Tag: Audit

Anthem Blue Cross Audit Highlights Recovery Management Challenges

Discover Anthem Blue Cross's recovery management failures in New York's health insurance program, highlighting the need for improved oversight and compliance.

FRC Proposes Expanded Enforcement Tools to Enhance Audit Oversight

The Financial Reporting Council (FRC) proposes new enforcement pathways to improve audit oversight and regulatory response times, aligning with its Future of Audit Supervision Strategy.

HHS OIG Identifies Errors in NGS Medicare Cost Report Desk Reviews

HHS OIG finds widespread errors in Medicare cost report desk reviews by NGS and recommends enhanced reviewer training and procedures to improve audit accuracy and compliance.

NY State Audit Reveals $1.5M Anthem Overpayments in Empire Plan Claims

New York State audit finds over $1.5 million in Anthem Blue Cross overpayments for physician-administered drugs under the Empire Plan, highlighting ongoing oversight and claims management challenges.