The Health and Human Services Office of Inspector General (OIG) estimates that a New York-based home health provider owes CMS $2,965,484 in estimated overpayments in the latest audit of a home health provider.
 
In a recent series of home health claim reviews, the OIG findings have generally been less dramatic, with limited findings of non-compliance and low overpayment amounts.
 
In its review of 100 claims from VNS Health, released March 30, 2026, the OIG claimed it found:
  • Twelve claims did not meet billing and coding requirements.
  • Four claims did not meet face-to-face encounter requirements.
  • Two claims did not meet plan of care requirements.
Those errors totaled $12,606 in overpayments of $278,147 paid to VNS on the reviewed claims. Extrapolating that to the larger $191 million paid to VNS in the sample period, OIG came to its estimate that CMS was owed nearly $3 million.
 
VNS didn’t concur with any of the OIG recommendations, but it agreed to pay a portion of the $12,606 in actual overpayments linked to errors in five claims, the OIG report noted.
 
Read the full report at oig.hhs.gov.