Insurance Fraud NEWS

Coalition Against Insurance Fraud

Tennessean falsely claims minor as dependent on health policy

April 04, 2019, Davidson County, TN — A Davidson County woman is being ordered to repay the state $18,000 in restitution as part of a plea agreement on TennCare fraud charges, according to a TN Department of Finance & Administration press release.

Heather Ann Pitts, 38, pleaded guilty to charges accusing her of claiming a minor child as a dependent in order to receive healthcare insurance benefits through TennCare.

The charges included theft of services over $10,000 and $60,000.

Pitts will also be on three consecutive supervised probation sentences of 11 months and 29 days as part of the plea agreement.

“Providing false information in order to receive TennCare benefits is a crime,” Inspector General Kim Harmon said. “The Office of Inspector General works diligently to preserve the integrity of TennCare benefits, so that those truly deserving of and eligible for TennCare have the best resources.”

The OIG has investigated cases leading to more than $3 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, more than 3,076 people have been charged with TennCare fraud.

Source: FOX 17 - Nashville

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