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Robertson Co. Woman Charged with TennCare Doctor Shopping

Tuesday, July 29, 2014 | 06:23am

NASHVILLE, Tenn. – A Robertson County woman is charged in nearby Sumner County with TennCare fraud involving doctor shopping, or using TennCare to go to multiple doctors in a short time period to obtain controlled substances.

The Office of Inspector General (OIG), with assistance from Goodlettsville Police and the Sumner County Sheriff’s Office, today announced the arrest of Brandy N. Brooks, 28, of Greenbriar.  She is charged with three counts of TennCare fraud by doctor shopping and three counts of obtaining a controlled substance.  The drug involved was the painkiller Hydrocodone. The prescriptions were paid for with TennCare health insurance benefits.

“This continues to be an ongoing battle with people defrauding TennCare for their drugs and it’s a battle we will continue to fight.”  Acting Inspector General Lawrence S. Saylor, Jr. said.  “We are sending out a message across Tennessee that the citizens of Tennessee have set forth a zero tolerance policy for TennCare fraud and abuse, and we’re aggressively enforcing it.”

TennCare fraud is a Class E felony carrying a sentence of up to two years in prison, and prescription drug fraud is a Class A misdemeanor. District Attorney General Lawrence R. Whitley 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 TennCare, according to latest figures.  To date, 2,156 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