4J’s Transportation, Inc. Failed To Produce Records To Establish That Transportation Services To Medicaid Recipients Were Provided
PEARL RIVER-Attorney General Eric T. Schneiderman announced a $400,000 settlement with 4J’s Transportation, Inc., a Westchester transportation company which billed Medicaid for services that were not supported by documentation. 4J’s Transportation and its owner James Herring will repay Medicaid $316,991 for unsupported billings, together with $84,072 in interest.
“Providers must be able to properly document services for which they received payment from Medicaid,” said Attorney General Schneiderman. “Doing otherwise drains Medicaid of precious resources, and my office will steadfastly guard New York taxpayer dollars expended to ensure quality care to those most in need.”
The investigation conducted by the Attorney General’s Medicaid Fraud Control Unit revealed that from January 2005 through August 2011 Four J’s Transportation billed Medicaid for services for which it could not provide required records to establish that the services were in fact provided. To deter Medicaid fraud, Medicaid requires its health care providers to document and maintain records which establish the nature and extent of the services for which they bill Medicaid.
The State was represented by Special Assistant Attorney General Anne Jardine, the Regional Director of the Pearl River Regional Office of the Attorney General’s Medicaid Fraud Control Unit. The case was investigated by Principal Special Auditor Investigator Lora Pomponio, Special Auditor Investigator Christopher Giacoia and Senior Special Investigator Frank DiChiaro, with the assistance of Regional Chief Auditor John Regan, Supervising Investigator Peter Markiewicz and Deputy Chief Investigator Kenneth Morgan. The Medicaid Fraud Control Unit is led by Acting Director Amy Held. The Division of Criminal Justice is led by Executive Deputy Attorney General Kelly Donovan.