Could your hospital be one of the 56% projected to lose money under CMS TEAM? Find out before downside risk begins in 2027.
Rainfall Health

R.A.I.N. Compliant™ Standards

We leverage our EHR-integrated, AI-enabled framework to build a data-driven approach to maximize your CMS reimbursements and deliver measurable patient outcomes.

What is R.A.I.N. Compliant™?

R.A.I.N. Compliant™ is the only recognized certification standard for Medicare-mandated compliance. Built by Rainfall Health and shaped by an executive advisory committee of senior health system leaders, it gives hospitals, medical groups, and vendor partners a verified, audited framework to meet CMS requirements, protect their reimbursements, and keep patient outcomes at the center of every mandated episode.

Where other solutions offer retrospective reporting, R.A.I.N. Compliant™ is built around real-time data. It integrates directly with your existing EHR systems, pulls data across your entire post-acute network, and gives your team the visibility to act on what matters within the 30-day episode window, not 90 days after it closes.

We go at risk alongside every partner. That means we don't get paid until you do, which makes R.A.I.N. Compliant™ not just a certification standard, but a true five-year partnership built around your success.

The numbers behind the mandate:

Getting R.A.I.N. Compliant™ isn't a checkbox. It's a structured, six-step process built to make sure every hospital is genuinely ready, not just technically compliant.

  • screenshot-FPO_step-1-assessment

    Step 1: Assessment

    We start with a full readiness review covering your clinical, operational, and financial workflows. This tells us exactly where you stand before we build a path forward.

  • screenshot-FPO_step-2-audit

    Step 2: Audit

    Using our proprietary framework, we assign your organization a R.A.I.N. Compliant™ ranking. This gives you a clear, verifiable benchmark and identifies where investment is needed to close the gaps.

  • screenshot-FPO_step-3-data-modeling

    Step 3: Data Modeling

    We apply the most current CMS policy requirements to your specific data, using our AI-enabled platform to model reimbursement scenarios and identify where the greatest financial opportunity lies.

  • screenshot-FPO_step-4-strategic-insights

    Step 4: Strategic Insights

    We build a comprehensive implementation plan that addresses every component of the TEAM model, tailored to your hospital's episode mix, patient population, and post-acute network.

  • screenshot-FPO_step-5-implementation

    Step 5: Technology Enabled Implementation

    We deploy scalable, personalized tools across all relevant sites, so every care partner is working from the same real-time data and your hospital is positioned to maximize reimbursements.

  • screenshot-FPO_step-6-continuous-monitoring

    Step 6: Continuous Monitoring

    We stay with you for the full five-year performance period, using real-time data to track progress, surface insights, and make sure you're capturing every dollar you've earned.

Built on the standard the industry helped create.

The R.A.I.N. Advisory Committee brings together senior executives, clinicians, and operators from the country's leading health systems to make sure the standard hospitals are held to reflect real-world expertise.

Meet the R.A.I.N. Advisory Committee