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fraud

TennCare’s fraud unit receives funding again, despite WPLN’s report showing lackluster results

Blaise Gainey

May 8, 2023

Most Wanted

Tennessee’s Medicaid program, TennCare, has a unit dedicated to rooting out potential fraud among beneficiaries and caregivers. A WPLN story from February showed that while costing taxpayers $6.4 million each year, they recoup far less than that.

Filed Under: Health Care, Politics, WPLN News Tagged With: 113th Tennessee General Assembly, fraud, medicaid fraud, TennCare, tnpol

TennCare uses scare tactics and aggressive enforcement to root out fraud. With millions spent, the agency has little to show for it.

Blake Farmer

February 10, 2023

LaShonia Ingram
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The state’s low-income health insurance program, TennCare, funds an outside unit dedicated to rooting out potential fraud. After millions of dollars spent each year, it has less and less to show for the effort aside from slapping Tennesseans with felonies unnecessarily.

Filed Under: Criminal Justice, Health Care, WPLN News Tagged With: budget, Chad Holman, fraud, health insurance, Healthcare, legislature, Medicaid, TennCare, Tennessee Justice Center, Tennessee Legislature, Tennessee Office of Inspector General, tnleg, tnpol

An Antioch Call Center Employee Blew The Whistle, And A Diabetes Supply Company Is Settling For $160M

Blake Farmer

August 2, 2021

Diabetes testing supplies
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The case revolved around mail-order diabetic testing supplies at one of the country’s largest companies sending patients testing strips and meters. The $160 million settlement — the largest ever reached in Nashville — came after a call center employee in Antioch tipped off federal investigators to potential Medicare fraud.

Filed Under: Health Care, WPLN News Tagged With: Arriva, diabetes, fraud, Justice Department, Medicare fraud

Vanderbilt Settles Overbilling Suit ‘To Avoid The Cost And Distraction’

Blake Farmer

July 27, 2017

Vanderbilt Medical Center has settled a lawsuit claiming it overbilled Medicare and Medicaid. The hospital will pay $6.5 million and fund an outside audit of its billing practices.

Filed Under: WPLN News Tagged With: fraud, VUMC

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