Software CEO convicted for running $1 billion Medicare fraud scheme

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 . 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. The scheme included generating "false and fraudulent doctors' orders" that indicated a doctor had examined a Medicare beneficiary, when in reality the doctor had little or no interaction with the patient. When an undercover agent posed as a Medicare beneficiary, they were shunted to an overseas call center, where representatives pushed them to agree to order multiple braces, according to the Justice Department. A doctor's note claims that a physician conducted various tests on the undercover agent, but the agent and doctor never met, the DOJ said. …