美国医保与医疗补助服务中心负责人就虚增出勤记录和轮椅收费事宜质询员工，开展欺诈突击清查行动
2026年10月20日 美国东部时间下午2:47 / 福克斯新闻频道
作者：阿什利·J·迪梅拉、汉娜·布伦南
奥兹博士在联邦欺诈突击清查行动中与纽约市老年日托中心的工作人员对峙，质疑可疑的患者记录，当时部分员工试图离开，其他人则难以解释标注了未来日期的签到记录。
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——纽约州法拉盛—— 美国医保与医疗补助服务中心（CMS）负责人穆罕默德·奥兹博士就涉嫌医疗补助欺诈问题，对纽约市两家老年护理中心的员工展开质询，质疑他们的计费方式，福克斯新闻数字频道独家直击此次清查行动现场。
奥兹在联邦高级卫生官员陪同下，向皇后区法拉盛的肯特老年护理中心和常青成人日托中心送达警告信，此次大范围欺诈清查行动有联邦调查局（FBI）、美国卫生与公众服务部监察长办公室、纽约警局及其他机构参与。
信件通知这些机构，它们的计费做法已引起联邦当局的担忧。奥兹此次两次到访，是此次大范围清查行动的一部分：周二，CMS官员在纽约市范围内开展了80多次走访，向多家医疗机构送达警告信。
福克斯新闻数字频道陪同奥兹，质询员工有问题的计费记录，并就纳税人资金的使用方式质疑他们的解释。
奥兹点名5州开展欺诈清查，特朗普政府打击医疗补助滥用
美国东部时间10月20日周二，CMS负责人奥兹博士、FBI、纽约警局及其他机构向纽约市各地的社交成人日托中心送达信件并开展搜查。（阿什利·J·迪梅拉/福克斯新闻数字频道）
“整个过程都透着可疑，”奥兹在走访结束后接受福克斯新闻数字频道独家采访时表示。
奥兹称，联邦当局正在开展一场更大范围的清查行动，包括逮捕、搜查令以及阻止部分运营商向医疗补助机构计费的行动，但福克斯新闻数字频道并未在这两家皇后区机构独立见证这些执法行动。
肯特老年护理中心在周二接受福克斯新闻数字频道电话采访时拒绝置评。常青成人日托中心未立即回复福克斯新闻数字频道的置评请求。
奥兹质询老年中心负责人：“我们不相信你”
首次走访于上午8:30左右在肯特老年护理中心展开，奥兹进入该设施，亲自向其负责人转交一封联邦政府信函，通知该企业其计费做法正受到审查。
“账单金额远高于正常水平，”奥兹对负责人说，“账单上显示的人数比实际多。这里看起来并不拥挤。”
负责人在交流中反驳称，时间还早，更多老年人会在上午晚些时候到场，奥兹则质疑该机构的医疗补助计费记录是否准确反映了实际出勤情况。
墙上张贴的最大容纳量标识显示，该空间可容纳70人。
“我们收到的账单显示，这里好像一直都满员，”奥兹说。
负责人坚称，该机构仅向实际到场的老年人计费，并表示要求参与者签署出勤表。
“你会收到这封美国政府的来信，因为我们不相信你，”他对负责人说。
交流过程中，奥兹还质疑，为何该中心的计费记录显示老年人每周出勤五天，而负责人承认许多参与者通常仅出勤两到三天。
负责人坚称该机构按实际出勤计费，并表示部分老年人出勤频率高于其他人。
当奥兹和其他联邦官员就 billed for 老年轮椅专用交通服务的收费提出质疑时，对峙升级。
“我在这里没看到任何轮椅，”奥兹对负责人说。
福克斯新闻数字频道观察到设施内有老年人，包括使用助行器的人，但在走访期间未看到有人使用轮椅。
另一名官员表示，计费记录中包含专用轮椅交通服务的收费，这引发了人们的疑问：这些服务是否真的提供过，以及哪家公司负责提交这些收费申请。
负责人称，部分老年人存在行动困难，包括中风康复者，该机构备有轮椅。他还表示，工作人员可能复制了之前档案中的信息，未正确更新与轮椅使用相关的计费代码。
“可能他只是复制粘贴了，”负责人说。
交流期间，奥兹走到设施内几张麻将桌旁，质疑纳税人资金是否被恰当地用于医疗补助资助项目提供的娱乐活动。
“美国纳税人应该掏钱让大家打麻将吗？”奥兹问负责人。
负责人为这项活动辩护，解释称麻将有助于老年人活动手指、社交并改善记忆力，尤其是对那些有认知障碍的老年人。
“对他们来说是免费的，但对纳税人来说不是，”奥兹回应道，“这就是我们联邦税收中用于医疗补助的钱应该用的地方吗？还是应该用于挽救生命的心脏手术？或者，你知道，癌症新疗法？”
奥兹就老年人未签到问题提出担忧
奥兹在观察到老年人未签到就进入设施后，对该机构的出勤记录提出了更多担忧，尽管负责人坚称参与者需要记录出勤情况。
“人们就这么走进来，什么都没签，”奥兹说，“然后我来了，他看到我们团队在做什么之后，才开始收集这些要签的文件。”
奥兹称，这些明显的不一致进一步引发了疑问：该机构的出勤记录是否准确反映了向医疗补助机构计费的服务内容。
福克斯新闻数字频道也目睹了几名老年人进入肯特老年护理中心后未立即签署出勤表。后续到达的其他老年人被指示签到。
社交成人日托项目可为符合条件的老年人提供结构化活动、监督、餐饮和社会支持。医疗补助报销取决于适用的项目规则、个人资格以及所提供服务的记录。
在第二站常青成人日托中心，奥兹就另一系列计费差异与一名楼层经理对峙，随后检查了该机构的出勤记录。
该经理告诉奥兹，周一、周三和周五约有200名老年人到场，周二和周四约有150人，不过不清楚这些数字是指每日总出勤人数还是同时在场的老年人数量。
但奥兹在步行穿过设施并观察到在场人数明显更少后，对这些数字提出了质疑。
“我现在看整个空间里大概只有25个人，”奥兹说。
经理反驳了这一估计，解释称部分老年人在上课，其他人则离开去购物、买药或参加医疗预约。
“这些数字似乎对不上，”奥兹回应道。
奥兹还就轮椅相关计费问题质询经理，询问有多少参与者使用轮椅。
经理起初表示没人使用，随后承认有少量老年人使用轮椅。
“但你刚才说没有，不是吗？”奥兹追问。
他随后与陪同他的其他联邦官员讨论了这一明显差异。
“我也对这里人数如此之少感到震惊，”奥兹说，“这让我不禁怀疑他们是如何维持这些计费水平的。”
当奥兹检查该机构的出勤簿时，走访出现转折，他称这些出勤簿存在“欺诈”。
福克斯新闻数字频道观察到签到表上似乎有10月22日和23日的登记日期，而在走访当天，这些日期尚未到来。10月22日和23日的登记日期均晚于走访当天，这引发了人们的疑问：该机构是否提前记录出勤情况，尽管福克斯新闻数字频道无法立即确定这些登记是已完成的出勤记录还是提前制定的日程表。
奥兹指控纽约州医疗补助欺诈与有组织犯罪有关联
奥兹称，联邦当局认为有组织犯罪网络利用医疗补助资助项目，向老年人付钱让他们到场，然后向政府虚报并未实际提供的服务来计费。
奥兹指控，他所称与“中国黑手党”有关联的个人，向部分老年人支付1000至1200美元，以参与虚假计费安排，不过这位负责人在采访中未指明具体犯罪组织，也未提供佐证证据。
奥兹称，联邦政府已发现该行业计费金额大幅飙升，并声称此类项目的年度支出已接近10亿美元。
“从这里的计费情况来看，如果没有问题，这家机构不可能按照他们声称的方式运营，”奥兹对福克斯新闻数字频道说。
“这是无心之失吗？连续一百次出错，我不这么认为。”
奥兹指控，虚假医疗补助计费计划的收益被用于资助其他犯罪活动，包括洗钱和人口贩运，不过福克斯新闻数字频道未独立核实这些关联，也未证实与这两家走访机构存在此类联系。
奥兹在描述所谓的更大范围阴谋时表示：“这简直是犯罪俱乐部。”
他称欺诈行为在新冠疫情期间加剧，并批评上一届政府未能解决他所说的支出快速增长和计费可疑的问题。
纽约州州长凯西·霍楚尔周二承认了此次清查行动，称这是“打击医疗补助欺诈和滥用行为的大规模行动”的一部分，并证实州卫生官员已加入联邦和州执法机构，针对社交成人日托项目的疑似欺诈行为展开打击。
虽然奥兹亲自向这两家皇后区机构送达警告信，但州、地方和联邦执法官员同时在纽约市其他地点开展搜查，作为此次协同清查行动的一部分。
由于调查仍在进行中，有关目标机构、涉案人员和查获证据的具体细节尚未立即公布。
阿什利·J·迪梅拉 福克斯新闻数字频道政治记者
On the streets with Dr Oz as surprise fraud crackdown sends daycare directors scrambling
The CMS administrator questioned staff about inflated attendance records and wheelchair charges during a fraud crackdown
October 20, 2026 2:47pm EDT / Fox News
By Ashley J. DiMella, Hannah Brennan
Dr. Oz confronts workers at New York City senior day care centers during a federal fraud crackdown, questioning suspicious patient records as some employees attempt to leave and others struggle to explain check-ins dated in the future.
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FLUSHING, N.Y. — Centers for Medicare and Medicaid Services Administrator Dr. Mehmet Oz confronted employees at two New York City senior care centers over suspected Medicaid fraud, challenging their billing practices as Fox News Digital got an exclusive look at the crackdown in action.
Oz, accompanied by senior federal health officials, delivered warning letters to Kent Senior Care and Evergreen Adult Day Care in Flushing, Queens, during a broader fraud crackdown that involved the FBI, the Department of Health and Human Services Office of Inspector General, the NYPD and other agencies.
The letters notified the facilities that their billing practices had raised concerns among federal authorities. The two visits by Oz were part of a broader crackdown in which CMS officials conducted more than 80 visits and delivered warning letters to providers across New York City on Tuesday.
Fox News Digital accompanied Oz as he pressed employees about questionable billing records and challenged their explanations for how taxpayer dollars were being spent.
DR. OZ NAMES 5 STATES IN FRAUD CRACKDOWN AS TRUMP ADMIN TARGETS MEDICAID ABUSE
CMS administrator Dr. Oz, FBI, NYPD and other agencies delivered letters and conducted searches at Social Adult Daycares across New York City on Tuesday, Oct. 20.(Ashley J. DiMella / Fox News Digital)
“The whole experience was suspicious,” Oz told Fox News Digital in an exclusive interview following the visits.
Oz said federal authorities were conducting a broader crackdown that included arrests, search warrants and efforts to stop certain operators from billing Medicaid, although Fox News Digital did not independently witness those enforcement actions at either Queens facility.
Kent Senior Care declined comment during a phone call with Fox News Digital on Tuesday. Evergreen Adult Day Care did not immediately respond to Fox News Digital’s request for comment.
Oz questions senior center director: ‘We don’t believe you’
The first stop came around 8:30 a.m. at Kent Senior Care, where Oz entered the facility and personally handed its director a letter from the federal government notifying the business that its billing practices were under scrutiny.
FBI LAUNCHES ‘MOST WANTED FRAUDSTERS’ LIST AS DOJ CHARGES OHIO DEFENDANTS IN $30M MEDICAID SCHEME FOR KIDS
CMS administrator Dr. Oz, FBI, NYPD and other agencies delivered letters and conducted searches at Social Adult Daycares across New York City on Tuesday, Oct. 20.(Ashley J. DiMella / Fox News Digital)
“The bills are much higher than they should be,” Oz told the director. “The billing is for more people. It doesn’t look very crowded here.”
The director pushed back during the exchange, explaining that it was still early and additional seniors would arrive later in the morning, as Oz questioned whether the facility’s Medicaid billing records accurately reflected its actual attendance.
The occupancy of the space was 70 persons, according to an observe posted maximum occupancy sign on the wall.
“The bills we’re getting are as though it’s completely full all the time,” Oz said.
FBI ADDS 2 FUGITIVES TO ‘MOST WANTED FRAUDSTERS’ LIST AMID HISTORIC $6.5B HEALTHCARE TAKEDOWN: PATEL
The director maintained that the facility billed only for seniors who actually attended, and that it required participants to sign attendance sheets.
“You’re getting this letter from the U.S. Government because we don’t believe you,” he told the director.
During the exchange, Oz also questioned why the center’s billing records appeared to reflect seniors attending five days a week when the director acknowledged that many participants typically attended only two or three days.
The director insisted the facility billed for actual attendance and said some seniors attended more frequently than others.
The confrontation intensified when Oz and other federal officials raised questions about specialized transportation services billed for seniors using wheelchairs.
DR OZ SAYS 800 HOSPICE PROVIDERS SUSPENDED IN CALIFORNIA OVER ALLEGED $1B MEDICARE FRAUD SCHEME
CMS administrator Dr. Oz, FBI, NYPD and other agencies delivered letters and conducted searches at Social Adult Daycares across New York City on Tuesday, Oct. 20.(Ashley J. DiMella / Fox News Digital)
“I don’t see any wheelchairs here,” Oz told the director.
Fox News Digital observed seniors inside the facility, including individuals using walking aids, but did not see anyone using a wheelchair during the visit.
Another official said billing records included charges for specialized wheelchair transportation, raising questions about whether the services had been provided and which company was responsible for submitting the charges.
The director said some seniors had mobility difficulties, including those recovering from strokes, and that the facility had wheelchairs available. He also said that workers could have copied information from previous files instead of properly updating the billing codes as it applied to wheelchair use.
“Probably he just copy and pasted,” the director said.
MEDICAID PROVIDER ALLEGEDLY BILLED $165K FOR DEAD PATIENT’S RIDES AMONG FRAUD EXPOSED IN EXPLOSIVE REPORT
CMS administrator Dr. Oz, FBI, NYPD and other agencies delivered letters and conducted searches at Social Adult Daycares across New York City on Tuesday, Oct. 20.(Ashley J. DiMella / Fox News Digital)
During the visit, Oz walked over to several mahjong tables set up inside the facility, questioning whether taxpayer dollars were being properly spent on the recreational activities offered through the Medicaid-funded program.
“Should the American taxpayers be paying so folks can play mahjong?” Oz asked the director.
The director defended the activity, explaining that mahjong helps seniors exercise their fingers, socialize and improve their memory, particularly those experiencing cognitive difficulties.
“It’s free for them, not free for the taxpayers,” Oz responded. “Is that what our federal tax dollars for Medicaid is supposed to go to? Or is it life-saving heart surgery? Or, you know, new therapies for cancer?”
Oz raises concerns over seniors entering without signing in
Oz raised additional concerns about the facility’s attendance records after observing seniors entering without signing in, despite the director’s insistence that participants were required to document their attendance.
“People were just walking in there without signing anything,” Oz said. “And then after I showed up and he saw what we were doing with my team, he started collecting these documents to be signed.”
Oz said the apparent inconsistencies raised further questions about whether the facility’s attendance records accurately reflected the services being billed to Medicaid.
Fox News Digital also witnessed several seniors enter Kent Senior Care without immediately signing attendance sheets. Additional seniors who arrived later were instructed to sign in.
Social adult day care programs can provide eligible seniors with structured activities, supervision, meals and social support. Medicaid reimbursement depends on applicable program rules, individual eligibility and documentation of services provided.
TREASURY HAILS SUCCESS OF ANTI-FRAUD PROCESS THAT FLAGGED AND PREVENTED $99 MILLION IN PAYMENTS TO DEAD PEOPLE
At the second stop, Evergreen Adult Day Care, Oz confronted a floor manager over another set of billing discrepancies before examining the facility’s attendance records.
The manager told Oz that approximately 200 seniors attended the facility on Mondays, Wednesdays and Fridays, compared with about 150 on Tuesdays and Thursdays, although it was unclear whether those figures represented total daily attendance or the number of seniors present at one time.
But Oz questioned those numbers after walking through the facility and observing significantly fewer people.
“So I look at maybe 25 people in the whole space now,” Oz said.
The manager disputed that estimate, explaining that some seniors were participating in classes while others had left to shop, visit a pharmacy or attend medical appointments.
“The numbers don’t seem to add up,” Oz responded.
Oz also questioned the manager about wheelchair-related billing, asking how many participants used wheelchairs.
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Oz asks director to call his supervisor.(Fox News Digital)
The manager initially indicated that none did before acknowledging that a small number of seniors used them.
“But you said there weren’t any, were you?” Oz pressed.
He subsequently discussed the apparent discrepancy with other federal officials accompanying him.
“I’m struck by how few people are here as well,” Oz said. “This makes me wonder how they sustain these billing levels.”
The visit took another turn when Oz examined the facility’s attendance books, which he said contained “fraud.”
Fox News Digital observed sign-in sheets that appeared to contain names entered for Oct. 22, and Oct. 23, dates that had not yet occurred at the time of the visit.
The entries dated Oct. 22 and Oct. 23, both after the visit, raised questions about whether the facility was documenting attendance in advance, although Fox News Digital could not immediately establish whether the entries were completed attendance records or advance schedules.
Oz alleges organized crime ties to NYC Medicaid fraud
Fox News Digital goes inside New York City senior adult day care centers during a coordinated federal fraud crackdown alongside Dr. Mehmet Oz.(Fox News Digital)
Oz said federal authorities believed organized criminal networks were exploiting the Medicaid-funded programs by offering seniors money to attend facilities and then billing the government for services that were not actually provided.
Oz alleged that individuals he described as being connected to the “Chinese mafia” were paying some seniors between $1,000 and $1,200 to participate in fraudulent billing arrangements, though the administrator did not identify a specific criminal organization or provide supporting evidence during the interview.
Oz said the federal government had identified significant spikes in billing across the industry and claimed that annual spending on the programs had approached $1 billion.
“We know from the billing here that there’s no way this business is running in the way that they claim to be running without something being wrong,” Oz told Fox News Digital.
“Is it an innocent mistake? A hundred times in a row, I don’t think so.”
Oz alleged that proceeds from fraudulent Medicaid billing schemes were being used to finance other criminal activities, including money laundering and human trafficking, although Fox News Digital had not independently verified those connections or established any such link to the two facilities visited.
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“It’s really a clubhouse for crime,” Oz said while describing the alleged broader scheme.
He said fraud accelerated during the COVID-19 pandemic and criticized the previous administration for failing to address what he described as rapidly rising spending and suspicious billing.
New York Gov. Kathy Hochul acknowledged the crackdown on Tuesday, calling it part of a “massive effort to combat fraud and abuse” in Medicaid and confirming that state health officials had joined federal and state law enforcement in targeting suspected fraud at social adult day care programs.
While Oz personally delivered warning letters to the two Queens facilities, state, local and federal law enforcement officials were simultaneously conducting searches at other locations across New York City as part of the coordinated crackdown.
Specific details about the facilities targeted, individuals involved and evidence recovered were not immediately available as the investigations remained ongoing.
Ashley J. DiMella reports on politics for Fox News Digital.
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