THURSDAY, APRIL 21, 2005
DAVIDSON CO. WOMAN INDICTED FOR TENNCARE FRAUD
NASHVILLE - A Davidson County woman has been indicted locally for
defrauding the TennCare program of more than $7000. The Office of
TennCare Inspector General (OIG) announced the arrest of 43-year-old
Brenda Gail Mitchell of
Nashville, an environmental tech at Vanderbilt Medical School.
A three count indictment charges that over a three-year period, Mitchell
committed theft of property and services – both felonies - by
intentionally failing to report that she had healthcare insurance
through her employer, making her ineligible for TennCare. Investigators
say even though Mitchell had insurance through Vanderbilt, she used
TennCare to pay for her medical bills. The value of the TennCare benefits
unlawfully obtained is more than one thousand dollars ($1,000) but
less than ten thousand dollars ($10,000).
“We are hoping to make it clear that anyone who fails to report
insurance benefits from an employer will be indicted and arrested
for TennCare fraud,” Inspector General Deborah Faulkner said.
“We are actively investigating TennCare members who are not
eligible because they have healthcare insurance in their workplace.”
If convicted, Mitchell could be sentenced to up to eight years on
the charges, which are both Class D felonies. Bond was set at $25,000.
Davidson County District Attorney Torry Johnson is prosecuting the
Anyone can report suspected TennCare fraud by calling 1-800-433-3982
toll-free from anywhere in Tennessee, or log on to www.tennessee.gov/tenncare
and follow the prompts that read “Report Fraud Now.”
TennCare is the state’s managed care health insurance program
for 1.3 million people who are poor, disabled or uninsured.