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Tag Archives: Anthem
Anthem OIG Audit Reveals Coding Issues
Last month, the Office of Inspector General published the report of a compliance audit conducted on one of Anthem Community Insurance Company, Inc.’s Medicare Advantage (MA) contracts. The OIG concluded that Anthem was overpaid by $3.4 million. MA plans’ payments … Read Full Post
Tagged Anthem, coding audit, compliance, OIG, overpayment
The DOJ Targets MA Plans
The Office of the Inspector General (OIG) of the Department of Health and Human Services (HHS) reported that a study conducted in 2019 revealed, “Unsupported risk adjusted payments are a major driver of improper payments in the Medicare Advantage (MA) … Read Full Post
Tagged Anthem, Cigna, DOJ, fraud, HCC, medical coding, medicare advantage plans, mra, risk adjusted reimbursement