AMTRAK staff have thrown the company for millions of health insurance fraud, officials say

At least 119 AMTRAK staff have taken the railway campaign for a $ 12 million fraud scheme.

The Office of the AMPA Inspector General (OIG) stated that the staff based on Pennsylvania, Delaware, New Jersey, New York, Maryland, Connecticut and Washington have accepted the return appeals of the three Medical workers In exchange for the use of their insurance information and their dependents in the scheme from 2019 to 2022.

“The very volume of employees involved in this scheme to steal AMTRAK means not only a serious gap in the main ethics, but also an alarming culture of the labor force, at least in the north -east region, in which brazen criminal behavior were some normalized,” said the General of the AMP.

Fox News Digital turned to Amtrak.

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In the 1970s Amtrak managed the service between Chicago and Florida. (Amtrak)

Health suppliers used this employee information to file a fake and dubious medical claim to services that were never provided or were not medical, OIG said. Overall, more than $ 16 million has been put up with $ 12 million.

Of the 119 employees, 28 resigned or resigned as a result of the OIG investigation, and 30 left the campaign for “other reasons”. Another dozen employees were criminal charged, and seven pleaded guilty and waiting for the sentence.

Sixty -one else at work.

In his statement by Fox News Digital, Amtrak said he had taken “significant steps” to resolve health insurance falsification.

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AMTRAK train at Peng Station in New York. (Getti Image)

“Like many employers, AMTRAK calls for medical payments and insurers to make more suspicious activity and stop fraud with health insurance,” the company said. “Amtrak strongly condemns this fraudulent act that took place between 2019 and 2022 and takes quick actions with all active staff involved in the investigation.

“Although we continue to cooperate closely with OIG to determine and release the fraud, we also continue to work on other initiatives to resolve this issue,” the statement added. “AMTRAK has implemented various measures to expand fraud prevention and expanding the possibilities of employees to report suspicion. These efforts include an increase in supervision and strengthening efforts to eliminate false schemes.”

Canceled trains are displayed on the AMTRAK departure board in Mainihan trains at Peng Station on December 23, 2024. (Yuki Iwamura/Bloomberg via Getty Images)

OIG launched a probe when the agent noticed unusual bill models in data analysts. Three healthcare providers in New York with “questionable” billings, who shared a large number of AMTRAK staff as patients were identified by investigators.

The agent under the cover, who acted as an employee of AMTRAK, met with Punan Figheroa, aka “Susz”, acupuncture with Long -Ayland -City, New York, June 16, 2021. During Figheroa’s visit, he ordered the agent to sign his name 30 times for the service without familiarity with the signatures, OIG said.

Then Figueroa provided allegedly fake claims For the AMTRAK health plan, the agent visited the providers at least seven times in May 2021 on acupuncture and physiotherapy. On July 29, 2021, the agent again visited the Figueroa office, where she allegedly handed it an envelope containing $ 1,000.

Investigators said Figueroa continued to use the agent’s insurance information to submit dozens of fraudulent claims to AMTRAK healthcare.

Figueroa pleaded guilty to cheating on the AMTRAK health care plan, was sentenced to three years under surveillance and was ordered to pay a $ 9.05 million restitution. Two other healthcare providers and medical care also pleaded guilty for the role in this scheme.

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Michael Denicola, an orthopedist from New York, pleaded guilty on June 29, 2022, in the conspiracy to commit fraud in the field of health care, distribution of controlled substance and illegal pistol storage. He has not yet been awarded.

Regina Choi, medical care from Woodside, New York, Previously working in Figueroa, he pleaded guilty to conspiracy to commit healing fraud on June 11, 2024 for submitting false and falsification claims to AMTRAK Health Plan and payments to AMTRAK. Her sentence is also considered.

In 2018 and 2019, the OIG auditors released some reports saying that AMTRAK could strengthen measures to identify fraudulent medical claims before. Both reports noted that the models of exhibitions that testify to potential fraud among hundreds of suppliers said OIG.