Brace Yourself Billing

DOJ says a health software boss ran a billion-dollar Medicare fraud machine, because fake doctor orders are apparently a business model now

The Justice Department says a federal jury convicted HealthSplash founder Brett Blackman over a platform that generated false doctors' orders and helped bill more than $1 billion in unnecessary equipment.

What Happened

The Justice Department announced that a federal jury in the Southern District of Florida convicted Brett Blackman, founder and owner of HealthSplash, over a scheme involving false doctors' orders and prescriptions.

According to DOJ, Blackman and co-conspirators aggressively targeted hundreds of thousands of Medicare beneficiaries to accept medically unnecessary orthotic braces and other items. They allegedly used foreign call centers, spam mailers, telemedicine companies, kickbacks and an internet platform called DMERx to generate bogus orders.

DOJ says suppliers and pharmacies billed Medicare and other insurers for more than $1 billion, and Medicare and other insurers paid more than $450 million based on the claims. 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 make false statements in health care matters.

Why This Matters

Health care fraud is not just spreadsheet crime. It targets seniors, drains public programs, and turns medical paperwork into a conveyor belt for cash. When the fake order says a doctor examined someone and the doctor never even spoke with the "patient," the victim is not only the Treasury. It is the person being treated as billing bait.

DOJ said an undercover agent posing as a Medicare beneficiary was pushed by a foreign call center to accept multiple braces, then a doctor signed orders through the platform claiming in-person tests that never happened.

The Dumb Part With The Telemedicine Costume

The dumb part is how modern the machinery sounds and how old the scam is. Dress it up as telemedicine, connect it to a software platform, route it through shell companies and sham contracts, then somehow the core idea is still "bill the government for stuff people did not need."

Calling that innovation is like putting Bluetooth in a pickpocket's glove. The technology changed. The grift did not.

The Bottom Line

This is a conviction, not just a charge. Sentencing and remaining case details will continue through the courts.

For Scam Watch purposes, the lesson is brutally simple: unsolicited medical equipment pitches, especially ones involving braces, telemedicine paperwork and pressure to say yes, deserve skepticism before anyone lets a stranger turn their Medicare number into a cash register.

Sources

DOJ: Owner of Health Care Software Company Convicted of 1 Billion Dollar Medicare Fraud Conspiracy

DOJ: Fraud Division announces more than $1 billion in nationwide fraud enforcement actions


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