Sentinel Clinical Risk Group LLC · Founding Cohort Now Open

Know your risk
before they do.

Independent audits that identify audit exposure, capture the reimbursement your documentation already earns, and deliver a complete risk picture in 4 business days — from an RN, BSN, JD, MBA who built the methodology. The founding audit is complimentary — up to 20 charts per physician, for the first 20 practices.

Schedule a Consultation See how it works
20
Charts per physician reviewed
4
Business days from chart receipt
4
Deliverables per engagement
100%
Findings individually RN-adjudicated
Serving
Family Medicine
Internal Medicine
General Practice
EMR compliance ≠ audit defense
RAC audits look back 3 years
Undercoding is endemic across independent practices
E/M upcoding is a top OIG target
Copy-forward = recoupment risk
When was your last independent review?
Payer algorithms now downcode E/M claims automatically
The Problem — And The Opportunity

Your EMR doesn't
protect you — or pay you.

Most independent practices operate under the assumption that a clean claim is a safe claim. It isn't. EMRs are designed to capture data and streamline workflow — not to evaluate whether your documentation would withstand a payer audit, a RAC review, or a medical necessity challenge. That gap is where your exposure lives.


The same documentation habits that create audit risk also leave money on the table. Undercoding is endemic across specialties — physicians routinely bill below what the documentation supports. A Sentinel audit finds both problems simultaneously: the exposure you didn't know you had, and the reimbursement you weren't collecting.

The Auto-Population Trap
Template-driven and copy-forward documentation routinely fails to support the E/M level billed. EMR compliance alerts check for required fields — not documentation quality.
Invisible Audit Triggers
RAC, MAC, and commercial payer algorithms flag practices based on billing pattern anomalies — data the practice never sees until an audit request arrives.
Retroactive, Compounding Risk
A single audit covering 24 months of claims can generate six-figure recoupment demands with no advance warning. Prevention is the cheaper side of that math.
The Undercoding Revenue Gap
Systematic undercoding goes unmeasured in practices that have never had an independent review. Sentinel identifies both directions — the exposure you carry and the reimbursement you're missing — in a single engagement, quantified against your own claims rather than an industry average.
The Process

From engagement to
report in 4 business days.

A structured five-step process designed to deliver a clear, actionable risk picture with minimal disruption to your practice.

01
Engagement
Execute MSA and SOW. Confirm physician count and sample scope of up to 20 charts per physician.
02
Chart Access
Practice provides HIPAA-authorized chart access. Sentinel executes BAA.
03
Clinical Audit
Charts reviewed against E/M guidelines, payer LCD criteria, and documentation standards.
04
Report Delivery
Full deliverable package returned within 4 business days of receiving complete chart access.
05
Debrief
A 30-minute findings walkthrough, scheduled when you sign. We review every finding with your physicians and answer questions directly.
What You Receive

Four deliverables.
One clear picture.

Plain-Language Pattern Read
A short, direct narrative naming the documentation patterns your findings add up to — what's driving under-coding, where the exposure concentrates, and what's working. Written by the reviewing RN in clinical language, not compliance jargon.
Written on every engagement.
Names the pattern, not just the charts.
Sets up the Corrective Action Plan directly.
⚖
Dollar Impact Analysis
Every chart reviewed is sorted into three buckets: documentation that supports a higher level than was billed, documentation that does not support the level billed, and documentation that matches. Each bucket is quantified from your own claims — so the analysis runs in both directions, revenue left behind and exposure carried, rather than only the direction that flatters.
📋
Audit Findings Report
Chart-level findings with specific documentation deficiencies, billing support gaps, and medical necessity concerns identified in plain, actionable language — not boilerplate compliance jargon.
✦
Corrective Action Plan
A streamlined, one-page-per-provider action plan. Three to five ranked changes written in clinical language — not compliance jargon. Readable in five minutes, implementable by Monday. No outside counsel required.
Andrew Foley
RN, BSN  ·  JD  ·  MBA

Andrew is a registered nurse with a law degree. He brings an uncommon combination of clinical bedside experience, legal analytical training, and healthcare business acumen to every engagement. Sentinel's findings are defensible and clinically grounded — informed by real-world understanding of how physicians document, how payers audit, and what the gap between the two costs practices.

Registered Nurse, BSN Law Degree (JD) MBA Michigan-Based HIPAA BAA Before Any Chart
01
Clinical + Legal + Business
Most compliance reviewers come from one background. Sentinel brings three — clinical credibility, legal analytical rigor, and operational business judgment in a single engagement.
02
Genuinely Independent
No EMR vendor relationship, no coding upsell, no software to license. Sentinel's only product is an honest assessment of your documentation — both the risk you carry and the revenue you're leaving behind.
03
Built for Independent Practices
Not a generic compliance firm. The methodology is purpose-built for independent primary care — the E/M complexity, documentation patterns, and payer behavior that define outpatient family and internal medicine.
04
Risk Protection + Revenue Capture
Most audits only look for what you're doing wrong. Sentinel looks in both directions — identifying audit exposure and systematically undercoded visits where your documentation already earns more than you're billing. At no additional cost.
05
Four-Business-Day Turnaround
Four business days, against an industry norm of three to six weeks. You know where you stand — and what you're owed — before the next billing cycle.
Services

Two ways to work
with Sentinel.

Priced per engagement, discussed on your discovery call. All fees are set in a Statement of Work tailored to your practice.

Founding Cohort — Complimentary
Clinical Documentation Audit
A comprehensive, independent review of your practice's documentation — delivered in 4 business days. Complimentary for the founding cohort: the first 20 practices, up to 20 charts per physician.
  • ✦Up to 20 charts per physician (initial audit)
  • ✦Plain-language pattern read
  • ✦Dollar impact analysis
  • ✦Audit findings report
  • ✦Corrective action plan
  • ✦4-business-day delivery
  • ✦30-min findings debrief, scheduled at signup
Schedule a Consultation
Monthly
Practice Revenue Intelligence
Monthly documentation performance review that tracks reimbursement capture, identifies new undercoding patterns, and maintains the documentation discipline established in your initial audit. Founding cohort — 20 practices, flat monthly rate locked through 2027, discussed on your discovery call.
  • ✦20-chart review per physician, every month
  • ✦Updated pattern read each cycle
  • ✦Month-over-month revenue trend tracking
  • ✦Revenue intelligence report with ranked action items
  • ✦4-business-day delivery, every cycle
  • ✦Founding rate locked through 2027
Learn More
All engagements governed by MSA + Statement of Work  ·  HIPAA BAA executed prior to chart access  ·  No retainer required to start
Common Questions

What practices
ask us first.

We've never had an audit. Why do we need this?
That's the most common thing we hear from practices right before they receive one. Audits don't send advance notice — they arrive as demand letters. The founding audit costs you nothing but the chart access — a single recoupment demand costs considerably more.
Our biller handles compliance. Isn't that enough?
Billers optimize for clean claims submission — that's different from evaluating whether the underlying documentation supports the code billed. Sentinel looks at what a payer auditor would see, not what a clearinghouse accepts.
Our EMR flags compliance issues. Doesn't that protect us?
EMR alerts check for required fields — they don't evaluate documentation quality or whether the clinical picture supports medical necessity. They're a workflow tool, not an audit defense.
What happens to our patient data?
Sentinel executes a HIPAA Business Associate Agreement before receiving any patient records. All PHI is handled in accordance with HIPAA Privacy and Security Rule requirements. Charts are reviewed and then returned or destroyed per the BAA terms.
We already had a compliance review done.
When was it? Documentation risk evolves with every payer policy update and provider habit. Most practices benefit from an independent review every 12–18 months — and a prior review doesn't reflect your current exposure.
Is this legal advice?
No. Sentinel provides healthcare compliance consulting and clinical documentation risk assessment services. Our reports are informational and analytical in nature. No attorney-client relationship is created. Practices with specific legal compliance questions are encouraged to consult qualified legal counsel.
Get Started

Protect your practice.
Capture your revenue.

An audit of up to 20 charts per physician identifies both your audit exposure and your missed reimbursement — delivered in 4 business days with a streamlined action plan you can implement immediately. Complimentary for the founding cohort.

Schedule a Consultation