Month 1 Deliverable

Deep Discovery Template

Conditional discovery paths that branch by ownership, level of care, payer mix, and persona. What to ask, when, and why—with full RCI scoring.

Discovery Isn't a Script. It's a Decision Tree.

Most discovery call templates are linear. Question 1, Question 2, Question 3. They assume every prospect is the same shape. They're not. A PE-backed COO who manages 6 residential facilities has fundamentally different pain points than a nonprofit ED running a single PHP program on Medicaid reimbursement.

This template is conditional. The questions you ask in minute 5 depend on the answers you got in minute 2. The follow-ups branch based on ownership structure, Kipu customer status, payer mix, and clinical documentation maturity. You don't need to memorize all paths—you need to know which branch you're on.

"Product selling solves acute pain. Platform selling transforms how operations work. That transformation requires earning the right to sell by understanding their business better than competitors understand it—and sometimes better than the prospect understands it themselves."

The goal of deep discovery isn't to fill out a form. It's to understand whether this prospect has a problem we can solve, whether they know they have it, and whether they're in a position to act on it. If the answer to all three is yes, you're qualified. If any is no, you know exactly where to invest or disengage.

Part 1: Dimensional Qualification

Four dimensions determine every prospect's discovery path. Score each dimension to build a composite Revenue Capture Index (RCI).

Dimension 1: Ownership Structure

Category Identifier Decision Driver Timeline Pressure Key Discovery Flags
PE-Backed FP_PE EBITDA optimization High (45 days) Probe hold period, platform strategy, bolt-on acquisitions
VC-Backed FP_VC Growth metrics Very High (30 days) Probe funding stage, expansion plans, unit economics
Owner-Operator FP_OO Personal vision + cash flow Low (90 days) Probe succession plans, pain tolerance, vendor relationships
Health System BH FP_HS Enterprise alignment Very Low (180 days) Probe IT governance, integration requirements
501(c)(3) Mission NP_501 Mission alignment + sustainability Low Probe grant funding, board dynamics
FQHC NP_FQHC Compliance mandate + federal reporting Moderate Probe UDS requirements, HRSA priorities
County-Operated GOV_CTY Budget cycle alignment Very Low Probe procurement requirements, budget timing
State-Operated GOV_ST Legislative mandate Very Low Probe funding streams, interoperability mandates

Ownership Qualification Questions

"Walk me through the ownership structure. Is this PE-backed, founder-led, nonprofit, or part of a larger system?"

"Who makes the final decision on revenue cycle vendors—and who influences that decision?"

"What's your timeline for making a change? Is there a board review, budget cycle, or external event driving urgency?"

The ownership answer dictates every subsequent branch. Get this right in the first 2 minutes.

Dimension 2: Level of Care

Level of Care ASAM Level Regulatory Complexity Billing Complexity Key Discovery Focus
OTP (Opioid Treatment Program) 1-OTP Very High (DEA + SAMHSA + State) Moderate (bundled rates) Dispensing documentation, take-home dose tracking, SAMHSA compliance
Inpatient Detox 3.7 / 4.0 High (medical necessity, concurrent review) High (per-diem, auth-dependent) Medical necessity documentation, concurrent review workflow, LOS management
Residential 3.1 / 3.5 Moderate-High High (auth management, LOS) Authorization management, continued stay reviews, discharge planning
PHP (Partial Hospitalization) 2.5 Moderate High (service-level billing) Group/individual session tracking, attendance verification, service-level documentation
IOP (Intensive Outpatient) 2.1 Low-Moderate Moderate (session-based) Session documentation, attendance tracking, step-down transition
Outpatient 1.0 Low Low-Moderate (CPT-based) CPT code accuracy, modifier usage, telehealth documentation
OTP Special Track

OTP programs have unique regulatory overlay (DEA registration, SAMHSA certification, state OTP licensure) that creates discovery questions no other level of care requires. Always probe dispensing system integration, take-home dose authorization tracking, and state-by-state regulatory variation when OTP is present.

Discovery Focus Intensity by Level of Care

Dimension 3: Payer Mix

Payer Composition Identifier Reimbursement Profile Primary Billing Challenges RCI Modifier
Commercial/PPO Dominant (>60%) PAY_COM High reimbursement, variable OON negotiations, VOB accuracy, balance billing compliance +15
Medicaid Dominant (>60%) PAY_MCD Low reimbursement, predictable Rate adequacy, state-specific rules, timely filing +5
Medicare Dominant (>40%) PAY_MCR Moderate, rule-heavy Compliance burden, documentation standards, audit risk +10
Mixed Payer (no dominant) PAY_MIX Variable across payers Workflow complexity, payer-specific rules, staff training +12
Self-Pay / Cash Dominant (>40%) PAY_SP High per-unit, collection risk Collections, payment plans, insurance verification gaps +8
Government Contract (block grant) PAY_GOV Fixed, reporting-dependent Grant compliance, utilization reporting, cost allocation +3

Payer Mix Qualification Questions

"What's your approximate payer mix breakdown? Commercial vs. Medicaid vs. self-pay?"

"Which payers cause you the most billing headaches? Where do denials concentrate?"

"Are you doing any out-of-network billing? How are those negotiations going?"

Commercial-dominant payer mix = highest revenue capture opportunity. Medicaid-dominant = compliance-first conversation.

Dimension 4: Organization Size

Size Category Identifier Location Count Characteristics Decision Speed
Single Site SZ_SS 1 Owner involved in everything, lean staff, relationship-driven decisions Fast (owner decides)
Small Multi-Site SZ_SM 2–5 Growing pains, inconsistent processes, centralization needs Moderate (small leadership team)
Mid-Market SZ_MM 6–20 Professional management, defined roles, committee decisions Slow (multiple stakeholders)
Enterprise SZ_ENT 20+ Corporate structure, procurement process, IT governance Very Slow (formal procurement)

Size Qualification Questions

"How many locations are you operating across? Are they all the same level of care?"

"Is your billing centralized or does each site handle its own?"

"When you've made vendor decisions before, what did that process look like? How many people were involved?"

Size determines deal velocity and required stakeholder mapping depth.

Part 2: Conditional Path Selection

Based on dimensional qualification, select the discovery path that matches the prospect's composite profile. Each path has a unique opening reframe, key discovery questions, and RCI weighting adjustments.

Path 001

PE + OON Boutique Revenue Optimization

Profile: FP_PE + PAY_COM + SZ_SM/SZ_MM + Residential/PHP

Opening Reframe: "Most PE-backed treatment groups we talk to are measuring revenue cycle performance on collections rate and days in A/R. But the operators who are actually maximizing EBITDA are measuring revenue per billable hour and denial recovery velocity. The difference between those two measurement frameworks is usually 12–18% in captured revenue."

Key Discovery Questions

"What does your board expect from rev cycle performance this quarter?"

"How are you measuring billing performance across sites—is it centralized or per-facility?"

"When your biller misses a prior auth, how long until someone notices?"

"What's your current net days in A/R? Do you know the number by payer?"

"If I could show you a 15% denial rate reduction in 90 days, who else needs to be in that conversation?"

Listen For:

• Board pressure on specific financial metrics (EBITDA margin, collections %)

• Multi-site inconsistency in billing processes

• Lack of visibility into denial root causes

• Third-party biller underperformance frustration

• M&A integration creating billing chaos

• Hold period pressure driving urgency

RCI ComponentWeighting AdjustmentRationale
Revenue Leakage+20%OON commercial billing has highest recovery potential
Decision Speed+15%PE timeline pressure accelerates evaluation
Compliance Risk-5%Lower regulatory burden at residential/PHP vs. OTP
Integration Complexity+10%Multi-site integration = higher platform value
Path 002

Nonprofit Medicaid OTP Compliance Efficiency

Profile: NP_501/NP_FQHC + PAY_MCD + SZ_SS/SZ_SM + OTP

Opening Reframe: "The nonprofit OTP programs we work with aren't losing money because they don't care about revenue. They're losing money because their compliance posture is so conservative that they're leaving billable services on the table. The irony is that better documentation actually reduces compliance risk AND increases revenue."

Key Discovery Questions

"How does your billing data flow into your grant reporting?"

"When SAMHSA or your state agency asks for outcomes data tied to services billed, how long does that take to pull?"

"Walk me through your dispensing documentation workflow. How does it connect to billing?"

"Are you tracking take-home dose authorizations in the same system as billing?"

"Has a billing issue ever jeopardized a grant renewal?"

Listen For:

• Manual reconciliation between billing and grant systems

• Fear of audit findings driving underbilling

• Disconnected dispensing and billing systems

• SAMHSA survey anxiety

• Staff wearing multiple hats (billing + clinical + admin)

• Conservative compliance posture leaving revenue on the table

RCI ComponentWeighting AdjustmentRationale
Revenue Leakage+10%Underbilling from conservative compliance posture
Compliance Risk+25%Triple regulatory overlay (DEA + SAMHSA + State)
Decision Speed-10%Board approval cycle, grant funding constraints
Mission Alignment+15%Sustainability narrative resonates with nonprofit boards
Path 003

Multi-Site PHP/IOP Operational Scalability

Profile: FP_PE/FP_VC + PAY_MIX + SZ_MM + PHP/IOP

Opening Reframe: "When you went from 2 sites to 6, your clinical model scaled. Your billing model didn't. The organizations that successfully scale PHP/IOP revenue cycle don't just hire more billers—they standardize the workflow so that every site produces clean claims the same way. That's the difference between growth that improves margin and growth that dilutes it."

Key Discovery Questions

"How consistent is your billing process across all locations?"

"When you open a new site, how long does it take to get billing operations to the same level as your best site?"

"What's the variance in denial rates across your locations?"

"How are you tracking group session attendance and tying it to billing across sites?"

"If one biller leaves at one site, how does that affect billing across the network?"

Listen For:

• Site-to-site variance in billing performance

• "Biller island" problem (each site independent)

• New site ramp time exceeding 90 days

• Group session attendance tracking as manual/inconsistent

• Scaling plans that will exacerbate current process gaps

• Frustration with per-site billing cost structure

RCI ComponentWeighting AdjustmentRationale
Operational Scalability+25%Multi-site inconsistency = primary pain
Revenue Leakage+15%Variance across sites indicates missed revenue
Decision Speed+10%Growth pressure creates urgency
Integration Complexity+15%Multi-site standardization = high platform value
Path 004

Health System Integration

Profile: FP_HS + PAY_MIX/PAY_MCR + SZ_ENT + Multiple LOC

Opening Reframe: "Health systems are great at acute care revenue cycle. But behavioral health billing is a completely different animal—different authorization workflows, different documentation standards, different payer rules. The BH division that tries to use the acute care billing playbook leaves 20–30% of collectible revenue on the table."

Key Discovery Questions

"How does your BH division's revenue cycle fit within the broader hospital system?"

"Is BH billing handled by the same team as acute care, or is there a dedicated BH billing function?"

"What's the IT approval process for new clinical or financial systems?"

"How does your BH division's margin compare to other departments?"

"If we could improve BH revenue without requiring system-level EMR changes, who would champion that internally?"

Listen For:

• BH treated as afterthought in system priorities

• Acute care billing team struggling with BH complexity

• IT gatekeeping preventing BH-specific solutions

• BH division subsidized by other departments

• New BH expansion initiative needing financial justification

• Epic/Cerner integration requirements and constraints

RCI ComponentWeighting AdjustmentRationale
Integration Complexity+25%Enterprise IT environment = highest integration bar
Decision Speed-20%Formal procurement, IT governance, committee approval
Revenue Leakage+15%Acute-care-first billing teams systematically underbill BH
Deal Size+20%Enterprise contracts = largest revenue potential

If IT is a blocker, identify the clinical champion who can build the internal business case. Navigate around IT, not through IT.

Path 005

Owner-Operator Single Site Relief

Profile: FP_OO + PAY_COM/PAY_MIX + SZ_SS + Residential/IOP

Opening Reframe: "You started this facility to help people recover. Somewhere along the way, you became a billing manager, a compliance officer, and an accounts receivable specialist. The owner-operators we work with don't need more billing staff—they need to stop being billing staff."

Key Discovery Questions

"How much of your personal time goes into billing oversight each week?"

"When's the last time you audited your biller's work? What did you find?"

"If your billing person left tomorrow, what happens?"

"Are you thinking about succession planning or a future sale? How clean is your financial data?"

"What's the biggest billing surprise you've had in the last year?"

Listen For:

• Personal stress around billing ("I lose sleep over it")

• Single point of failure in billing staff

• Surprise write-offs or unexpected denials

• Succession or sale considerations

• Distrust of current biller but no alternative

• Owner doing 10+ hours/week of billing oversight

RCI ComponentWeighting AdjustmentRationale
Owner Relief+25%Personal pain = strongest emotional driver
Revenue Leakage+15%Under-resourced billing = systematic underbilling
Decision Speed+20%Owner is the decision maker—no committee
Deal Size-15%Single site = smaller contract value

If they mention wanting to sell the facility, pivot to valuation readiness. Clean revenue cycle data dramatically increases facility valuation.

Path 006

Government Procurement Alignment

Profile: GOV_CTY/GOV_ST + PAY_GOV/PAY_MCD + SZ_SM/SZ_MM + Multiple LOC

Opening Reframe: "Government-operated behavioral health programs have a unique challenge: the funding is available, the mandate is clear, but the procurement process wasn't designed for revenue cycle technology. The programs that move fastest are the ones that frame this as a compliance investment, not a revenue tool."

Key Discovery Questions

"What does your procurement process look like for technology vendors?"

"Is this a budgeted line item, or would we need to create a business case for new funding?"

"Who are the stakeholders that need to approve this—and what's the approval timeline?"

"How are you currently reporting on revenue cycle performance to your funding sources?"

"Are there interoperability mandates from the state that affect your technology choices?"

Listen For:

• Budget cycle timing (fiscal year alignment)

• RFP/RFQ requirements vs. sole-source thresholds

• Legislative or regulatory mandates creating urgency

• Interoperability requirements (state HIE, PDMP)

• Federal funding streams (SAMHSA, HRSA) with reporting requirements

• Internal champion vs. procurement bureaucracy

RCI ComponentWeighting AdjustmentRationale
Compliance Mandate+20%Government programs must comply—strongest forcing function
Decision Speed-25%Procurement process = longest timeline
Deal Stability+20%Government contracts are long-term, stable revenue
Revenue Leakage+5%Block grant funding limits revenue upside

Frame as compliance investment, not revenue tool. Government buyers respond to risk mitigation, not revenue optimization.

Part 3: Persona-Specific Methodology

Different personas require different discovery approaches. Match the methodology to the person across the table.

Executive Personas: Full Challenger Approach

Executives (CEO, CFO, COO, VP Revenue Cycle) respond to insights they haven't considered. The Challenger Sale methodology reframes their thinking before presenting solutions.

The Challenger Sequence

Step 1
Warmer

Demonstrate credibility by referencing a pattern you've seen in their specific segment. "We work with a number of PE-backed residential groups in the 4–8 site range, and there's a pattern we see repeatedly..."

Step 2
Reframe

Introduce a perspective they haven't considered. Challenge their current assumption about what's causing their revenue cycle problem. "Most groups measure collections rate. But the real metric is revenue per billable hour—and that changes the entire conversation."

Step 3
Rational Grounding

Support the reframe with data. Use benchmark data, industry statistics, or anonymized client results. "Our data across 200+ behavioral health facilities shows that the average denial rate is 18%, but the top quartile is at 6%. That's not a billing problem—it's a documentation workflow problem."

Step 4
Emotional Impact

Make it personal. Connect the data to their specific situation and the consequences of inaction. "For a group your size, that delta represents roughly $1.2M in annual revenue that's being left on the table. And every quarter you wait, that number compounds."

Step 5
New Way Forward

Paint the picture of what changes. Not your product—the operational transformation. "The groups that close this gap don't just hire better billers. They change the workflow so clinical documentation drives billing automatically."

Step 6
Solution

Only now introduce your solution as the vehicle for the transformation you've described. "This is exactly what Kipu RCM was built to do—close the gap between clinical documentation and clean claims."

Clinical Personas: MI-Challenger Hybrid Approach

Clinical leaders (Clinical Director, Medical Director, Director of Nursing) speak the language of motivational interviewing. Meet them in their framework, then bridge to business impact.

The MI-Challenger Sequence

Step 1
Open Question

"Tell me about how your clinical team currently approaches documentation. What works well?"

Step 2
Affirmation

"It sounds like your team really cares about documentation quality. That's actually rarer than you'd think."

Step 3
Reflection

"So what I'm hearing is that your clinicians want to do thorough documentation, but the time pressure means they're often choosing between patient care and paperwork."

Step 4
Summary

"Let me make sure I have this right: strong clinical intent, time-constrained execution, and the billing team is catching the gaps after the fact."

Step 5
Transition to Insight

"Here's what's interesting—the facilities where clinicians report the highest satisfaction with documentation are the ones where the templates are structured to capture both clinical quality AND billing requirements simultaneously. It's not an either/or."

Step 6
Change Talk Elicitation

"If your clinicians could complete documentation in less time AND have it automatically support billing—what would that mean for your team?"

Sustain Talk Responses

When clinical personas resist the business conversation, use these MI-informed redirects.

Sustain TalkMI-Informed Response
"We're clinicians, not billers." "Absolutely. And the best billing systems are the ones that don't require clinicians to think about billing at all. The documentation serves the patient—the system handles the rest."
"Our documentation is fine." "I hear that. And you may be right. Would it be useful to see how your documentation compares to the top-performing facilities? Sometimes there are quick wins hiding in plain sight."
"We don't want to change our clinical workflow." "That makes sense—clinical workflow should drive technology, not the other way around. What if we could improve billing outcomes without changing the clinical workflow at all?"
"Revenue isn't my department." "You're right that revenue is the CFO's problem. But clinical documentation quality? That's where the money is made or lost—and that IS your domain."

Operational Personas: Consultative Challenger

Operational leaders (Compliance Officer, Billing Manager, IT Director) want specifics. They respond to consultative depth, not high-level vision. Show them you understand their daily pain.

Compliance Officer Approach

Opening: "What keeps you up at night from a compliance perspective? Where are your biggest audit exposure areas?"

Key Insight: "The compliance officers we work with say the hardest part isn't knowing the rules—it's proving they followed them. Documentation of compliance is harder than compliance itself."

Quantification Focus: "How many hours per week does your team spend on compliance documentation vs. actual compliance monitoring?"

Billing Manager Approach

Opening: "Walk me through a typical day for your billing team. Where do the bottlenecks hit?"

Key Insight: "The best billing managers we talk to aren't asking for more staff. They're asking for better data from the clinical side. When clinical documentation is structured correctly, billing becomes verification, not reconstruction."

Quantification Focus: "What percentage of claims require rework before submission? How many touches does an average claim take from service to payment?"

IT Director Approach

Opening: "What's your integration landscape look like? What systems talk to each other, and where are the manual handoffs?"

Key Insight: "IT leaders in behavioral health tell us their biggest challenge isn't the technology—it's managing 6 different vendor integrations that were each sold as 'seamless.' A single platform approach eliminates integration maintenance."

Quantification Focus: "How many hours per month does your team spend maintaining integrations between clinical and financial systems?"

Part 4: Existing Business Discovery

For existing Kipu EMR customers, skip the EMR evaluation and go directly to revenue capture assessment.

Revenue Capture Assessment Framework

Positioning Statement: "You're already generating excellent clinical data in Kipu. The question is: how much of that data is actually translating into captured revenue? Our experience is that even well-run Kipu customers leave 15–25% of collectible revenue on the table due to workflow gaps between clinical documentation and billing execution."

Assessment Area 1: Claims Submission Workflow

"What's your current time from service delivery to claim submission?"

"How many claims require manual intervention before submission?"

"What's your first-pass clean claim rate?"

Benchmark: Top performers submit within 48 hours of service with 95%+ first-pass clean claim rate.

Assessment Area 2: Denial Management

"What's your overall denial rate? Do you know it by payer and by denial reason?"

"When a claim is denied, what's your average time to rework and resubmit?"

"What percentage of denied claims are actually appealed vs. written off?"

Benchmark: Top performers maintain <8% denial rate and appeal 95%+ of denials within 7 days.

Assessment Area 3: Authorization Management

"How are you tracking prior authorizations and continued stay reviews?"

"How often do auth lapses result in unbillable services?"

"Who owns the auth process—clinical team, billing team, or both?"

Benchmark: Zero auth-related denials is achievable with proactive tracking. Every auth lapse = 100% revenue loss for that service.

Assessment Area 4: A/R Performance

"What's your current days in A/R? What's it been trending?"

"What percentage of your A/R is over 90 days?"

"Do you know your A/R by payer? Which payers are slowest?"

Benchmark: Top performers maintain <35 days in A/R with <10% over 90 days.

Assessment Area 5: Revenue Integrity

"When's the last time you did a charge capture audit? What was the result?"

"Are there services your clinicians deliver that never make it to a claim?"

"How confident are you that every billable service is being billed at the correct rate?"

Benchmark: Charge capture audits typically reveal 5–15% in missed billable services at facilities that haven't audited recently.

Part 5: Revenue Capture Index (RCI) Calculation

The RCI score synthesizes discovery data into a single prioritization metric. Higher score = more urgent opportunity with greater revenue capture potential.

Base Formula Components

Component Weight What It Measures How to Score (0–10)
Revenue Leakage Severity 25% How much collectible revenue is being lost 0 = minimal leakage, 10 = severe (denial rate >25%, A/R >60 days)
Decision-Maker Access 20% Can you reach the person who signs 0 = no access, 10 = direct relationship with signer
Timeline Urgency 20% External pressure to act 0 = no urgency, 10 = imminent event (audit, board review, biller quit)
Kipu EMR Alignment 15% Existing Kipu customer or strong fit 0 = incompatible EMR, 10 = existing Kipu customer
Clinical Readiness 10% Documentation foundation for RCM success 0 = broken clinical docs, 10 = strong documentation culture
Deal Size Potential 10% Annual contract value potential 0 = <$50K ACV, 10 = >$500K ACV

Dimensional Modifier Application

After calculating the base RCI score (0–100), apply dimensional modifiers from the conditional path tables above. Each path has specific weighting adjustments that shift the score based on the prospect's profile.

Formula: Final RCI = Base Score + Sum(Dimensional Modifiers)

Cap: Maximum RCI = 100. Minimum RCI = 0.

Example: Base score of 62 + PE timeline modifier (+15%) + OON commercial modifier (+20%) - single site size (-15%) = 82 (Critical priority)

Score Interpretation

RCI Score Priority Action Sales Motion
0–30 Low Nurture Educational content, quarterly check-ins, benchmark sharing
31–50 Moderate Qualified Consultative engagement, ROI analysis, stakeholder mapping
51–70 High Active Opportunity Challenger approach, demo sequence, proposal development
71–85 Critical Fast Track Urgent value demonstration, executive alignment, compressed timeline
86–100 Urgent Immediate Executive escalation, same-week demo, expedited proposal

RCI Score → Priority Level → Sales Motion

Clinical Documentation Assessment

This is where deals are made or disqualified. Revenue cycle breaks at clinical documentation.

Green Light Indicators

• Clinical notes completed within 24 hours of service

• Standardized templates aligned to payer requirements

• Clinical champion who understands the billing connection

• Clinician turnover below 25% annually

• Prior authorization tracked proactively

• Documentation audits conducted at least quarterly

These prospects are ready for RCM. The clinical foundation is there.

Red Flag Indicators

• Clinical note backlog exceeding 48 hours

• Clinician turnover above 30%

• No standardized documentation templates

• No clinical champion identified

• Prior authorization tracked on spreadsheets or not at all

• Failed technology adoption in the last 18 months

These need EMR remediation first. RCM alone won't solve the problem.

Assessment Questions

"What's your average time from service delivery to completed clinical note?"

"Do your clinicians use standardized templates, or is documentation free-form?"

"Who on your clinical team understands how documentation affects reimbursement?"

"What's your clinician turnover rate? How does that affect billing consistency?"

"When's the last time you audited clinical documentation against payer requirements?"

"Have you tried implementing new clinical technology in the last two years? What happened?"

Qualification Checkpoints

At each stage, confirm before proceeding.

1

Problem Confirmed

Does the prospect acknowledge a specific revenue cycle problem? Not "we could always improve"—a named pain point with measurable impact.

If no: educate, share benchmarks, revisit. If still no after 2nd attempt: park the opportunity.

2

Decision-Maker Identified

Have you confirmed who signs? Not who evaluates, not who influences—who signs. And do you have access to that person?

If no after 3 attempts to identify: Tier 3 at best. Likely disqualify.

3

Budget Pathway Clear

Is there budget allocated, can budget be created (ROI justification), or is this a "maybe next fiscal year" situation? Each has a different playbook.

If "next fiscal year": set calendar reminder, provide ROI doc for internal advocacy, move to nurture.

4

Clinical Readiness Assessed

Is the clinical documentation foundation solid enough for RCM to work? Or does the prospect need EMR remediation first?

If clinical foundation is broken: recommend EMR engagement first. RCM on top of broken docs = failed implementation.

5

Timeline Aligned

Does the prospect's timeline match our implementation capacity? Is there an external event creating urgency (audit, board review, grant deadline, M&A)?

If no urgency: create it through benchmark data and competitive intelligence. Or accept the longer timeline.

Kipu Customer vs. Non-Kipu Discovery Overlay

Same questions, different depth. Existing Kipu customers skip the EMR evaluation entirely.

Existing Kipu EMR

Skip: EMR evaluation, integration feasibility, technical assessment

Focus on: Current billing process, denial patterns, A/R aging, biller performance

Key question: "You're generating great clinical data in Kipu. How much of that is actually translating to clean claims?"

Faster path: Can often move to demo after single discovery call

The integration story is already told. Focus entirely on revenue recovery.

Non-Kipu EMR

Add: EMR identification, integration compatibility, IT stakeholder mapping

Focus on: Full workflow assessment plus technical feasibility

Key question: "What EMR are you on, and what's the integration story been like with other financial systems?"

Longer path: Typically requires technical validation call before demo

Integration confidence is the unlock. If IT says no, everything stops.

Quick Reference Cards

Tear-off reference for live discovery calls. Print or pin to your second monitor.

Dimensional Qualifier Cheat Sheet

Dimension Key Question What to Listen For Path Implications
Ownership "Who owns the organization?" PE fund name, founder story, board mention, system affiliation Determines timeline, decision process, value proposition framing
Level of Care "What levels of care do you operate?" ASAM levels, OTP mention, detox vs. residential vs. outpatient Determines regulatory complexity, billing complexity, discovery depth
Payer Mix "What's your payer mix breakdown?" Commercial %, Medicaid %, self-pay, OON status Determines revenue capture potential, primary billing challenges
Size "How many locations?" Single vs. multi-site, centralized vs. distributed, growth plans Determines deal size, decision speed, scalability conversation

Persona Approach Quick Select

Persona Approach Opening Move Value Language Avoid
CEO / Owner Challenger Reframe with industry insight Growth, margin, strategic advantage Technical details, feature lists
CFO / VP Finance Challenger Lead with benchmark data EBITDA impact, cash flow, ROI Clinical jargon, soft benefits
COO Challenger Operational pattern recognition Efficiency, scalability, consistency High-level vision without specifics
Clinical Director MI-Challenger Hybrid Open question about documentation Clinician satisfaction, patient outcomes, documentation quality Revenue-first language, billing jargon
Compliance Officer Consultative Audit risk assessment Risk reduction, audit readiness, regulatory confidence Revenue optimization framing
Billing Manager Consultative Workflow walkthrough Workload reduction, clean claim rate, denial resolution Replacing their role, automation anxiety
IT Director Consultative Integration landscape mapping Reduced integration burden, single platform, security Downplaying technical requirements