President of Transportation Company Sentenced to Prison for Role in $70 Million Health Care Fraud Scheme.

Date posted: April 6, 2016

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:

https://www.justice.gov/opa/pr/president-miami-based-transportation-company-sentenced-60-months-prison-role-70-million.

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.

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