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TN APRN Pleads Guilty to Unlawful Distribution of Controlled Substances, Health Care Fraud

May 25, 2023 - WorkCompWire

Memphis, TN – A Tennessee woman recently pleaded guilty to unlawfully distributing controlled substances and health care fraud.

According to court documents, Kelly McCallum of Dyersburg was an advance practice registered nurse who operated Convenient Care Clinic and held a registration from the DEA, which allowed her to prescribe controlled substances. From January 2017 until early 2021, McCallum had sexual relationships with two patients for whom she was their medical provider. She was aware that another patient fatally overdosed after she prescribed them controlled substances but nevertheless continued to prescribe controlled substances outside the usual course of professional practice and not for a legitimate medical purpose. McCallum also billed Medicare and Medicaid for examinations and other services that she did not personally render, resulting in Medicare and Medicaid paying her approximately $16,234 for services she did not provide.

McCallum pleaded guilty to two counts of unlawful distribution of controlled substances and one count of health care fraud. She is scheduled to be sentenced on Oct. 3 and faces a maximum penalty of 20 years in prison on each controlled substance count, and a maximum penalty of 10 years in prison on the health care fraud count. A federal district court judge will determine any sentence after considering the U.S. Sentencing Guidelines and other statutory factors.

In June 2021, the Tennessee Board of Nursing summarily suspended McCallum’s registered nurse license and advance practice registered nurse certificate and ordered her to cease and desist from practicing in the state of Tennessee.

Assistant Attorney General Kenneth A. Polite, Jr. of the Justice Department’s Criminal Division, U.S. Attorney Kevin G. Ritz for the Western District of Tennessee, Special Agent in Charge Chris Ramage of the Tennessee Bureau of Investigation’s Medicaid Fraud Control Division for West Tennessee, Special Agent in Charge Tamala Miles of the Department of Health and Human Services Office of the Inspector General (HHS-OIG), Acting Special Agent in Charge Douglas S. DePodesta of the FBI Memphis Field Office, and Special Agent in Charge J. Todd Scott of the DEA Louisville Division made the announcement.

The HHS-OIG, FBI, DEA, and Tennessee Bureau of Investigation are investigating the case.

Assistant Chief Jillian Willis and Trial Attorney Kathryn Furtado of the Criminal Division’s Fraud Section and Assistant U.S. Attorney Christie Hopper for the Western District of Tennessee are prosecuting the case.

Since its inception in late 2018, the Appalachian Regional Prescription Opioid (ARPO) Strike Force has partnered with federal and state law enforcement agencies and U.S. Attorneys’ Offices throughout Appalachia to prosecute medical professionals and others involved in the illegal prescription and distribution of opioids. Over the past four years, ARPO has charged over 115 defendants, collectively responsible for issuing prescriptions for over 115 million controlled substance dosage units. As a result, to date, more than 70 defendants have been convicted.

Source: US DOJ

Filed Under: Industry News, Top Stories, Workers' Compensation

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