Corporate Compliance

Boston man to serve 10 years in prison for several counts of healthcare and insurance fraud

Compliance Monitor, October 21, 2009

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Former health clinics owner, Tu Quy Mai, will serve 10 years in prison for committing several acts of mail fraud and submitting false claims, according to a Department of Justice release. Mai, 59, pled guilty on December 10, 2008 and will pay over $3.7 million in restitution and a $5,400 special assessment.
 
Mai established and operated several clinics around the Boston area where he would submit false and fraudulent medical and physical therapy billing claims for staged auto accidents. Mai would pay people to stage accidents, while ordering workers to prepare false records, including evaluation reports and notes of alleged treatments for the “injured,” when neither were performed.
 
From 2000 through 2006, Mai often changed the name of his clinics and billing companies and told other coworkers to maintain themselves as owners. During that time, insurance companies paid more than $4 million in claims submitted by Mai’s clinics and billing companies.



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