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Software CEO convicted for running $1 billion Medicare fraud scheme
Posted on 5/16/26 at 12:46 pm
Posted on 5/16/26 at 12:46 pm
quote:
The owner of a healthcare software company was convicted of massive Medicare fraud on Thursday, the Department of Justice said, ending what Acting Attorney General Todd Blanche called "one of the most egregious fraud schemes in Florida history."
HealthSplash owner and CEO Brett Blackman, 42, and co-conspirators "aggressively targeted hundreds of thousands of Medicare beneficiaries to get them to accept medically unnecessary" products including orthotic braces, according to a DOJ news release.
quote:
Blackman and his co-conspirators used Power Mobility Doctor Rx, LLC, or DMERx, a platform acquired by HealthSplash in 2017, to coordinate illegal kickbacks with telemedicine doctors and pharmacies that would falsely bill Medicare for the unnecessary items, the DOJ said. The fraud was hidden with sham contracts and manipulation of documents.
quote:
Blackman and his co-conspirators billed Medicare and other federal healthcare benefit programs over $1 billion throughout the course of the scheme, the Department of Justice said. Medicare and the other programs paid out more than $450 million.
quote:
Blackman's co-defendant Gary Cox was convicted in June 2025, and sentenced to 15 years in prison. Cox was the CEO of DMERx.
quote:
CBS News has been investigating hospice fraud for months. One investigation examined the business and financial records of every hospice currently operating in Los Angeles County, California, applying the same indicators identified by state auditors as potential red flags for fraud. The analysis revealed that over 700 of the roughly 1,800 hospices in L.A. County trigger multiple red flags for fraud as defined by the state LINK.
Posted on 5/16/26 at 12:50 pm to Jbird
Usually have Indian or Pakistani names. But lets get all of them
Posted on 5/16/26 at 12:50 pm to AndyJ
quote:
sually have Indian or Pakistani names.
quote:
The CBS News investigation also found one Los Angeles County hospice physician's name, Dr. Rajiv Bhuva, on Medicare claims for nearly 2,800 patients across 126 California hospices in 2024, according to the last full year of available data. Bhuva told CBS News he doubted the figures and said there was no statutory limit to the number of hospices any one physician can staff. But after a brief exchange, he declined to speak further. Bhuva is no longer allowed to bill Medicare.
Also in April, five people in California were arrested for allegedly defrauding the state's Medicaid program of about $267 million.
Posted on 5/16/26 at 12:52 pm to Jbird
So when we are going after the Learing Centers and 10000% increase in autism diagnosed cases for Somalian kids in Minnesota?
Posted on 5/16/26 at 12:55 pm to LSUAlum2001
quote:Hopefully soon
So when we are going after the Learing Centers and 10000% increase in autism diagnosed cases for Somalian kids in Minnesota?
Posted on 5/16/26 at 1:05 pm to Jbird
Meanwhile I've been cut 25% since 2005 for my services. Lost another 50% in spending power to inflation while seeing my income cut.
Apparently, doing things the right way is for suckers. I should've absolutely raped the system during COVID. I'm tired of doing shite by the book and taking it up the arse. Time to start playing the game.
He just got greedy. There is a ton of this shite going on.
Apparently, doing things the right way is for suckers. I should've absolutely raped the system during COVID. I'm tired of doing shite by the book and taking it up the arse. Time to start playing the game.
He just got greedy. There is a ton of this shite going on.
Posted on 5/16/26 at 1:08 pm to SmackoverHawg
quote:No doubt.
He just got greedy. There is a ton of this shite going on.
Posted on 5/16/26 at 1:20 pm to Jbird
quote:
Software CEO convicted for running $1 billion Medicare fraud scheme
People are just too greedy for their own good. I'd shut the whole thing down and vanish once I hit $10m.
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