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Roane County Woman Charged a 2nd Time with TennCare Fraud

Tuesday, August 14, 2012 | 08:15am

NASHVILLE –  A Roane County woman is charged a second time with TennCare fraud involving doctor shopping, or using TennCare to go to multiple doctors in a short time period to obtain controlled substances.

The Office of Inspector General (OIG) today announced the arrest of Jessica L. Hall, 36, of Harriman.  A Knox County Grand Jury indicted her on a charge of fraudulently obtaining TennCare benefits that she wasn’t entitled to by obtaining a controlled substance through doctors’ office visits paid for by TennCare.  Hall was located by the Roane County Sheriff’s Office and held until the Knox County Sheriff’s Office could transport her to the Knox County Detention Facility, where she was served with the indictment.

Just over a week ago, on August 3, Hall was arrested in Roane County on an indictment charging her with two counts of TennCare fraud by doctor shopping.  In those charges, Hall obtained the painkiller Hydrocodone through clinical visits to more than one doctor in a short period of time.  

TennCare fraud is a Class E felony carrying a sentence of up to two years per charge in prison.   District Attorney General Randall Nichols is prosecuting the Knox County case.

The OIG, which is separate from TennCare, began full operation in February 2005 and has investigated cases leading to over $3.5 million paid in restitution and recoupment to TennCare, with a total estimated cost avoidance of over $173 million for the TennCare program, according to latest figures.  To date, over 1,700 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."

TennCare Fraud | Press Releases