On Friday, it was announced that the former executive with the Tenet Healthcare Corporate and the owner and operator of an Atlanta-area chain of pre-natal clinics were charged for their alleged roles in a $400 million fraud and bribery scheme. The indictment against the defendants claims that they schemed to victimize the United States government, Georgia and South Carolina Medicaid programs and patients of Tenet hospitals.
61-year-old Bill Moore of John’s Creek, Georgia and 64-year-old Edmundo Cota of Dunwoody, Georgia were both charged in an indictment returned on September 26. Moore, who previously worked as the CEO of Atlanta Medical Center, was charged with one count of conspiracy to defraud the United States, two counts of wire fraud, one count of falsifying corporate books and records, and one count of major fraud against the United States.
Cota, who served as president and CEO of Hispanic Medical Management Inc., has been charged with one count of conspiracy to defraud the United States, three counts of receiving health care bribes, and three counts of wire fraud. Charges were also brought against a third defendant, 60-year-old John Holland, of Dallas, Texas.
The indictment alleges that from 2000 to 2013, the three men engaged in a scheme to defraud the United States, Georgia and South Carolina Medicaid programs, and patients that used Cota’s pre-natal clinics and were referred to Tenet hospitals. Holland and Moore are accused of causing bribes to be paid in return for patients to be referred to Tenet Hospitals.
The indictment claims that the bribes ultimately helped Tenet bill the Georgia and South Carolina Medicaid programs for more than $400 million. Tenet acquired at least $149 million from Medicaid and Medicare based on those patient referrals.
Additional details about the indictment can be found here. The defendants remain innocent until proven guilty in a court of law.