The Question That Leads to a Positive Decision (The Texas Hospital Story)

June 17, 2025

Phil Krone, President

Probing questions work only for so long. Once you know the problems, find out what the cost of not solving those problems could mean for the prospect. And it's not always money.

Over the years several clients have asked me to observe one of their salespeople in the field to learn what is holding back their sales success. Several times the client has not wanted to risk a current prospect for research purposes so they suggest a prospect for which they believe the chances for a sale are slim to none. In other words, there’s no chance of wasting a good prospect. 


They don’t necessarily tell me, however, which can lead to some surprising consequences.


In this case, my client had called on a specific Texas hospital for years without success. Our client’s service is to analyze past hospital billings looking for errors that result in Medicare or insurance companies reimbursing hospitals less than they deserve. A percentage of the captured increase in collected billings is paid to our client as a fee. 


This hospital had a homegrown system for ensuring billing accuracy. Confidence in their system led them to believe that retaining an outside firm to audit past billings would be a waste of time because no savings would be found.


During the call, it became clear that there were two reasons the salesperson was not successful. The first was that he really enjoyed working the top of the funnel and rarely invested time in meaningful discovery in follow-up meetings. Consequently, he spent 90 percent of his time at medical conferences striking up new relationships with CFOs. 



This tactic was easy for him because he was a past hospital CFO and well aware of the challenges his prospects faced. He also had ADHD, and, as we have written elsewhere, meeting new people energized him. We had already created a sales process for him to make him more comfortable with second and third meetings where important discoveries take place and larger sales are made. Now we were working on making first meetings more productive—in other words, so they would lead to more second meetings or a close.


The second reason this sales rep was not successful was that his discovery process was too narrow. His line of inquiry was to challenge the capability of the hospital’s homegrown system versus the system he was trying to sell. He did ask some good questions about potential issues to reveal weaknesses in the hospital’s system. Not surprisingly, in each case the response was negative, “Our system does not have those issues.”


As an observer, I could see where the discussion was going. Each side believed they had a better system, and, since no persuasion was occurring, no sale was going to take place. It was clear that the hospital CFO was not going to be convinced that billing errors would be found if he retained our client. Even though he would pay only if our client found errors, he was reluctant to invest time in a project he believed wouldn’t provide a positive return.


If you are of a certain age, or watch TV reruns, you might know about the detective television series Columbo. Each episode had a predictable formula for each case. Columbo learned all he could learn and was still stumped. But just as he was leaving, he would ask one more question that led to solving the crime.


In the case of our hospital CFO, up until this point in our meeting the questions my client’s sales rep had asked were “probing” discovery questions. They identified potential problems with the homegrown system. What happened next was a Columbo moment. It was clear to me that asking more questions to find more weaknesses was not going to be productive. I asked the buyer if I could ask something. 


“Let’s assume your system is as good as or even better than ours,” I began. That statement was well received, and it moved him from being defensive about his internal system, so I continued: “What problem might you have from using a homegrown system?” 


“It would not be that we are losing revenue,” he replied, “because as I’ve been saying all along, we think our system is close to being 100 percent accurate.”


“But what might be a problem?” I asked.


“My only fear is that because we believe so strongly in our system, nobody from outside our hospital has ever seen our whole system,” he said. ”It’s possible we’re doing something wrong beyond billing accuracy that we need to change. We might be violating a regulation that we are not even aware of.” 


I summed up what I understood him to be saying. “You wouldn’t engage a third party because you believe you have underbilled, but you would invest in an audit so that someone who audits hospital systems all the time might find a red flag outside of billing accuracy?” 


He agreed, and we left with a commitment to audit his system. The good news was that the audit did find billing errors that justified retaining our client. Even better, there were no red flags beyond billing accuracy. This result was of great value to our client’s newest client. 


It was only after we returned with the order that I learned why my client had selected this specific hospital for our research: He didn’t want to waste a sales call on a prospect he “knew” was not going to buy.


Main Takeaways:

To learn more about how to structure sales calls and which questions to ask when, please contact me. I’m at pkrone@productivestrategies.com 

or call 847-446-0008 Ext. 1.


Even more practical, productive sales and marketing ideas and advice can be found in Phil’s new book: 

B2B Selling by Phil Krone Available on Amazon 

By Phil Krone, President June 11, 2025
There are many ways to generate leads—cold calling, networking, outsourcing, and more. Here are some examples from the field.
By Phil Krone, President May 15, 2025
The answer is just about anywhere.  But here are several sources we’ve seen work wonders.
By Phil Krone, President April 28, 2025
Asking the questions that give you the confidence you need to win in sales. 
By Phil Krone, President March 22, 2025
This faith-based not-for-profit achieves 40 percent year-over-year growth for 17 years by applying well-known business principles, one in particular. Why can so few businesses even dream of such growth?
By Phil Krone, President February 17, 2025
Are you selling business to business or business to government or both? There are similarities but also differences that need to be recognized to optimize your results.
By By Phil Krone, President January 17, 2025
Last year after a talk I gave at the Small Business Expo on Business to Business Selling (B2B) , a woman asked for my card because she wanted to meet to tell me about her business and learn more about mine. When we eventually got together she shared that her start-up company’s goal was to console consumers who had suffered the loss of a loved one directly, as she had. But my talk had inspired a new idea: assist funeral homes to improve their services by showing more empathy to their customers who were struggling as she was. I sensed that my talk gave her confidence that, despite the challenges, her business could succeed. What I didn’t realize was that this small assignment for a start-up would eventually have such a big impact on her business as well as an industry. 
By Phillip Krone December 18, 2024
To date we have covered the Sales, Information, Tactical, and Marketing Plan Levels. Although the fifth level is the last to be discussed, it is often what sets a business in motion when it is founded. Today we will illustrate marketing to support a vision by discussing two very successful businesses.
By By Phil Krone, President December 5, 2024
As a reminder, the Five Levels of Marketing are (1) Sales, (2) Information/Data/Analytics, (3) Tactical or Campaign, (4) Marketing or Program, and (5) Vision/Strategic. We’ve explored each of the first three levels in separate columns in August, September, and October. They are available on our website's Productive Insights collection.
By By Phil Krone, President October 16, 2024
Using intelligence from prior levels leads to revenue-building sales campaigns on the ground in real time.
By Phil Krone, President September 16, 2024
Tracking key types of data each month provides insights that can build a highly productive marketing plan.
More Posts