that manages the complete revenue cycle for healthcare practices across the United States. Services include coding review, charge entry, payment posting, denial management, accounts receivable follow-up, contracting and credentialing, patient communication, and reporting and reconciliation, delivered as an outsourced billing function with customized reporting packages.

Product overview

Positive Results LLC offers a unified medical billing services platform consisting of multiple integrated service modules. The core offering includes Coding Review, Payment Posting, Review & Follow Up, and Reporting & Reconciliation as the foundational services, complemented by Contracting & Credentialing, Patient Communication, and Occupational Medicine & Workers' Compensation specialty services. The company operates as a virtual extension of client offices, customizing reporting packages and providing comprehensive billing services across the United States from offices in Holyoke, MA and Virginia Beach, VA.

Differentiator

Problem solved

Functional benefit

Products and services

• Coding Review Certified Professional Coders review charges against chart notes to ensure correct diagnosis codes, modifiers, and procedure codes are applied to claims for medical practices.
• Payment Posting Daily payment posting service receiving all client payments, posting them daily, and making deposits via remote deposit scanning within 48 hours, with EFT payment setup with payers and clearinghouses.
• Review & Follow Up Aggressive review and follow-up service scrutinizing each EOB to ensure correct payment, correcting insurance denials daily, and reviewing aged accounts receivable line by line.
• Reporting & Reconciliation Customizable reporting package providing daily, weekly, or monthly reports including adjustment history, charge history, deposit reconciliation, and payment history graphs through a secure client portal.
• Contracting & Credentialing Full-service contracting and credentialing including initial contracting, provider credentialing, CAQH maintenance, and contract negotiations for billing clients.
• Patient Communication Patient communication service with local phone numbers directing patients to an in-house call center, contact for missing billing information, address correction, and soft collection calls prior to bad debt assignment.
• Occupational Medicine & Workers' Compensation Specialized billing services for workers' compensation claims including obtaining necessary information from insurers, employers, and patients with daily billing, plus occupational medicine invoicing and employer agreement follow-up.

Quantifiable outcome

• Improved collections and reduced operating costs
• +2 more outcomes

Named customers4 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Scale indicators4 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Vee Technologies: Vee Technologies provides medical billing, coding, and RCM services with offshore delivery capabilities. Both companies compete in outsourced medical billing but Vee has access to offshore labor cost advantages that a small US-only operation cannot match.
• IKS Health: IKS Health provides tech-enabled RCM and medical billing services to healthcare providers. While larger and more technology-driven, it competes in the same outsourced medical billing market with similar end-to-end revenue cycle capabilities.
• Outsource Management Group: Outsource Management Group is a direct peer providing outsourced medical billing and practice management services. Both firms operate as BPO-style billing partners for medical practices with comparable service offerings across the revenue cycle.
• BillingParadise: BillingParadise is a direct peer offering outsourced medical billing and RCM services to medical practices across multiple specialties. Both companies operate as outsourced billing partners with similar percentage-of-collections pricing and similar target customer base of small-to-mid-sized medical practices.
• GeBBS Healthcare Solutions: GeBBS Healthcare Solutions is a direct peer offering comprehensive medical billing, coding, and RCM services to healthcare providers. Both companies specialize in outsourced coding and billing workflows for medical practices and health systems.
• Medusind: Medusind is a direct peer providing end-to-end medical billing, coding, and RCM services for medical practices and healthcare organizations. Both companies offer comprehensive outsourced billing services including coding review, payment posting, denial management, and A/R follow-up with a similar B2B services model.

Emerging players

• DrChrono: DrChrono is an emerging player offering EHR and practice management with integrated medical billing features. While smaller and tech-led, it serves the same small medical practice market with potential overlap on billing functionality.

Broad incumbents

• Tebra (formerly Kareo): Tebra is a broad incumbent offering an integrated practice management and medical billing platform that combines software with managed billing services. It serves the same small-to-mid-sized medical practice market but offers a tech-led approach versus Positive Results' pure-services model.
• AdvancedMD: AdvancedMD is a broad incumbent offering cloud-based medical practice management, EHR, and medical billing software with RCM services. It targets independent medical practices similar to Positive Results' customer base but with a more technology-driven offering.
• athenahealth: athenahealth is a broad incumbent offering cloud-based EHR, practice management, and revenue cycle management services to medical practices. While it operates at a much larger scale with a software-plus-services model, it competes for the same outsourced billing market.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xx.com/PosResultsLLP
• Facebookfacebook.com/positiveresultsllc
• LinkedInlinkedin.com/company/positive-result

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Positive Results LLC