Medicare Home Health Agency Provider Compliance Audit: Sunflower Home Health

Report Materials

• Full Report(PDF, 1.3 MB)
• Report Highlights(PDF, 390.3 KB)

Why OIG Did This Audit

• In calendar year 2023, Medicare paid home health agencies (HHAs) about $16 billion for home health services provided to about 2.8 million people enrolled in traditional Medicare. In that year, nearly 10,000 HHAs participated in Medicare.
• CMS determined through its Comprehensive Error Rate Testing program that the 2023 improper payment error rate for home health claims was 7.7 percent, or about $1.2 billion.
• This audit report, part of a nationwide series of home health audits, examined whether Sunflower Home Health complied with Medicare requirements.

What OIG Found

Sunflower Home Health complied with Medicare billing requirements for all 100 of the home health claims that we reviewed.

What OIG Recommends

Because Sunflower Home Health complied with Medicare billing requirements for all 100 claims that we reviewed, this report contains no recommendations.

We shared our draft report with Sunflower Home Health, and it informed us that it did not have comments.