 A man who is accused of abusing the Tennessee Medicaid system is now in custody, according to the Tennessee Bureau of Investigation (TBI).
“An investigation by special agents with the Tennessee Bureau of Investigation’s Medicaid Fraud Control Division into fraudulent TennCare time sheets has resulted in the arrest of a TennCare recipient in Bethel Springs,” TBI said.
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Lindsey Horner, considered the “most wanted” person for TennCare fraud, was arrested Friday, according to a press release by the Tennessee Department of Finance and Administration (F&A).
The Tennessee Office of Inspector General (OIG), in a joint effort with the Benton County Sheriff’s Office, announced that the 39-year-old Big Sandy, Tennessee, was charged with TennCare fraud and theft of services. The TennCare fraud charge is a class D felony, and the theft of services charge is a class C felony, the press release notes.
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State Sen. Steven Dickerson (R-TN-20) is among those being sued by the federal government and Tennessee over alleged Medicare and TennCare fraud totaling at least $25 million. The United States and Tennessee on Monday filed a consolidated complaint in intervention alleging violations of the False Claims Act and the Tennessee Medicaid False Claims Act by Anesthesia Services Associates, PLLC, doing business as Comprehensive Pain Specialists (CPS), according to a statement by U.S. Attorney Don Cochran for the Middle District of Tennessee and Tennessee Attorney General Herbert Slatery III. The governments allege that the scheme defrauded Medicare and TennCare of at least $25 million. The complaint also names as defendants Dr. Peter B. Kroll, of Goodlettsville; Dr. Steven R. Dickerson, of Nashville; and Dr. Gilberto A. Carrero, of Nashville, three of the principal owners of CPS, as well as John Davis, of Franklin, the former CEO, who was convicted by a jury in April of violating the Anti-Kickback Statute; and Russell S. Smith, a chiropractor from Cleveland. The complaint also states claims for violation of the Federal Priority Statute and common law claims, including unjust enrichment and fraud. A federal judge in April granted prosecutors’ requests to intervene in whistleblower complaints…
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State officials have arrested three more people for alleged TennCare fraud, according to new press releases from the Tennessee Department of Finance and Administration. The people arrested are from Davidson and Gibson counties, the press releases said. Authorities charged the Davidson County resident, Robert Lee Nesbitt, Jr. 54, with TennCare fraud for allegedly posing as the spouse of a TennCare enrollee in order to pick up her prescription for the painkiller Oxycodone. Authorities said he went to a pharmacy and claimed he was the enrollee’s spouse so he could obtain the painkillers. They charged Nesbitt with one count of TennCare fraud for making a false statement and receiving benefits he was not entitled to receive, according to the press release. Meanwhile, authorities charged two Gibson County residents with using the identity and TennCare benefits of each other’s minor children in nearby Madison County, a press release said. The Office of Inspector General, with the assistance of the Gibson and Madison County Sheriffs’ Offices, arrested Bertha Campos, 30 and Maria Vega, 42 both of Trenton. Authorities charged them with two counts of TennCare fraud and two counts of identity theft. “Authorities say that initially, Ms. Campos’ child broke an arm and then used the TennCare benefits…
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