Davidson Co. Woman Charged with TennCare Fraud

NASHVILLE, Tenn. – A Davidson County woman is charged with TennCare fraud for allegedly reporting false information to the state in order to obtain TennCare healthcare insurance benefits for herself and a child.

The Office of Inspector General (OIG) in a joint effort with the Nashville Police Department today announced the arrest of 44-year old Karen Briggs. She is charged with TennCare fraud and theft of services over $10,000 but under $60,000. Investigators say Briggs allegedly lied about her marital status and the addition of the husband’s income to the household in order to receive TennCare benefits for herself and her child. As a result, TennCare paid approximately $26,000 in fees and claims on their behalf.  

“Times are tough yet taking undue advantage of the TennCare system cannot be tolerated,” Inspector General Kim Harmon said. “The Office of Inspector General appreciates the Metro Police Department in their assistance in preserving TennCare resources for those truly deserving.”

The theft of services charge is a class C felony and TennCare Fraud charge is a class D felony. The case is being prosecuted by District Attorney General Glenn R. Funk of Davidson County.

The OIG, which is separate from TennCare, began full operation in February 2005 and has investigated more than 5,760 criminal cases leading to more than $10.8 million being repaid to TennCare, with a total estimated cost avoidance of more than $163.6 million for TennCare, according to latest figures. To date, 3,091 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 or by logging on to www.tn.gov/oig/ and following the prompts that read “Report TennCare fraud.”