CMS Litigation Support Services

This contract provides specialized litigation support services leveraging the Relativity platform (a brand-name requirement) integrated with Deloitte’s proprietary Secure Release case management system. These services are unique to this contractor due to the customized integration of Relativity with CMS-specific workflows, ethical barriers, and automated data transfer capabilities that cannot be replicated by other vendors without significant cost and delay.

Within the Office of Strategic Operations and Regulatory Affairs (OSORA), the Freedom of Information Group (FIG) uses Relativity to de-duplicate large-scale document sets of over one million pages for the Freedom of Information Act (FOIA) requests and to implement customized workflows with cascading review processes that batch documents by page count.

The Office of the Attorney Advisor (OAA) relies on the customized case management system to support Level III Risk Adjustment Data Validation (RADV) appeal reviews, managing between 20 million and 200 million PDF pages for as many as 100,000 Hierarchical Condition Category (HCC) appeals, while maintaining complete separation from Levels I and II to preserve the ethical barriers required by law.

The Office of Hearings (OHI) depends on the automated data transfer capabilities to move designated data elements directly to the Center for Program Integrity (CPI) for effectuation of final actions, which significantly reduces manual data entry errors and accelerates processing times.

Finally, CPI utilizes Relativity to process and review massive document collections often exceeding one million pages in support of Level I RADV program rulemaking activities and related litigation support, while also receiving automated data transfers from OHI to complete final action processing.