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At least 119 employees and doctors Amtrak have taken a railway company to drive in a huge deceit of a deceit of $ 12 million, the guard revealed.
Amtrak’s Office of Inspector General (OIG) said that employees based in Pennsylvania, Delaware, New Jersey, New York, Maryland, Connecticut and Washington, DC, accepted the three three three three health services providers In exchange for the use of their insurance information and their dependent members in the scheme from 2019 to 2022.
“The whole amount of employees who participated in this scheme to steal Amtrak’s funds suggest not only a serious backlog in the basic ethics, but also a worrying labor culture, at least in the northeast region, in which criminal behavior is somehow normalized,” said General Inspector Amtra Kevin H. Winters.
Fox News Digital spoke to Amtrak.
Amtrak apologizes after drawing 110 passengers
Amtrak led the service between Chicago and Florida in the 1970s. (Amtrak)
Health service providers used employee information to submit false and questionable medical claims for services that were never provided or not medically needed, OIG said. Overall, the health plan of a railway carrier financed by a taxpayer was charged more than $ 16 million and was fired from $ 12 million.
Of the 119 employees, 28 withdrawn or resigned as a result of the OIG investigation, and 30 left the company for “other reasons”. A dozen more employees were criminally accused, and seven declared themselves guilty and waited for a sentence.
Sixty -one is still at work.
In a statement to Fox News Digital, Amtrak said she had taken “significant steps” to resolve health insurance fraud.
AMTRAK train at Penn Station in New York. (Getty Images)
“Like many employers, Amtrak urges medical fees providers and insurers to do more to identify suspicious activity and stop the health insurance fraud,” the company said. “Amtrak strongly condemns this reproachful act that took place between 2019 and 2022 and takes fast measures with all active employees involved in the investigation.
“While we continue to work closely with the OIG to identify and abolish fraud, we continue to work at other initiatives on solving this problem,” the statement added. “Amtrak has conducted different measures to improve the prevention of fraud prevention and empowering employees to report suspicion of injustice. These efforts include increasing supervision and strengthening efforts to remove false schemes.”
The canceled trains were shown on the Committee of Departure to Amtrak in the Moynihan Whang Hall at the Penn station in New York, December 2, 2024. (Yuki iwamura/Bloomberg via Getty Images)
OIG started a probe when an agent noticed unusual charge forms in data analyst reports. Three New York health services provider with “questionable” Billings who divided the high number of Amtrak employees because investigators identified patients.
A secret agent who called himself as an employee of Amtraka met with Punson Figuero, aka “Susie”, an acupuncture from Long Island City in New York, June 16, 2021. During his visit, Figueroa told the agents to sign his name 30 times for the service without dating signature, Oig said.
Figueroa then endured alleged false claims Amtrak’s health care plan, saying that in May 2021, the agent visited the service providers at least seven times for acupuncture and physical therapy. The agent again visited the Figuero office on July 29, 2021, where she allegedly handed him an envelope containing $ 1,000.
Figueroa continued to use an agent insurance information to submit dozens of false demands to Amtrak’s healthcare plan, investigators said.
Figueroa declared himself guilty of deceiving Amtrak’s health plan, sentenced to three years of supervised release and was ordered to pay restitution of $ 9.05 million. Two other health services providers and medical Biller also acknowledged guilt for their role in the scheme.
Authorities in northern Tonawanda announced that the Amtrak train was bound to Niagare hit a passenger vehicle on May 17, 2024. (Wkbw buffalo)
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Michael Denicola, a New York hill, declared himself guilty on June 29, 2022 for a conspiracy for committing a healthcare fraud, distribution of controlled substances, and illegal possession of a gun. He has not yet been convicted.
Regina Choi, a doctor from WoodSide, New York, who had previously worked for Figuero, acknowledged himself guilty of conspiracy for committing a healthcare fraud on June 11, 2024. To submit false and false requests to the Amtrak health care plan and payment of monetary reconstruction attackers to employees of Amtrak. Her sentence is also ongoing.
In 2018 and 2019, OIG auditors issued separate reports in which he said that Amtrak could strengthen measures to determine the false medical claims before. Both reports have been recorded by charging forms that indicate a potential fraud among hundreds of service providers, OIG said.
