Product Intelligence

Product Applicability Matrix

14 Kipu capabilities mapped to every facility type, archetype, and care level.

Know exactly which features to lead with for each prospect. Not every capability matters to every buyer. A PE-backed COO doesn't care about SAMHSA audit trails. An OTP compliance director doesn't care about cross-facility dashboards. Lead with what moves them.

Filter by Facility Type

Kipu RCM Platform Capabilities

14 capabilities. Each tagged with the facility types and archetypes where it has the highest impact.

Core
Claims Validation Engine
Real-time claim scrubbing against payer-specific rules before submission. Catches coding errors, missing modifiers, and documentation mismatches before they become denials. Reduces clean claim rejection rate by 35-45%.
PE-Backed VC/Growth Owner-Op Nonprofit Hospital Residential PHP/IOP OTP

Lead with this for: Everyone. It's the foundation.

Core
Denial Management Engine
Automated denial identification, categorization, and rework queue. Tracks root causes across payers and facilities. Identifies patterns that manual teams miss. Average 12-15% denial rate reduction in first 90 days.
PE-Backed VC/Growth Hospital Residential PHP/IOP

Lead with this for: PE-backed (EBITDA impact), hospitals (margin improvement).

Revenue
Prior Authorization Automation
Proactive authorization tracking with automated renewal alerts, payer-specific timeline management, and concurrent review scheduling. Eliminates the most common BH denial root cause: expired or missing authorizations.
PE-Backed VC/Growth Residential PHP/IOP

Lead with this for: High commercial payer mixes. Auth gaps are the #1 denial cause.

Analytics
Multi-Site / Cross-Facility Dashboard
Unified view of revenue cycle performance across all facilities. Real-time denial rates, A/R aging, clean claim rates, and payer performance by site. The board-level view that multi-site operators need.
PE-Backed VC/Growth Hospital

Lead with this for: PE post-M&A ("one dashboard across all acquisitions").

Compliance
42 CFR Part 8 Compliance Engine
Built-in documentation templates and workflow enforcement for OTP regulatory requirements. Ensures dispensing, clinical, and billing documentation align with federal OTP standards. Generates compliance-ready audit trails.
OTP

Lead with this for: Any OTP prospect. This is the differentiator. No competitor has this depth.

Compliance
Dispensing-to-Billing Reconciliation
Automated matching of dispensing records (ScriptPro, Omnicell, manual) to billing claims. Flags discrepancies before submission. Prevents the mismatches that trigger Medicaid paybacks and SAMHSA findings.
OTP

Lead with this for: OTP with dispensing integration needs. The $340K payback prevention story.

Compliance
SAMHSA Audit Trail Generator
One-click generation of SAMHSA-survey-ready documentation packages. Take-home dose authorization trails, dispensing logs, clinical assessment linkage, and billing verification. Turns survey prep from weeks to hours.
OTP

Lead with this for: OTP with upcoming SAMHSA survey or post-survey corrective action.

Reporting
Grant Reporting Automation
Automated generation of outcomes-linked billing reports for SAMHSA block grants, state grants, and federal funding sources. Connects clinical outcomes data to services billed. Eliminates manual reconciliation.
Nonprofit OTP

Lead with this for: Nonprofits with SAMHSA block grants or state funding.

Clinical
ASAM Level-of-Care Transition Tracking
Automated tracking of patient transitions between ASAM levels (3.7→3.5→3.1→2.5→2.1) with corresponding authorization and billing code updates. Prevents the billing gap during LOC transitions that creates denials.
Residential PHP/IOP PE-Backed VC/Growth Hospital

Lead with this for: Mixed LOC facilities. The transition gap is where denials hide.

Revenue
Out-of-Network Authorization Workflow
Specialized workflow for OON payer verification, single-case agreement negotiation tracking, and authorization management. Handles the unique complexity of OON behavioral health billing where standard tools fail.
Owner-Op PE-Backed VC/Growth Residential

Lead with this for: Facilities with >20% OON payer mix. This is where the biggest revenue leakage occurs.

Integration
Epic / Cerner / Enterprise EMR Integration
Validated integration pathways for major enterprise EMR systems. HL7/FHIR data exchange, single sign-on compatibility, and IT-friendly deployment. Designed to work alongside, not replace, existing hospital systems.
Hospital

Lead with this for: Hospital deals where IT approval is the gate. "Additive, not replacement."

Integration
Dispensing System Integration (ScriptPro / Omnicell)
Direct integration with automated dispensing systems for real-time dispensing-to-billing data flow. Eliminates manual entry and reconciliation between dispensing and billing systems.
OTP

Lead with this for: OTP with automated dispensing. The integration gap is the compliance risk.

Compliance
Take-Home Dose Tracking & Authorization
Automated tracking of take-home dose authorizations with clinical assessment linkage, dispensing verification, and SAMHSA-compliant documentation generation. The #1 gap found in SAMHSA OTP surveys.
OTP

Lead with this for: OTP with take-home dose programs. This is what SAMHSA looks for first.

Revenue
Medicaid Auto-Follow-Up Engine
Automated follow-up on Medicaid claims with state-specific timing rules, resubmission workflows, and payment posting. Reduces time-to-payment by an average of 22 days on Medicaid claims.
OTP Nonprofit

Lead with this for: Medicaid-heavy payer mixes (>60% Medicaid).

Quick Reference: Capability x Archetype Matrix

Which capabilities to lead with for each buyer type.

Capability PE-Backed VC/Growth OTP Nonprofit Owner-Op Hospital
Claims ValidationLeadLeadSupportLeadLeadSupport
Denial ManagementLeadLeadMentionMentionSupportLead
Prior Auth AutomationLeadLeadMentionMentionSupportSupport
Multi-Site DashboardLeadLeadSupport - -Support
42 CFR Part 8 Engine - -Lead - - -
Dispensing Reconciliation - -Lead - - -
SAMHSA Audit Trail - -Lead - - -
Grant Reporting - -SupportLead - -
ASAM LOC TrackingSupportSupport - -MentionLead
OON Auth WorkflowLeadSupport - -Lead -
Epic/Cerner Integration - - - - -Lead
Dispensing Integration - -Lead - - -
Take-Home Dose Tracking - -Lead - - -
Medicaid Auto-Follow-Up - -LeadSupport - -

Lead = open with this capability. Support = mention after primary value prop. Mention = reference if relevant. - = don't bring it up.

Kipu EMR Integration Advantage

For existing Kipu EMR customers, every capability gets stronger.

Data Flow

Existing Kipu EMR means clinical documentation, billing codes, and patient data flow natively. No HL7 mapping. No integration middleware. No data translation errors.

RCI multiplier: 1.25x for existing Kipu

Time to Value

Existing customers can be live in 21 days for the first facility vs. 45-60 days for non-Kipu. The EMR foundation is already built. We're adding the revenue cycle layer, not rebuilding the stack.

21 days to live vs. 45-60 for new logo

Clinical Documentation Bridge

The #1 denial root cause is clinical documentation gaps. When clinical notes are already in Kipu, the RCM platform can validate documentation-to-billing alignment in real-time. No cross-system reconciliation needed.

The integration story is already told

Non-Kipu EMR Compatibility

For new logos, integration confidence is the unlock.

EMR Integration Method Typical Use Case Timeline
EpicHL7/FHIR APIHospital-owned BH divisions4-6 weeks integration
CernerHL7/FHIR APIHospital-owned BH divisions4-6 weeks integration
Allscripts BHHL7 interfaceMulti-site residential3-4 weeks integration
NetsmartHL7 interface + flat fileNonprofit BH, community MH3-5 weeks integration
SimplePracticeAPI + flat fileSmaller PHP/IOP practices2-3 weeks integration
InSyncAPIOwner-operator residential2-3 weeks integration
TherapyNotesFlat file + APISmaller IOP, solo practices2-3 weeks integration
Custom / LegacyCustom HL7/flat fileState/county systems6-8 weeks integration
View full glossary →
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