2026 DOJ- TARGETING MEDICARE FALSE CLAIMS: Durable Medical Equipment, Digital Health Technology, and Telemedicine.
TOPICS
AI is the DOJ’s Tool of Choice. They don’t need sleep and are constantly monitoring and data-mining.
Preparation
ACKNOWLEDGE THE IMPACT OF YOUR INDICTMENT.
- Durable Medical Equipment Fraud
MEDICARE FALSE CLAIMS
- Digital Health Technology and Telemedicine Initiative.
- Texas Rheumatologist (39)
- Sham Hospice Companies
- Tax conspiracy related to the operation of numerous skilled nursing facilities in New Jersey, Wisconsin, and Michigan.
THE DOJ WILL BE EXPANDING ON THEIR WINS FROM 2025
- Fraud Enforcement Isn’t Slowing Down — It’s Gearing Up
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AI is the DOJ’s Tool of Choice. They don’t need sleep and are constantly monitoring and data-mining, You!
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Their Multi-agent AI is not a future concept—it is an operational shift that businesses must prepare for now. Rather than deploying a single AI system, organizations are moving toward coordinated networks of specialized agents that can independently act, collaborate, and adapt in real time. Whether to go for a trial or a plea, this is a strategic decision between you and your attorney.
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Preparation
As soon as you hear that the FBI is asking questions, their case against you is mostly complete.First, you need legal counsel with experience with cases like yours in the Federal Court. Second, if prison time is unavoidable, preparing for your interview (the Presentence Interview) is crucial. This is not just a form you can fill out on the spot, which is why your PSR is called the “Inmates’ Bible.”
Will you have the choice between a Minimum FPC (Free Standing Camp) vs a Minimum Satellite Camp (attached to a higher security facility)? There are differences.
Advice from Federal Judges –When To Start Preparing For Sentencing
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ACKNOWLEDGE THE IMPACT OF YOUR INDICTMENT.
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Judges know that crimes don’t happen in a vacuum. What were your reasons? Help them understand who you are. If you don’t provide your Autobiographical Backstory, your indictment and charges will define who you are – to the court – through the length of your sentence.
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Durable Medical Equipment Fraud (30)
Gary Cox, the CEO of the health care software company, Power Mobility Doctor Rx, LLC (DMERx), was convicted of his role in a fraud conspiracy involving more than $1 billion in false claims submitted to Medicare and other federal health care programs. In December 2025, Cox was sentenced to 15 years in prison.
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MEDICARE FALSE CLAIMS: (33)
Jamie P. McNamara, of Missouri, was sentenced to 10 years in prison for orchestrating a scheme that billed approximately $174 million in false claims to Medicare. McNamara ran labs in Louisiana and Texas that conducted genetic tests for cancer and cardiovascular diseases. Telemedicine physicians approved these tests without in-person meetings or legitimate consultations, and received illegal kickbacks in return.
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Texas Rheumatologist (39)
Texas rheumatologist Dr. Jorge Zamora-Quezada was sentenced to 10 years in prison for his involvement in a $325 million fraud scheme. He falsely diagnosed patients with rheumatoid arthritis and prescribed harmful medications to defraud Medicare, Medicaid, TRICARE, and Blue Cross Blue Shield, submitting over $118 million in false claims and receiving more than $28 million. The prescriptions led to severe side effects, including strokes and liver damage.
Petros Fichidzhyan (39)
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THE DOJ WILL BE EXPANDING ON THEIR WINS FROM 2025
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Fraud Enforcement Isn’t Slowing Down — It’s Gearing Up
- Expect aggressive — and possibly expanded — enforcement targeting fraud tied to federal programs. However, the new fraud division is ultimately structured, the message is clear: misuse of federal funds remains a top priority. The government will continue to rely on powerful tools like the False Claims Act to pursue companies, nonprofits, and other funding recipients.
- Politics shape priorities. Early signals suggest the division could operate out of the White House, with focus areas that may shift based on policy agendas. That adds uncertainty to how cases are selected and pursued.
- Compliance is your first line of defense. Organizations receiving federal funds — especially in highly regulated sectors — should reassess internal controls, billing practices, eligibility certifications, and representations made to the government.
- Timing matters. As DOJ’s structure evolves, early engagement with counsel can help assess exposure, manage parallel civil and criminal risk, and respond strategically before issues escalate.
- Bottom line: If you receive federal dollars, expect scrutiny — and prepare accordingly.