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Blount Co. Woman Loses TennCare After Fraud Conviction

Thursday, September 13, 2012 | 07:46am

NASHVILLE – A Blount County woman has been sentenced after pleading guilty to TennCare fraud, and a court ordered her to be removed from the state’s healthcare insurance program.

The Office of Inspector General (OIG) today announced that Renee Annette Moore, 43, of Maryville, pleaded guilty to one count of felony TennCare fraud and four counts of prescription fraud.  

Moore was accused of posing as an employee of a doctor’s office and calling in prescriptions to a pharmacy in Alcoa to obtain the addictive painkiller Hydrocodone.  She used TennCare benefits to pay for the prescription.

“Anyone suspected of committing TennCare fraud will be investigated,” Inspector General Deborah Y. Faulkner said.  “The risk is arrest leading to jail time, court fines, repaying the state for benefits received, and even losing the chance for future TennCare benefits.”

The court ordered Moore to be removed from TennCare enrollment for the crime.  She was granted Judicial Diversion for four years and four years of supervised probation, along with paying $4,000 in court fines. Judicial Diversion is a program for first-time offenders which provides no jail time and expunging the record of the offense.  It’s available only for people with no class A misdemeanors or felonies who have never received a diversion or had a criminal record expunged.

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."