Track evidence gaps, organization readiness, site visibility, and corrective actions before they become audit problems.
- Organization readiness
- Evidence gaps
- Site visibility
- Corrective actions
FQHC READINESS · OPERATIONS · COMPLIANCE
Know exactly where your health center stands. Every day, not every audit.
RIEL Compliance Suite brings FQHC readiness, provider operations, enrollment, compliance, governance, and workforce workflows into one platform — so your team knows what needs attention, who owns it, and what comes next.
The problem is not that you don't comply. It's that you can't prove it on demand.
Your evidence exists. It just isn't in one place.
Licenses in a shared drive, privileging in a binder, enrollment in someone's inbox. Readiness turns into a scramble because assembling the answer takes longer than knowing it.
Approved is not billable.
A provider can be credentialed, approved by the payer, and still not billing. The gap between those two dates is revenue that quietly never happens.
The gap has no owner.
An expiring credential, a missing BAA, a lapsed exclusion screening. Each one is somebody's job. None of them is anybody's alert.
One command center for the whole operation.
The RIEL Command Center is where your team starts the day: readiness KPIs with a red/yellow/green read, today's priorities, open findings, upcoming expirations, and the trend behind all of it — in one place instead of six.
One platform. Every critical FQHC workflow connected.
RIEL connects the operational areas that determine whether your organization, sites, providers, and teams are ready — without forcing each department to work in isolation.
Maintain the provider lifecycle, credentials, education, work history, primary-source evidence, and readiness from one workspace.
- Provider lifecycle
- Credentials
- Education & work history
- PSV evidence
Manage privilege requests, approvals, blockers, supporting evidence, and renewal cycles.
- Privilege requests
- Approval workflows
- Expirations
- Blockers
Move providers from onboarding to billing readiness while exposing internal delays and payer dependencies.
- Enrollment pipeline
- Packet readiness
- Effective dates
- Billing readiness
Automate and document critical screening workflows while preserving human review.
- OIG LEIE
- SAM.gov
- Applicable state screening
- Stored evidence
Allow providers to maintain profile information, submit documents and attestations, and send updates through controlled review workflows.
- Profile updates
- Document submissions
- Attestations
- Review & approval
Manage policy lifecycle, attestations, governance activities, and evidence of oversight.
- Policy lifecycle
- Attestations
- Board/governance actions
- Evidence & oversight
Create and publish surveys, collect responses, identify patterns, and support quality-improvement activities.
- Survey publishing
- Response collection
- Analysis
- Improvement opportunities
Connect workforce learning and training activity with operational and compliance requirements.
- Training
- Learning assignments
- Completion tracking
- Compliance linkage
Turn operational findings into assigned, prioritized and auditable work.
- Tasks
- Priorities
- Ownership
- Follow-up
01 / 10
An operational engine that understands who is doing the work.
RIEL turns compliance and operational signals into role-based priorities, tasks, guidance, and follow-up — while keeping every consequential decision in human hands.
RIEL can recommend, prioritize, summarize, and guide. Your team remains responsible for the final decision.
It does not decide whether a name on the OIG exclusion list is your employee. Every consequential decision reaches a person with the evidence attached, and every action is written to an audit trail.
Readiness you can check on a Tuesday.
An organization readiness score computed from your own requirements — not a generic checklist. Every gap traces back to the facility, the provider, and the requirement that produced it, so corrective action starts with a list instead of an investigation.
- Organization and per-site scoring
- Top blockers ranked by impact
- Evidence completeness by OSV chapter
- One-click organization review package
The provider file, complete and verifiable.
Demographics, credentials, privileging, education, work history, malpractice coverage, locations — sixteen sections in one workspace. Primary source verification runs live against NPPES and against Puerto Rico's ORCPS through our own verification agent, with the evidence stored where a reviewer will look for it.
- NPPES verification, individual and batch
- PR license verification via ORCPS agent
- Verified / Discrepancy / Expired / Unable states, each with evidence
- Clinical privileging with blockers and 90-day renewals
- OIG LEIE, SAM.gov and applicable state exclusion screening
Built for how credentialing actually works in Puerto Rico.
There is no CAQH here. Every provider and facility must be registered and current in the Medicaid Provider Enrollment Portal before enrollment can begin, and licenses verify against ORCPS rather than a national aggregator. RIEL was built inside those constraints, not adapted to them afterward.
No CAQH — packets assembled and tracked per payer
PEP registration tracked as an explicit prerequisite
ORCPS verification agent with stored evidence
See RIEL in action.
A 30-minute walkthrough against your own scenario — your sites, your payer mix, your readiness gaps. No slide deck.
Prefer to reach us directly?