Clifford Ubani, Health Care Fraud, Texas 2018

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$5 Million Medicare Scam Unravels in Houston

Seven more Houston-area residents have been charged in a $5 million Medicare home healthcare fraud scheme, federal authorities announced. The defendants allegedly served as patient recruiters and a nurse, and face charges related to the submission of false claims to the Medicare program.

The superseding indictment charges Clifford Ubani, 52, and eight others with conspiracy to commit health care fraud. The group allegedly submitted false and fraudulent claims to the Medicare program for purportedly providing home health care services that were not medically necessary and/or not rendered.

According to the indictment, the Medicare program paid Family Healthcare Services, owned by Clifford Ubani and his wife Ezinne Ubani, approximately $5 million based on the false and fraudulent claims.

Caroline Njoku, 45, and three others allegedly recruited Medicare beneficiaries to be placed at Family Healthcare Services for skilled nursing services, and in return allegedly were paid kickbacks by Clifford Ubani and others for the referrals.

The maximum sentence for committing health care fraud is 10 years in prison, while the maximum sentence for conspiracy to pay or receive kickbacks is five years in prison. The superseding indictment seeks forfeiture of assets held by the defendants.

An indictment is merely a charge and the defendants are presumed innocent until proven guilty.

The case is being prosecuted by Trial Attorneys Charles D. Reed and Sam S. Sheldon of the Criminal Division’s Fraud Section. The case was investigated by the FBI, HHS-OIG, and MFCU, and was brought as part of the Medicare Fraud Strike Force, supervised by the Criminal Division’s Fraud Section and the U.S. Attorney’s Office for the Southern District of Texas.

RELATED: $1.5M Health Care Scam Exposed