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FOR IMMEDIATE RELEASE
THURSDAY, MARCH 13, 2014

 
CONTACT: LOLA POTTER
615.532.8560 (OFFICE)

    
     

TWO DAVIDSON CO. RESIDENTS CHARGED WITH TENNCARE FRAUD

NASHVILLE, TN – Two Davidson County residents are charged with TennCare fraud in unrelated cases involving prescription drugs.

The Office of Inspector General (OIG) today announced charges filed against Edward Dwight Condra, 40, and Tiffany N. Smith, 28, both of Nashville.  Metro Nashville Police assisted in the cases.

Condra is charged with two counts of doctor shopping, or using TennCare to pay for either the clinical visit or for payment of the controlled substances. TennCare fraud is a Class E felony, carrying a sentence of up to two years in prison per charge.

Tiffany N. Smith is charged with TennCare fraud in connection with selling a portion of a prescription for the painkiller Oxycodone, which was paid for with TennCare healthcare insurance benefits. The fraud charge against Smith could result in a two year sentence, if convicted.

“We are committed to bringing a stop to the prescription drug abuse in the TennCare program,” Inspector General Deborah Faulkner said.  “We are working with Metro Nashville police and many other local officers across the state to stop this activity in our communities.”

District Attorney General Victor S. Johnson, III is prosecuting both cases.

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, 2,063 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."