Billion Dollar, Nationwide Medicare DME Fraud Conviction

Brett Blackman of Johnson County, Kansas and his coconspirators aggressively targeted hundreds of thousands of Medicare beneficiaries to get them to accept medically unnecessary orthotic braces and other durable medical equipment (DME) items.  A South Florida jury just convicted Blackman of conspiracy to commit health care fraud and wire fraud, conspiracy to pay and receive health care kickbacks, and conspiracy to defraud the United States and to make false statements in connection with health care matters.

This was one of the colossal frauds which resulted in the CMS DME moratorium:

https://www.justice.gov/opa/pr/owner-health-care-software-company-convicted-1-billion-dollar-medicare-fraud-conspiracy

Owner of Health Care Software Company Convicted of 1 Billion Dollar Medicare Fraud Conspiracy
For Immediate Release: Thursday, May 14, 2026
DoJ Office of Public Affairs

A federal jury in the Southern District of Florida convicted the founder and owner of HealthSplash yesterday for his role in operating a platform that generated false doctors’ orders and prescriptions to defraud Medicare and other federal health care benefit programs out of more than $1 billion.

“The Department of Justice crushed one of the most egregious fraud schemes in Florida history,” said Acting Attorney General Todd Blanche. “This illegitimate operation stole more than $1 billion from American taxpayers — including hundreds of thousands of Medicare beneficiaries. This was cold, calculated, industrial-scale theft targeting the sick and elderly, coercing vulnerable people into buying unnecessary medical equipment. We will not rest until every fraudster ripping off the American people is held accountable.”

“The defendant orchestrated a massive telemarketing scheme that used foreign call centers and spam mailers to target our country’s senior citizens and defraud government health care benefit programs,” said Assistant Attorney General Colin M. McDonald of the Justice Department’s National Fraud Enforcement Division. “The Fraud Division will continue to aggressively prosecute health care fraud schemes, hold criminals accountable, and protect the integrity of America’s health care system.”

“This was not health care. It was a billion-dollar fraud machine,” said U.S. Attorney for the Southern District of Florida Jason A. Reding Quiñones. “The defendant built and operated a platform that generated false doctors’ orders, used foreign call centers to target seniors, and helped push medically unnecessary equipment through Medicare and other federal health care programs. Seniors were exploited. Taxpayers were robbed. Programs meant to care for the elderly, veterans, service members, and families were treated like a cash register. This conviction is a major victory for patients, taxpayers, and the rule of law, and it sends a clear message: if you steal from federal health care programs in South Florida, we will find you, prosecute you, and make sure fraud does not pay.”

"The scale of greed in this case is staggering. Brett Blackman and his co-conspirators systematically preyed upon hundreds of thousands of elderly and vulnerable Medicare beneficiaries, converting a platform meant for modern healthcare into a $1 billion vehicle for outright fraud,” said Brett Skiles, Special Agent in Charge, FBI Miami. “Today's verdict sends a definitive message to unscrupulous healthcare executives and fraudulent networks alike: no matter how complex you make your web of sham contracts and shell companies, law enforcement will unravel it, and you will be held fully accountable."

According to court documents and evidence presented at trial, Brett Blackman, 42, of Johnson County, Kansas, and his co-conspirators aggressively targeted hundreds of thousands of Medicare beneficiaries to get them to accept medically unnecessary orthotic braces and other items. They then arranged for purported telemedicine doctors to sign bogus prescription orders for these items, so that their co-conspirators could bill Medicare for them. All told, Blackman and his co-conspirators billed Medicare and other federal health care benefit programs over $1 billion for this unnecessary equipment.

Blackman owned, controlled, and was the CEO of HealthSplash, which acquired Power Mobility Doctor Rx, LLC (DMERx) in September 2017. DMERx was an internet-based platform that generated false and fraudulent doctors’ orders for durable medical equipment (DME) and prescriptions for other items. As part of the scheme, Blackman and his co-conspirators connected pharmacies, DME suppliers, and marketers with telemedicine companies that would accept illegal kickbacks and bribes in exchange for signed doctors’ orders created using the DMERx platform. Blackman and his co-conspirators took a cut for themselves in exchange for the referrals.

“This conviction further underscores our dedication to protecting the integrity of military healthcare from large-scale exploitation,” said Special Agent in Charge Jason J. Sargenski of the Department of Defense Office of Inspector General’s Defense Criminal Investigative Service (DCIS), Southeast Field Office. “Fraud of this magnitude drains vital resources and jeopardizes the care promised to our service members, retirees, and their families. DCIS, alongside our partners, remains steadfast in rooting out and dismantling these schemes, ensuring every conspirator faces justice.”

“This verdict shows exactly what happens when people exploit Medicare for personal gain,” said Acting Deputy Inspector General for Investigations Scott J. Lampert of the U.S. Department of Health and Human Services Office of Inspector General (HHS‑OIG). “The actions of this defendant severely undermined the integrity of the Medicare program. Working alongside our law enforcement partners, HHS‑OIG will continue to relentlessly pursue those who try to profit by defrauding federal health care programs.”

“This conviction sends a clear message that those who exploit VA programs and services for personal profit will be found and held accountable,” said Acting Special Agent in Charge Greg Wentz with the VA Office of Inspector General Southeast Field Office. “The VA OIG remains committed to working alongside our law enforcement partners to uncover complex fraud schemes, protect veterans and taxpayers, and ensure accountability.”

The fraudulent doctors’ orders and prescriptions generated by DMERx falsely represented that a doctor had actually examined and treated the Medicare beneficiaries when, in fact, the doctors were simply paid to sign orders and prescriptions without any meaningful interaction with the beneficiary, and in some cases, no interaction at all. Doctors signed these orders and prescriptions without regard to whether the equipment was medically necessary. Testimony and evidence presented at trial from an undercover agent who posed as a Medicare beneficiary showed the scheme in action—starting with a foreign call center that pushed the undercover agent to agree to multiple braces to a doctor signing bogus orders for the braces using Blackman’s DMERx platform. The doctor’s order for one of these undercover agent beneficiaries claimed that the doctor conducted various tests that can only be performed in person even though the doctor never even spoke with the undercover agent “patient.”

The DME suppliers and pharmacies that were paying illegal kickbacks for these orders billed Medicare and other insurers for more than $1 billion. Medicare and the other insurers paid more than $450 million based on these claims. According to evidence presented at trial, Blackman and his co-conspirators concealed the scheme through sham contracts and by manipulating the doctors’ orders to avoid Medicare audits.

The jury convicted Blackman of conspiracy to commit health care fraud and wire fraud, conspiracy to pay and receive health care kickbacks, and conspiracy to defraud the United States and to make false statements in connection with health care matters. Blackman’s co-defendant, Gary Cox, was convicted in a prior trial and sentenced to 15 years in prison. Blackman faces a maximum penalty of 20 years in prison for the conspiracy to commit health care fraud and wire fraud conviction, five years for the conspiracy to pay and receive health care kickbacks conviction, and five years for the conspiracy to defraud the United States and to make false statements in connection with health care matters conviction. A sentencing hearing has been scheduled for August 26, 2026. A federal district court judge will determine any sentence after considering the U.S. Sentencing Guidelines and other statutory factors.

HHS-OIG, FBI, VA-OIG, and DCIS investigated the case.

Trial Attorneys Darren C. Halverson and Reginald Cuyler Jr. of the Criminal Division’s Fraud Section prosecuted the case. Trial Attorneys Shane Butland and Jennifer E. Burns assisted in the prosecution. Trial Attorney Evan N. Schlom with the Fraud Section’s Special Matters Unit provided valuable assistance.

On April 7, the Department of Justice announced the creation of the Fraud Division. The Fraud Division is laser-focused on investigating and prosecuting those who commit fraud against the American people. The Department’s work to combat fraud supports President Trump’s Task Force to Eliminate Fraud, a whole-of-government effort chaired by Vice President J.D. Vance to eliminate fraud, waste, and abuse within Federal benefit programs.

The Department of Justice’s Health Care Fraud Strike Force Program, currently comprised of nine strike forces operating in federal districts across the country, has charged more than 6,200 defendants who collectively billed federal health care programs and private insurers more than $45 billion since 2007. In addition, the Centers for Medicare & Medicaid Services, working in conjunction with the Office of the Inspector General for the Department of Health and Human Services, are taking steps to hold providers accountable for their involvement in health care fraud schemes. More information can be found at https://www.justice.gov/criminal-fraud/health-care-fraud-unit.