Bill Moore, Tenet Hospital Fraud, Georgia 2017
A former Tenet Healthcare Corporation executive and a clinic owner have been charged in a superseding indictment for their roles in a $400 million fraud and bribery scheme.
Bill Moore, 61, of John's Creek, Georgia, and Edmundo Cota, 64, of Dunwoody, Georgia, were charged in an indictment returned on September 26, 2017, in the Northern District of Georgia.
The indictment charges Moore, who formerly served as the chief executive officer of Atlanta Medical Center, Inc., in Atlanta, Georgia, with one count of conspiracy to defraud the United States and pay and receive health care bribes, two counts of wire fraud, one count of falsifying corporate books and records, and one count of major fraud against the United States.
The indictment charges Cota, who served as the president and chief executive officer of Hispanic Medical Management, Inc., which did business as Clinica de la Mama, and later Cota Medical Management Group, Inc., with one count of conspiracy to defraud the United States and pay and receive health care bribes, three counts of receiving health care bribes and three counts of wire fraud.
A third defendant, John Holland, 60, of Dallas, Texas, was also charged in the superseding indictment. Holland, who formerly served as a senior vice president of operations for Tenet Healthcare Corporation's Southern States Region and as chief executive officer of North Fulton Medical Center, Inc., in Roswell, Georgia, is now charged with one count of conspiracy to defraud the United States and to pay and receive health care bribes, three counts of paying health care bribes, five counts of wire fraud, one count of falsifying corporate books and records, and one count of major fraud against the United States.
The indictment alleges that the scheme victimized the United States government, the Georgia and South Carolina Medicaid Programs, and patients of Tenet hospitals.
The indictment also alleges that Holland and Moore caused the payment of bribes in return for the referral of patients to Tenet hospitals in the Southern States Region, including Atlanta Medical Center, Inc., North Fulton Medical Center, Inc., Spalding Regional Medical Center, Inc., and Hilton Head Hospital.
The indictment alleges that Holland and Moore took affirmative steps to conceal the scheme by, among other methods, circumventing internal accounting controls, falsifying Tenet's books, records and reports, and making, and causing to be made, false representations to the federal government.
According to the indictment, these bribes helped Tenet bill the Georgia and South Carolina Medicaid Programs for over $400 million, and Tenet obtained more than $149 million in Medicaid and Medicare funds based on the resulting patient referrals.
Defendant Information:
Defendant: Bill Moore
Residence: John's Creek, Georgia
Charges: Conspiracy to defraud the United States and pay and receive health care bribes, wire fraud, falsifying corporate books and records, and major fraud against the United States
Arrest Date: September 26, 2017
Outcome: Currently pending
Key Facts
- State: Georgia
- Category: White Collar Crime
- Source: DOJ Press Release â†â€â€
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