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Shelby Co. Woman Charged with TennCare Doctor Shopping

Wednesday, July 23, 2014 | 06:25am

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

The Office of Inspector General (OIG), with assistance from Memphis Police, today announced the arrest of Brenda Walton, 56, of Cordova.  She is charged with three counts of doctor shopping for drugs, using TennCare as payment.

“We’re committed to protecting TennCare and its members by eliminating this kind of criminal activity,” Acting Inspector General Robert White said. “The doctor shopping law is a welcome tool for providers who are concerned about this activity.”

TennCare fraud is a Class E felony, carrying a sentence of up to two years in prison per charge. District Attorney General Amy T. Weirich 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, 2,149 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