Pharmacy Owners Charged with Healthcare Fraud

Pharmacy owners in Knoxville face charges of healthcare fraud and identity theft.

A federal grand jury in Knoxville has indicted Rocky Hill Pharmacy, LLC, and its co-owners, Anne Warren and Tiffany Haney, for conspiracy to commit healthcare fraud, making false statements related to healthcare matters, and aggravated identity theft. The indictment, issued on October 16, 2024, alleges that Warren, 44, and Haney, 41, altered or forged prescriptions to submit false claims for reimbursement to various drug plans. Furthermore, it is alleged they made false statements and unlawfully used the names and National Provider Identification (NPI) numbers of others.

The owners appeared in court on November 1, 2024, before U.S. Magistrate Judge Jill E. McCook and were released pending trial. If found guilty of conspiracy to commit healthcare fraud, they could face up to ten years in prison, a fine of $250,000, and up to three years of supervised release. The charges of making false statements carry penalties of up to five years in prison, a $250,000 fine, and a year of supervised release. Aggravated identity theft charges could result in two years in prison, a $250,000 fine, and a year of supervised release.

U.S. Attorney Francis M. Hamilton III announced the indictment, which is the result of investigations by the FBI, Health and Human Services – Office of Inspector General, Department of Labor – Office of Inspector General, and Tennessee Bureau of Investigation – Medicaid Fraud Control Division. Assistant U.S. Attorney Jeremy S. Dykes will represent the United States in this case.

It is important to note that an indictment is merely a set of charges, and all individuals are presumed innocent until proven guilty beyond a reasonable doubt.

Source: Read Original Release

Hendersonville Resident Convicted of TennCare Fraud

Brenda Stewart from Hendersonville, Tennessee, has been convicted of TennCare fraud after falsely claiming custody of her son to access benefits. She received a sentence of three years of supervised probation and must pay $5,000 in restitution. The Office of Inspector General highlighted the financial impact of her actions and encourages the public to report suspected TennCare fraud.