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Knox County Woman Charged with TennCare Fraud

Wednesday, September 26, 2012 | 05:46am

NASHVILLE – A Knox County woman is charged with TennCare fraud and theft of property, after receiving healthcare insurance benefits through the TennCare program although she was not legitimately eligible for TennCare.

The Office of Inspector General (OIG) today announced the arrest of Kimberly Diane Miller, 41, of Knoxville.  She is charged with 20 counts of TennCare fraud and four counts of theft of property (over $10,000). The Knox County Sheriff’s Office and the U.S. Marshall’s Fugitive Task Force of East Tennessee assisted in Miller’s arrest.

The charges against Miller accuse her of receiving TennCare benefits for four years - September 2008 to May 2012 – after making false statement or other fraudulent means to get enrolled in TennCare.

“People who misrepresent the facts in order to qualify for TennCare are going to be caught and prosecuted,” Inspector General Deborah Faulkner said. “TennCare fraud is a felony and a conviction could mean jail time, a fine, and repaying the state for any medical services received.”

The TennCare fraud charge carries up to a two-year sentence and the theft of property charge could result in a sentence up to 4 years.  District Attorney General Randall Nichols is prosecuting.

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