Employees and doctors of at least 119 mitracks received a watchdog, a watchdog, on a scale to ride a $ 12 million healthy fraud scheme.
Inspector General of AMTRAK’s office (OIG) said that employees located in Pennsylvania, Delaware, New Jersey, New York, Maryland, Connecticut and Washington, DC accepted their insurance information in a plan from 2019 to 2022 and in exchange for their dependents in return for their dependents.
AMTRAK Inspector Kevin H. Vintors said, “The sheer volume of employees participating in the scheme to steal emtrac funds not only suggests a serious lapse in basic morality, but also a disturbing workforce culture, at least in the northeastern region, in which criminal behavior was common in any way.”
Fox News has reached Digital Emitrak.
AMTRK apologizes after trapping 110 passengers
AMTRARK operated between Chicago and Florida in the 1970s. (Emtrack)
Healthcare providers used the information of the employee to file fraud and suspected medical claims for the services that were never provided or not medicalally necessary, the OIG said. Overall, the health plan of the railway carrier funded by the taxpayer was given a bill of over $ 16 million and excluded from $ 12 million.
Of the 119 implicated employees, 28 retired or resigned as a result of OIG investigation, and 30 left the company for “other reasons”. Another dozen employees have been criminally accused, and seven are convicted and are waiting for the sentence.
Sixty people are still at work.
In a statement by Fox News Digital, Emitrack stated that it had taken “important steps” to address medical insurance fraud.
After Trump speech, AOC has asked Democrats to organize in GOP districts against Medicid Cut.
An entrack train at Pen Station in New York City. (Getty image)
The company said, “Like several employers, Emitrack asked medical benefit providers and insurers to identify suspicious activity and prevent medical insurance fraud,” the company said. “AMTRK strongly condemns this condemnable act between 2019 and 2022 and is taking fast action with all active employees involved in the investigation.
The statement said, “When we continue to work closely with OIG to identify and make seal, we continue to work on other initiatives to resolve the issue.” “Emetrack has implemented various measures to empower employees to increase the prevention of fraud and report suspicious wrongdo. These efforts include increasing efforts to eliminate fraud schemes and strengthen efforts.”
The canceled trains are displayed on an AMTRCTION Board at Mionihan Train Hall at Pen Station in New York on 23 December 2024. (Yuki Evmura/Bloomberg via Getty Image)
OIG initiated an investigation when an agent saw the unusual billing pattern in the report by data analysts. Three New York Healthcare providers with “suspected” billing shared a high number of entraks employees as patients were identified by investigators.
An undercover agent, who presents as an AMTRC employee, met with an acupuncture of Poonson Figueroa, aka “Susie,” Long Island City, New York, 16 June, 2021. During the journey, Figuroo asked the agent to sign 30 times for service without dating for signature, the OIG said.
Figuero then presented alleged fake claims on Emitrak’s healthcare plan, stating that the agent visited the providers at least seven times in May 2021 for acupuncture and physical therapy in May 2021. The agent again visited the Figuro’s office on July 29, 2021, where he allegedly handed him an envelope of $ 1,000.
Investigators said that Figueroa continued to use the agent’s insurance information to present dozens of fraud claims for the Emitrak’s healthcare plan.
Figuroe convicted the Emitory’s healthcare plan for cheating, sentenced under three years of supervision and ordered to pay a restoration of $ 9.05 million. Two other healthcare providers and a medical biller have also convicted their roles in the scheme.
Officials in Northern Tonwanda said that a Niagra-Bound AMTRAK train hit a passenger vehicle on May 17, 2024. (Wkbw bafelo)
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Michael Denicola, a podiatist from New York, convicted on 29 June 2022, health care fraud, distribution of a controlled substance and plotting illegal possession of a gun. He has not been punished yet.
Regina Choi, Woodside, a Medical Biller from New York, who had previously worked for Figueroa, blamed on June 11, 2024 for conspiring to conspiracy on 11 June 2024 for presenting claims of false and fraud and giving cash kickback to EMTRC employees. His punishment is also pending.
In 2018 and 2019, the OIG auditors released separate reports, stating that Emitrak may soon strengthen measures to identify fraudulent medical claims. OIG said that both reports indicate possible fraud between hundreds of providers.
