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Lincoln Co. Man Charged with Doctor Shopping for Drugs

Tuesday, October 28, 2014 | 05:46am

NASHVILLE, Tenn. – A Lincoln County is charged with TennCare fraud involving doctor shopping, or using TennCare to go to multiple doctors in a short time period to obtain prescriptions for a controlled substance.

The Office of Inspector General (OIG), with assistance from of the Lincoln County Sheriff’s Office, today announced the arrest of Phillip W. Montgomery, 39, of Kelso.  He is charged with fraudulently using TennCare to obtain a controlled substance by doctor shopping and with obtaining a controlled substance by fraud.

"Stopping the abuse of TennCare benefits, especially to obtain pain medications and other controlled substances, is our number one priority," Inspector General Manny Tyndall said. "Local police, providers and the healthcare community are with us in the effort to weed this problem out of the TennCare program."

TennCare fraud is a Class E felony carrying a sentence of up to two years in prison.  District Attorney General Robert Carter 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 $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