United States of America v. Teflyon Cameron

Newark, New Jersey, criminal defense lawyer represented the Defendant charged with health care fraud and engaging in an illegal kickback conspiracy.

Teflyon Cameron, 59, of Powder Springs, Georgia, conspired to defraud health insurers, including Medicare, by causing the submission of claims for medically unnecessary Durable Medical Equipment (DME) and Cancer Genetic Tests (CGx). In total, Cameron and her conspirators caused a loss to Medicare of more than $14.9 million, and Cameron pocketed more than $1.3 million in fraud proceeds.

Cameron and her conspirators owned, operated, and had a financial interest in DME companies through which they obtained doctors’ orders for durable medical equipment, namely orthotic braces, for Medicare beneficiaries without regard to medical necessity. Cameron and her conspirators obtained DME orders using marketing call centers and telemedicine companies, caused the submission of false and fraudulent claims to Medicare, and paid illegal kickbacks.

Cameron and her conspirators also owned, operated, and had a financial interest in a CGx company through which she agreed to provide a clinical laboratory with leads of beneficiaries who were qualified to receive federal health care benefits for cancer genetic tests. Cameron submitted invoices to the clinical laboratory seeking payment on a per-lead basis, but entered into a sham agreement to disguise kickback and bribe payments.

Senior Counsel Philip Lamparello credited the following law enforcement organizations with the investigation leading to the sentencing: the Federal Bureau of Investigation, under the direction of Special Agent in Charge Stefanie Roddy; the U.S. Department of Health and Human Services Office of Inspector General, under the direction of Special Agent in Charge Naomi Gruchacz; and U.S. Department of Defense, Office of Inspector General, Defense Criminal Investigative Service, Northeast Field Office, under the direction of Special Agent in Charge Christopher M. Silvestro.

conspired to defraud health insurers, including Medicare, by causing the submission of claims for medically unnecessary Durable Medical Equipment (DME) and Cancer Genetic Tests (CGx). In total, Cameron and her conspirators caused a loss to Medicare of more than $14.9 million, and Cameron pocketed more than $1.3 million in fraud proceeds.

Cameron and her conspirators owned, operated, and had a financial interest in DME companies through which they obtained doctors’ orders for durable medical equipment, namely orthotic braces, for Medicare beneficiaries without regard to medical necessity. Cameron and her conspirators obtained DME orders using marketing call centers and telemedicine companies, caused the submission of false and fraudulent claims to Medicare, and paid illegal kickbacks.

Cameron and her conspirators also owned, operated, and had a financial interest in a CGx company through which she agreed to provide a clinical laboratory with leads of beneficiaries who were qualified to receive federal health care benefits for cancer genetic tests. Cameron submitted invoices to the clinical laboratory seeking payment on a per-lead basis, but entered into a sham agreement to disguise kickback and bribe payments.

Senior Counsel Philip Lamparello credited the following law enforcement organizations with the investigation leading to the sentencing: the Federal Bureau of Investigation, under the direction of Special Agent in Charge Stefanie Roddy; the U.S. Department of Health and Human Services Office of Inspector General, under the direction of Special Agent in Charge Naomi Gruchacz; and U.S. Department of Defense, Office of Inspector General, Defense Criminal Investigative Service, Northeast Field Office, under the direction of Special Agent in Charge Christopher M. Silvestro.

The government is represented by Assistant U.S. Attorney Matthew Specht of the Health Care Fraud & Opioids Enforcement Unit.

The Defendant elected to plead guilty and was sentenced to 43 months in prison for her role in a $14.9 million for her involvment in fraudulent illegal kickback scheme.