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Davidson County Woman Charged with TennCare Doctor Shopping

Thursday, August 29, 2013 | 04:41am

NASHVILLE, TN - A Davidson County woman is charged with TennCare fraud involving doctor shopping, which is the crime of using TennCare state healthcare insurance benefits to go to multiple doctors to obtain prescriptions for controlled substances.

The Office of Inspector General (OIG) with the assistance of the Metro Nashville Police Department today announced the arrest of Griselda Castaneda-Camacho, 29, of Nashville.  She is charged with four counts of fraudulently using TennCare to obtain a controlled substance by doctor shopping for prescription drugs.  Charges say she saw multiple physicians within a 30-day period, receiving prescriptions for controlled substances, with the physician office visits, prescriptions or both being paid for by TennCare.

“Selling prescription drugs is a serious crime, and one that we’re trying to eliminate in the TennCare program,” Inspector General Deborah Faulkner said.  “People often get addicted to these drugs, and for some of them, the addiction can be fatal.”

TennCare fraud is a Class E felony carrying a sentence of up to two years in prison per charge.   District Attorney General Victor S. Johnson, III will be prosecuting this 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 1,900 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