Loudon Co. Woman Charged with TennCare Fraud

Tuesday, June 04, 2019 | 03:11pm

NASHVILLE, Tenn. - A Loudon County woman is charged in Knox County with doctor shopping for prescription drugs, using TennCare as payment for the pills.

The Office of Inspector General (OIG), with the assistance of the Knox County Sheriff’s Office, today announced the arrest of April L. Finger, 45, of Loudon. An investigation led to the identification of five different instances in which Ms. Finger failed to disclose to her medical providers that she had been receiving prescriptions for the painkillers hydrocodone and Tramadol from other providers, using TennCare as payment. A review by the Knox County District Attorney’s Office led to criminal charges for three counts of TennCare fraud.

“Pharmacists are one of our greatest community partners,” Inspector General Kim Harmon said. “Tennessee pharmacists have first-hand knowledge and are willing to assist law enforcement in combatting the opioid crisis.”

District Attorney General Charme P. Allen is prosecuting. TennCare fraud is now a Class D felony punishable by up to four years in prison.

The OIG, which is separate from TennCare, began full operation in February 2005 and has investigated cases leading to more than $3 million being repaid to TennCare, with a total estimated cost avoidance of more than $163.6 million for TennCare, according to latest figures. To date, 3,097 people have been charged with TennCare fraud.

Through the OIG Cash for Tips Program established by the Legislature, Tennesseans can get cash rewards for TennCare fraud tips that lead to convictions.  Anyone can report suspected TennCare fraud by calling 1-800-433-3982, toll-free, from anywhere in Tennessee; or log on to www.tn.gov/tnoig/ and follow the prompts that read “Report TennCare Fraud.”