CHICAGO (CBS) — A northwest suburban doctor has been indicted by a federal grand jury on expenses that she submitted fraudulent reimbursement requests for companies she possibly didn’t provide or that were not medically required.
Dr. Mona Ghosh, 50, of Inverness, was the proprietor and operator of Progressive Women’s Health care S.C. in Hoffman Estates, in accordance to the U.S. Attorney’s business office.
Prosecutors alleged Ghosh defrauded the federal governing administration packages of TRICARE and Medicaid – as effectively as several personal insurance policies businesses – including Blue Cross Blue Protect of Illinois.
The indictment claimed Ghosh billed the government systems and insurance organizations for purported telemedicine visits in which she did not seriously speak to the individual, and in-office environment visits and techniques in which she did not actually see the client.
Ghosh was also accused of submitting claims for treatments that were being predicated on false diagnoses, and that had been not medically needed – like lab checks and endometrial ablations, a process in which the lining of the uterus is eradicated to reduce major menstrual bleeding.
Ghosh and her clinic fraudulently received about $796,000, the indictment said.
“Focusing on governing administration and private healthcare courses relied on by the community to maintain their well-staying is a major criminal offense,” Acting U.S. Legal professional Morris Pasqual reported in a news launch. “In addition to publishing phony promises, the allegation that defendant carried out medically pointless processes to enrich herself is specially disturbing. This workplace will keep on to function carefully with our legislation enforcement associates to prosecute those who steal from healthcare plans and who needlessly place sufferers at danger.”
Ghosh is charged with 13 counts of health treatment fraud. Each rely carries a most sentence of 10 decades in federal prison.
The FBI is seeking data in the investigation into Dr. Ghosh. Any person who thinks they or their insignificant dependents have been victimized by Ghosh, or has related info, is questioned to fill out a variety available at this connection.
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