1250 Broadway, 27th Floor New York, NY 10001

MEDICAL BILLER DIVERTED FUNDS

ALLEGEDLY CHEATED NEW YORKERS OUT OF $1.1 MILLION

AP (61) of Monroe Township, New Jersey, was arrested and arraigned last month for allegedly purloining $1.1 million from the New York State Insurance Fund and diverting those proceeds to himself and two of his companies.

Over a seven-year period, AP is alleged to have submitted “falsified claim forms” to the Fund and to have kept payments that were intended for three surgeons who performed services on behalf of workers’ compensation claimants who suffered work-related injuries.

In a written statement, Attorney General James noted that “Doctors and health care professionals provide crucial care to our communities, and they rely on accurate and ethical billing to sustain these services and ensure our wellbeing …. When money is illegally diverted away from doctors and providers, all New Yorkers suffer as a result. Fraud of any kind will never go unchecked in our state, and my office will continue to use every measure to hold accountable those who seek to cheat New Yorkers for personal gain. I thank our partners for their invaluable support and collaboration on this case.”

AP and his companies were charged with “one count of Insurance Fraud in the First Degree (Class B felony), one count of Grand Larceny in the First Degree (Class B felony), one count of Grand Larceny in the Second Degree (Class C felony), one count of Grand Larceny in the Third Degree (Class D felony), one count of Scheme to Defraud in the First Degree (Class E felony), 11 counts of Falsifying Business Records in the First Degree (Class E felony), and 11 counts of Workers’ Compensation Fraud (Class E felony).”

The charges are merely accusations, and the defendants are presumed innocent unless and until proven guilty in a court of law.

Wonder what AP is going to claim now ….

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NYAG PRESS RELEASE ~ 01.03.24

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