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Discuss Managed Compliance
Managed compliance for independent medical and dental practices

Sentinel manages the compliance administration. Your team runs the practice.

Software can organize the work, but someone still has to operate the process. Sentinel performs the compliance administration included in your agreement: tracking recurring work, requesting and reviewing records, following up and communicating unresolved items. Your team supplies information, makes decisions and implements the actions that require your practice or its providers.

Your practice provides
Information, documents, decisions

Send things the way you already have them. Your team still performs the operational work — completing training, making practice decisions, and carrying out the corrective actions that require your people.

Sentinel manages
The agreed recurring administration

We review what you send, organise it, track what recurs, identify what is missing, request it, follow up when it does not arrive, and keep the history intact — so the record does not depend on one person remembering.

You can see
What is done, due, missing, supported

The Compliance Command Center is your window into the work Sentinel is managing: upcoming obligations, training records, open corrective actions and supporting evidence. Sentinel maintains that view; your team stays informed and acts where practice participation is needed.

Discuss Managed Compliance See Managed Compliance Pricing

Where the work divides

Sentinel is responsible for performing the compliance administration included in the agreement, documenting that work, identifying missing information, following up, and communicating unresolved items. Your practice supplies information, makes decisions, and completes the actions that require your team.

We make that division explicit before you buy, and carry the same understanding through onboarding and ongoing service. If anything here differs from what you were told in a conversation, the conversation was wrong — tell us.

Sentinel does not deliver your staff training, make clinical or business decisions for you, implement technical security changes, or provide legal advice. Those stay with your team, your IT provider and your counsel — and Sentinel tracks the requirement and maintains the evidence that they happened.

A maintained record is not a finding of compliance. Sentinel does not certify your status and cannot guarantee a regulatory, audit or enforcement outcome. A current record can accurately show that something is overdue, missing or incomplete — that is the record working correctly, not failing.

What the relationship looks like

Four ordinary weeks in a practice.

Nothing dramatic — these are the situations that quietly become gaps when nobody owns the follow-up.

A new employee starts

Tuesday morning
Your practice
  • Hires and onboards the person
  • Tells Sentinel they have started
  • The employee completes the required training
Sentinel
  • Adds them to the workforce roster
  • Screens them against the federal exclusion lists — OIG LEIE and GSA SAM — and records the dated result
  • Identifies which training and acknowledgements apply to their role
  • Requests the completion evidence, and asks again if it does not arrive
  • Files what arrives against the right person and requirement
You see
  • The new person on the roster, with their screening date
  • Their required items, each with an owner and a due date
  • Evidence filed against each item as it lands

A licence is coming up for renewal

Eleven weeks out
Your practice
  • Renews the credential — only the holder can do this
  • Sends the new certificate through
Sentinel
  • Tracks the expiry date so it does not live in one person’s calendar
  • Raises it with you before it lapses, not after
  • Requests the renewed document and follows up if it is late
  • Checks the new dates against the requirement and files the certificate
  • Resets the next renewal, so the cycle continues without anyone restarting it
You see
  • Credential status for each person
  • The next renewal date, well before it matters
  • The filed certificate, retrievable without searching an inbox

Training is only half finished

Three weeks after the deadline
Your practice
  • Your staff complete the training
  • Your training provider delivers it — if you already have one you like, keep it
Sentinel
  • Tracks who is required to complete what
  • Records who has finished and who has not
  • Requests the missing certificates by name, and keeps asking
  • Leaves the item visibly open until the evidence exists
You see
  • Completion per person, not a single overall percentage
  • Exactly who is outstanding, and who owns chasing them
  • An honest open item — not a green tick that has not been earned

A corrective action is still open

Two months after it was raised
Your practice
  • Decides how to address the finding
  • Performs the fix, or has your IT or vendor do it
  • Sends through what shows it was done
Sentinel
  • Records the finding with an owner, a target date, and the evidence that would close it
  • Follows up on status rather than waiting to be told
  • Reviews and files the evidence when it arrives
  • Marks it closed only once that evidence actually exists
You see
  • The open item, its owner and its target date
  • What specifically would close it
  • It stays open until the evidence is there — no quiet expiry

In all four, notice the shape: your practice does the things only your practice can do. Sentinel does the reviewing, requesting, chasing, filing and remembering.

The ongoing relationship

What happens when you start, and what happens every month after.

  1. 1

    Onboarding

    Sentinel starts by understanding the practice: what documentation already exists, what the initial record should contain, where the gaps and missing items are, how the Command Center should be configured, and how the recurring workflow will run. Your team provides the information and documentation that already exists; Sentinel does the organisational work of building the record from it. You do not need to clean anything up first — working out what exists is part of onboarding. An already-orderly record is a good starting point, not a reason to stay away: many practices come to Sentinel precisely to hand off the ongoing administration of a record someone worked hard to build, so it stops depending on one person keeping it current.

  2. 2

    Through the month

    Sentinel tracks what is coming due and contacts you when information or action is needed, so recurring responsibilities stop depending on someone’s memory or personal calendar. Exclusion screening runs monthly against the federal lists — OIG LEIE and GSA SAM — plus the Texas HHSC list for Texas practices, and each run is recorded with its date. Anything your team submits is reviewed before it goes into the maintained record. You receive a monthly report.

  3. 3

    When something stays unresolved

    It stays open, and it stays visible. Sentinel keeps requesting it and the item remains on the record as outstanding with its owner attached. Sentinel will not close an item because time has passed. This is the part that matters most: the value of a maintained record is that it tells you the truth, including when the truth is that something has not been done.

  4. 4

    When somebody asks for evidence

    You contact Sentinel. Because the record has been maintained throughout, we can help identify and organise the relevant evidence into a dated Evidence Package, rather than the practice beginning to search after the request has already arrived. An Evidence Package is a record of evidence — not a certification of compliance.

What we review, what we rely on, and what stays open

These four are not interchangeable, and a record that blurs them is worth less than one that does not. Sentinel distinguishes them, and so should you when comparing providers.

Received

A document arrived

It has been submitted and filed against the right requirement. Nothing more is claimed.

Reviewed

Sentinel read it

Sentinel checked the document against the requirement — the right person, the right item, dates that are current.

Attested

The practice stated it

Recorded on your say-so and labelled as such. Useful and legitimate — and not the same as a document Sentinel examined.

Not held

Nothing supports it yet

No evidence exists on the record. It shows as outstanding rather than being left blank or assumed.

Sentinel does not independently verify credentials with issuing authorities as part of the managed programme, and never presents an attestation as though it were a verification. Reviewing technical documentation does not independently test the technical controls. Requirements must distinguish law, contract or program conditions, guidance, Sentinel standards, best practices and proposed rules. Follow-up targets and escalation owners are agreed for the work; an unresolved item stays visible. See a dated request, two follow-ups and an open evidence gap.

Comparing approaches

The useful question is not which tool is best. It is who does the recurring work.

Every one of these approaches can be the right answer for a practice. They differ in where the ongoing administrative work lands. Scope varies a great deal between providers, so treat this as the set of questions to ask — including of us.

Who performs each recurring compliance task under five common approaches
Who does this? Compliance software Training vendor Consultant Managed internally Sentinel
Reviews incoming information Typically your staff enter or upload it; the platform stores and displays it Their own completion data, within their system At the points you engage them Whoever owns compliance in the practice Sentinel reviews submissions before they enter the record
Requests missing evidence Usually surfaces a gap; someone in the practice chases it For their own training records Within an engagement’s scope Your team Sentinel identifies what is missing and asks for it
Follows up when it does not arrive Reminders, generally to your staff Reminders for incomplete training Between engagements, usually the practice Your team Sentinel keeps following up; the item stays open
Maintains the record between assessments Stores what is entered Training records only Varies — some offer retained ongoing support Your team, continuously Sentinel maintains it as the core of the service
Gives leadership a current status A dashboard of what has been entered Training completion A report at a point in time Depends on internal reporting Command Center plus a monthly report

Some providers in every column above do considerably more than the typical shape described, and a practice that already gets ongoing record maintenance from its current provider may not need Sentinel at all. The honest way to find out is to ask them the five questions in the left-hand column.

Sentinel does not replace what is working. We work alongside existing systems, consultants and vendors. Your IT provider implements technical safeguards; your attorney handles legal interpretation; your training provider delivers the training. Sentinel maintains the compliance documentation and evidence around all of it. The question worth settling is what Sentinel should own and what your existing provider should continue doing.

Recognising fit

When this is worth paying for — and when it is not.

Usually a strong fit

Sentinel is likely to earn its place when…

  • Keeping the record current depends heavily on one person, and the practice would rather it did not.
  • The resources exist — policies, training, an IT provider — but the evidence and follow-up are scattered across inboxes, binders and portals.
  • Leadership wants better visibility while moving the administrative work off the practice.
  • The practice is already well organised and simply wants relief from maintaining the system it built. This is a very good reason to buy, and it does not require anything to be wrong.
  • The practice will provide information promptly and complete the actions that require its own team. Without that, no service can maintain an accurate record.
Another approach may be enough

You may not need us if…

  • You have a capable internal owner with the time and systems to keep the record current — and you want to keep that work in-house. Plenty of practices run their own programme well.
  • Your immediate need is a single defined piece of work — an assessment, or a training product — rather than ongoing management. The standalone Security Risk Analysis exists for exactly that.
  • The real problem needs specialist legal or technical implementation. That is counsel or your IT provider, not a documentation service.
  • Another provider already performs the ongoing record maintenance for you and you are satisfied. We are not going to talk you out of something that is working.

A note about your office manager. None of this is a judgement on the person currently carrying compliance. In most practices they are doing it well, on top of several other jobs. The question is whether recurring compliance administration is the best use of their time, and whether the practice wants the record to depend on one person knowing where everything is. Sentinel is designed to support that person — they keep full visibility, and lose the chasing.

Ways to begin

Four routes. Take whichever one fits.

They are genuinely independent. None of them is a required step toward another.

The principal service

Managed Compliance

Ongoing compliance administration performed by Sentinel, with the Command Center showing the work and its supporting record. Published monthly pricing by provider count. The Security Risk Analysis is included.

Discuss managed compliance → A defined engagement

Security Risk Analysis

A conducted analysis with a Remediation Register and a six-month review. $2,895, fixed scope, defined end, no membership. If you later move to the managed programme, the fee is credited toward it.

See the engagement → Complimentary

Exclusion screening record

We screen your providers against the federal lists and send you a dated written record to keep. It is a real deliverable, at no cost, so you can see how we work before deciding anything.

Request your screening → Self-assessment

Readiness Proof Test

Ten minutes, your own answers, results shown immediately with no email required. It reflects what you tell us about your evidence — it is not a review of your documents.

Take the proof test →
The next step

Tell us who handles compliance today.

A conversation, not a pitch. We will understand your situation, tell you honestly whether Sentinel is a good fit, confirm scope and price for your provider and location count, and explain how starting would actually work. If the answer is that you do not need us, we will say so.

Discuss Managed Compliance See What We Produce

This opens a short form. Someone will reply within one business day — no obligation, and no patient information required at any point.