FOURCORE Practice Review
A Better Way to Protect Your Practice from Hidden Risk
Every dental practice relies on systems of trust – financial controls, operational safeguards, and the people who carry them out.
When those systems drift, even slightly, the result is predictable – revenue leakage, procedural shortcuts, accountability gaps, and in some cases, misconduct.
FOURCORE F.A.Q.s – Scroll to the end of this page.
The Four Cores
DOWNLOAD FOURCORE INFORMATION PACKET
FOURCORE Practice Review is a structured, evidence‑driven examination of the systems that protect your practice’s financial and operational integrity.
FourCore identifies risks that threaten revenue, compliance, or reputation.
- Control failures
- Deviations from expected behavior
- Nonconforming processes
- Financial irregularities
- Accountability gaps
FourCore is not a surface‑level audit.
It is a forensic evaluation of how your practice actually operates—not how you believe it operates.
FourCore is ideal for practices that:
- Suspect irregularities
- Want to validate trust with evidence
- Are onboarding new management
- Are preparing for growth or acquisition
- Have experienced turnover or instability
- Want a defensible, third‑party review of their controls
If you want clarity, accountability, and confidence, FOURCORE delivers it.
Why CHOOSE Hiltz & Associates?
Because you need a firm that will get the job done effectively, efficiently, and successfully resolve your concerns. If that means going the extra mile on your behalf, that is exactly what we are prepared to do.
We play hardball when it comes to fraud, financial tampering, computer crime, employee misconduct, and other wrongdoings. Some less charitable firms might even say that’s what we’re known for.
We never pass work off to an associate, contractor, or independent consultant.
William Hiltz, a digital forensic specialist with extensive experience in dental and healthcare operations, will personally handle your file.
- Dental and Healthcare operations
- Financial controls and risk mitigation
- Digital forensics and investigative analysis
- Compliance, governance, and operational integrity
Your practice deserves more than a checklist audit.
It deserves a forensic truth‑finding process.
Why practices need FOURCORE
Even well-run practices accumulate risk over time:
- Staff turnover
- Informal workarounds
- Unmonitored access
- Inconsistent reconciliation
- Outdated controls
- Blind trust in long-standing processes
These create nonconformities—deviations from accepted policy, procedure, or expected financial behavior. Left unchecked, these can become:
- Revenue leakage
- Fraud opportunities
- Compliance issues
- Operational instability
- Reputational risk
FOURCORE exposes these issues early, clearly, and without ambiguity.
CHOOSE THE LEVEL THAT’S RIGHT FOR YOU
Foundation Level: For owners who want clarity and a preventative forensic review.
Enhanced Level: For owners who want clarity + answers. This is the tier most practices choose.
| FEATURE | FOUNDATION | ENHANCED |
|---|---|---|
| Security Assessment | Baseline access & permissions review | ➕ Expanded access mapping |
| Controls Assessment | Workflow & reconciliation review | ➕ Pattern analysis & bypass detection |
| Accountability Mapping | Role clarity & oversight gaps | ➕ Behavioural pattern review |
| Nonconformity Detection | Identification of deviations | ➕ Classification + severity scoring |
| Audit Log Review | Targeted | ➕ Expanded |
| Adjustment Review | Basic documentation check | ➕ Root‑cause analysis |
| Risk-Ranked Exposure Matrix | Included | ➕ Enhanced |
| Corrective‑Action Roadmap | Included | ➕ Prioritized |
| Consultations | 1 session | 2 sessions |
| Best For | Stable practices seeking clarity | Practices with drift or emerging concerns |
Frequently Asked Questions
HOW DO I KNOW WHICH FORECORE LEVEL IS RIGHT FOR MY PRACTICE?
It depends on the level of clarity you need.
Foundation gives you a baseline forensic review.
Enhanced adds transactional and behavioral analysis.
If you’re unsure, most practices choose Enhanced because it balances depth and value.
HOW MUCH DOES FORECORE COST?
Foundation $4600*
– Baseline forensic review of Security, Controls & Accountability
Enhanced $6800*
– Expanded analysis including transactional patterns, behavioral indicators & root-cause mapping.
*Standard Pricing Applies
Maximum of 3 active bank accounts
Annual revenue up to $1.5M
1 owner
I SUSPECT FRAUD—WHAT DO YOU RECOMMEND?
If something seems suspicious, trust your intuition, but avoid hasty decisions.
Fraud in a practice is not always clear, and responding prematurely can mistakenly alert the wrong person or jeopardize evidence.
Here’s what we recommend:
Take a pause before confronting anyone
Direct confrontation, sudden changes in access, or internal accusations can cause data to “disappear” or stories to align. Maintaining normal operations protects the integrity of any potential investigation.
Document your observations
You don’t need proof, just a record of observations.
For example:
• Unexplained adjustments or write‑offs
• Irregular deposit patterns
• Staff behaviour that feels defensive or territorial
• Numbers that don’t match your expectations
These details help us understand the scope and urgency.
Engage FORECORE early
FOURCORE is designed specifically for this moment. Hiltz and Associates will quietly assess your practice’s financial, operational, and behavioral indicators to determine whether your concern is:
• A workflow or training issue
• A systems or controls gap
• A genuine fraud risk requiring deeper forensic review
• Actual fraud.
You get clarity without triggering disruption inside your practice.
Protect your practice while staying discreet
IS FORECORE A FINANCIAL AUDIT?
No.
FORECORE is a forensic review, which means it focuses on:
• Deviations from “normal”
• Vulnerabilities
• Control failures
• Accountability gaps
• Behavioral patterns
• Security gaps
WHAT’S THE FIRST STEP?
The first step involves a brief consultation to determine the appropriate level and confirm the scope. Then with your consent, we will send you our engagement letter for review.
From there, on-boarding is simple:
• e-sign the engagement
• complete the interview
• provide us with data access
• we get to work
HOW LONG DOES A FORECORE REVIEW TAKE?
Most reviews are completed within 3-4 weeks, depending on:
• Data volume
• Enhanced level FORECORE may take longer, subject to practice conditions
• Availability of requested records
CAN SCAN DETECT FRAUD?
Although FORECORE is not a “fraud investigation,” it can, and often does, detect patterns, behaviors, and irregularities that confirm embezzlement or require additional forensic examination.
When fraud is suspected, FORECORE often becomes the first step before a full investigation.
WILL THIS DISRUPT MY TEAM OR OPERATIONS?
No.
Unless you tell your staff, no one will know this work is being done.
FORECORE is designed to be minimally intrusive. All work is performed off‑site using exported data, audit logs, and financial records.
IS MY INFORMATION KEPT CONFIDENTIAL?
Yes.
We take great strides to ensure the security and confidentiality of your information.
• All FORECORE engagements are handled under strict confidentiality.
• We use HIPAA‑compliant data handling and secure storage protocols.