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Rainmakers Awarded CMS CPI Risk Assessment of UPIC Medicaid Audit Program Contract

Washington DC — Rainmakers Strategic Solutions, LLC (Rainmakers) is excited to announce an award to conduct a comprehensive assessment of the Centers for Medicare & Medicaid Services (CMS) Risk Assessment of the Unified Program Integrity Contractor (UPIC) Medicaid Audit Program contract. Rainmakers will support the CMS Center for Program Integrity (CPI) to enhance program integrity and the efficiency of Medicaid.

Rainmakers will support CPI by performing in-depth evaluations, including interviews and data analysis, aiming to streamline the Medicaid audit procedures and enhance program integrity. The collaboration will be in tandem with state Medicaid stakeholders and thought leaders in CPI’s Fraud Investigation Group. This Group is dedicated to reducing fraud and preventing overpayments while also being vigilant about new patterns of misuse by identifying emerging trends.

  1. Developing of processes to manage high fraud risks in Medicaid using UPICs;
  2. Facilitating risk mitigation and coordination of integrity activities with various Medicaid contractors;
  3. Advising on operational improvements that expedite audits and minimize the administrative burden on states; and
  4. Boosting the efficiency of UPICs to better Medicaid outcomes, which includes enhancing return on investment and reducing instances of fraud, waste, and abuse.

“ I am honored that CPI has chosen Rainmakers in support of this contract. I am proud that our team has consistently delivered results to CMS and its Components that surpass expectations and the team’s continuous dedication in delivering expertise in health care consulting and our commitment to promoting health care program integrity.” Said Denise Rainey, President & CEO of Rainmakers.

Rainmakers is a certified 8(a), economically disadvantaged woman-owned small consulting firm founded in 2008 to provide expertise and highly practical solutions in support of the government and commercial sectors. Rainmakers’ principals are respected professionals with demonstrated success for clients facing evolving requirements and constituent needs. We develop, implement, and improve programs by applying insightful methodologies and delivering innovative results that address and simplify complex issues, streamline processes, and reduce costs. We have a genuine focus on achieving and maintaining an impeccable business relationship with our customers and supporting them in their efforts to improve processes. Client satisfaction is our most valuable asset and exceeding our customers’ expectations is our primary goal. For more information about our key cornerstones—excellence, passion, diversity, and knowledge—go online at www.rainmakerssolutions.com or call (443) 348-8067.

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