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Thursday, November 21, 2024

Georgia chiropractor pleads guilty to $14.9 million healthcare fraud scheme

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Merrick B. Garland, Attorney General | https://www.justice.gov/

Merrick B. Garland, Attorney General | https://www.justice.gov/

NEWARK, N.J. – A Georgia chiropractor who owned or operated multiple durable medical equipment (DME) companies and a cancer genetic testing (CGx) company admitted her role in a health care fraud and illegal kickback conspiracy, Attorney for the United States Vikas Khanna announced today.

Tefylon Cameron, 57, of Powder Springs, Georgia, pleaded guilty on June 20, 2024, before U.S. District Judge Michael E. Farbiarz in Newark federal court to an information charging her with conspiracy to commit health care fraud and conspiracy to violate the Federal Anti-Kickback statute.

According to documents filed in the case and statements made in court:

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 (including multiple Florida-based 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.

In total, Cameron and her conspirators caused a loss to Medicare of more than $14.9 million.

Conspiracy to commit health care fraud is punishable by a maximum of 10 years in prison and conspiracy to violate the Federal Anti-Kickback Statute is punishable by a maximum of five years in prison. Both counts are also punishable by a $250,000 fine or twice the gross gain or loss from the offense, whichever is greatest. Sentencing is scheduled for Oct. 29, 2024.

Attorney for the United States Khanna credited special agents of the FBI under the direction of Special Agent in Charge James E. Dennehy in Newark; the Department of Health and Human Services-Office of Inspector General under the direction of Acting Special Agent in Charge Naomi Gruchacz; the U.S. Department of Defense Office of Inspector General Defense Criminal Investigative Service under the direction of Special Agent in Charge Patrick J. Hegarty; and the U.S. Department of Veterans Affairs Office of Inspector General under the direction of Special Agent in Charge Christopher F. Algieri with the investigation leading to the charge.

The government is represented by Assistant U.S. Attorney Matthew Specht of the Special Prosecutions Division.

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