The Department of Justice (DOJ) recently announced that the President of Transportation Service Providers Inc. was sentenced to 60 months in prison for his role in a health care fraud scheme. In January 2016, Damien Mayol was convicted of conspiracy to pay illegal health care kickbacks in a scheme that resulted in approximately $70 million in false claims to Medicare.
Trial evidence demonstrated the following:
- Mayol and his co-conspirators coordinated to pay illegal kickbacks to recruiters in order to facilitate patient referrals to three mental health clinics in the Miami area;
- The clinics billed Medicare for partial hospitalization program services that were either not medically necessary or not actually provided to patients;
- Group therapy notes and other patient records were falsified to support claims for Medicare reimbursement; and
- Medicare paid approximately $28 million in fraudulent claims.
Additionally, the United States District Court of the Southern District of Florida ordered Mayol to pay nearly $27 million in restitution. The Federal Bureau of Investigation handled the case as part of the Medicare Fraud Strike Force.
The DOJ Justice News release is available at:
United States Department of Justice. “President of Miami-Based Transportation Company Sentenced to 60 Months in Prison for Role in $70 Million Health Care Fraud Scheme.” Justice News. 25 Mar. 2016.