Alleged fraudsters in Ohio were using taxpayer dollars to buy luxury cars, expensive vacations, and serve champagne on private jets, according to Center for Medicare and Medicaid Services (CMS) administrator Dr. Mehmet Oz, who said at least one suspect was billing for dead people.
“These people have bilked millions of dollars to take advantage of our most vulnerable, and if you're willing to steal from folks who are down and having a difficult time, you'll not just steal their money, you'll steal their health, you'll steal their lives,” Oz said.
The state of Ohio has since suspended 49 home health care providers identified as high risk to the Medicaid program.
“The federal government is being pierced with different arrows from criminal elements that desire to suck taxpayer dollars out of the federal government and out of state government coffers as well,” Oz said.
During the federal government’s probe of Ohio, Oz reported that the geographic distribution of one-third of $1.5 billion in spending on home health care was in Franklin County.
Columbus is located within Franklin County.
“There's a road very close to where we are ... 288 home health care facilities in that several block area on that one road,” he said. “It defies belief. Some of these buildings were vacant. You wouldn't put anybody up in those buildings.”
Oz also described visiting a facility called Labelle Home Health that was run by Sally Njume-Tatsing, 47, who was sentenced to 42 months in prison for committing Medicaid fraud on 13 counts followed by a jury trial.
“She went to jail because she was accused and convicted of taking billing practices to a level we had not seen before,” he said. “She was billing for people who are deceased.”
Oz identified certain immigrant populations, specifically local Somali and Bhutanese communities, as culprits.
"These are insular groups, but we are naive to think that practices that were felt to be commonplace in other parts of the world wouldn't come to this great country if we didn't pay attention to some of the program integrity issues," Oz added.
