Healthcare News: Anthem received an estimated $3.5 million in Medicare overpayments, says OIG

Article Overview

This news item covers an Office of Inspector General audit of Anthem Community Insurance Company’s diagnosis coding for Medicare-related claims. It explains that the review focused on high-risk diagnosis categories under ICD-9-CM and ICD-10-CM, notes examples of potentially miscoded diagnoses found on claims, and describes the broader compliance and overpayment issues raised by the audit. The article is relevant to compliance, risk adjustment, auditing, and coding teams who monitor diagnosis-code accuracy and payer oversight activity.