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Knox Co. Woman Faces 3rd TennCare Fraud Indictment

Tuesday, October 28, 2014 | 05:32am

NASHVILLE, Tenn. – A Knox County woman faces her third charge of using TennCare to “doctor shop” for prescription drugs.

The Office of Inspector General (OIG) today announced the arrest of 47-year old Nancy Elaine Horsley, who was indicted by a Knox County Grand Jury and charged with three counts of doctor shopping.  The charges accuse Horsley of going to more than one doctor in a 30-day period to obtain prescriptions for controlled substances, using TennCare as payment.  She is also charged with three counts of obtaining a controlled substance by fraud and is being held in the Knox County jail on a $200,000 bond.

Horsley was charged with TennCare fraud in May of this year when she was indicted on 11 counts of doctor shopping and 11 counts of obtaining a controlled substance by fraud.  Her first TennCare fraud arrest came in December 2011, when she was charged with six counts of doctor shopping for drugs.  She pleaded guilty to all six counts and was sentenced to two years supervised probation as well as making restitution to the state in the amount of $2,111.24.

“Prescription drug abuse is a concern of communities large and small across Tennessee,” Inspector General Manny Tyndall said. “With the help of providers, we’re sending a message that abusing TennCare will have serious repercussions.”

TennCare fraud is a Class E felony carrying a sentence of up to two years per charge in prison. District Attorney General Charme Allen will be prosecuting.

The OIG, which is separate from TennCare, began full operation in February 2005 and has investigated cases leading to over $5 million being repaid to TennCare, with a total estimated cost avoidance of over $176 million for TennCare, according to latest figures.  To date, 2,205 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