At least 119 Amtrak employees and doctors touch the railway company for a trip in a massive health fraud of $ 12 million, a guard dog found.
The Office of the Inspector General of Amtrak (OIG) said that Employees based in Pennsylvania, Delaware, New Jersey, New York, Maryland, Connecticut and Washington, DC, accepted bribes in cash of three medical care providers in exchange for the use of their insurance information and that of their dependents in a 2019 to 2022 scheme.
“The large volume of employees who participated in this scheme to steal the Amtrak funds suggests not only a serious period of basic ethics, but a culture of worrying workforce, at least in the northern storm, Shaminthe, Saydalhay,” Saydalhay, “Sayer”, Sayior, “Sayior”, Sayior “, Sayior”, Sayior, Sayior Shaminthe, Shaminthey The Shaminthe Shaminhowdalhaydalhaydalhaydalhay.
Fox News Digital has communicated with Amtrak.
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Amtrak directed the service between Chicago and Florida in the 1970s. (Amtrak)
Medical care providers used that employee information to present fraudulent and questionable medical claims for services that had never been provided or not medically necessary, said the OIG. In general, the health operator’s health plan financed by taxpayers was billed more than $ 16 million and shook $ 12 million.
Of the 119 employees involved, 28 retired or resigned as a result of the OIG investigation, and 30 left the company for “other reasons.” Other boxes that employees have been criminally accused, and seven have declared themselves guilty and are waiting for the sentence.
Sixty -one are still at work.
In a statement to Fox News Digital, Amtrak said he has “significant” steps to address medical insurance fraud.
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An Amtrak train at the Penn station in New York City. (Getty images)
“Like many employers, Amtrak asks suppliers and insurers of medical benefits that make more to identify suspicious activities and stop medical insurance fraud,” said the company. “Amtrak strongly condemns this rephennsible law that occurred between 2019 and 2022 and is taking rapid measures with all active employees involved in the investigation.
“While we continually work in close collaboration with the IIG to identify and eliminate fraud, we also continually work on other initiatives to address this problem,” the statement added. “Amtrak has implemented several measures to improve fraud prevention and train employees to inform that they suscepted irregularities. These efforts include the increase in the supervision and strengthening of efforts to eliminate fraudulent schemes.”
Canceled trains are shown on an Amtrak output board in the Moynihan train hall at the Penn station in New York on December 23, 2024. (Yuki Iwamura/Bloomberg through Getty Images)
The OIG launched a probe when an agent notified unusual billing patterns in data analyst reports. Three New York Medical Care Suppliers with “questionable” billing who shared a high number of AMTRAK employees as patients identified the researchers.
An undercover agent who passed an Amtrak employee with Puntson Figueroa, also known as “Susie”, a Long Island City acupunturist, New York, on June 16, 2021. Duration, Figueroa told the agent to sign.
Figueroa then presented alleged fraudulent claims to Amtrak’s health plan, saying that the agent had visited suppliers at least seven times in May 2021 by acupuncture and physiotherapy. The agent visited Figueroa’s office again on July 29, 2021, where he allegedly handed him an envelope that continued $ 1,000.
Figueroa continued to use agent’s insurance information to send fraudulent claims to the Amtrak health plan, the researchers said.
Figueroa declared himself guilty of defrauding Amtrak’s health plan, he was sentenced to three years of supervised release and was ordered to pay a restitution of $ 9.05 million. Two other medical care providers and a medical billing also declared themselves guilty of their roles in the scheme.
The authorities in northern Tonawanda said that an Amtrak truck bound for Niagara a passenger vehicle on May 17, 2024. (WKBW Buffalo)
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Michael Denicola, a podiatrist from New York, declared himself guilty on June 29, 2022, conspiracy to commit medical care fraud, distribution of a controlled substance and Anawful possession of a gun. He has not yet sentenced with a leg.
Regina Choi, a Woodsis medical billing, New York, who previously worked for Figueroa, declared himself guilty of conspiracy to commit a medical care fraud on June 11, 2024, for presenting false and fraud care for Taktakt employees. Your prayer is also pending.
In 2018 and 2019, the auditors of the OIG issued separate reports that said that Amtrak could measures to identify fraud medical claims before. Both reports observed indicative or potential billing patterns among hundreds of suppliers, said the OIG.
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