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TBI Medicaid fraud unit named best in U.S.

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NASHVILLE (AP) — The U.S. Department of Health and Human Services has named the Tennessee Bureau of Investigation’s Medicaid fraud investigation unit as the best in the nation.

The award is based on number of fraud cases worked and the amount of money recovered from offenders.

Last year, TBI’s Medicaid unit investigated and prosecuted 58 cases, which lead to 26 convictions for provider fraud, patient abuse and neglect. The unit also recovered more than $22.2 million, nearly all of which went back into TennCare, the state’s expanded Medicaid program.

TBI Director Mark Gwyn said the Medicaid fraud unit was the first division of the TBI he asked to improve after he was appointed director.

“Little did I know they were going to hit a home run like this,” Gwyn said in a statement about the award.

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