WASHINGTON: A 51-year-old Indian American doctor from the Chicago space has pleaded responsible to a federal healthcare fraud by billing Medicaid and personal insurers for nonexistent providers. Mona Ghosh, who owns and operates Progressive Girls’s Healthcare, specialising in obstetrics and gynaecology providers, pleaded responsible to 2 counts of well being care fraud.
Every rely is punishable by as much as ten years in federal jail. US District Decide Franklin U Valderrama has set sentencing for October 22. Federal prosecutors allege that Ghosh is accountable for no less than $2.four million in fraudulently obtained reimbursements.
She admitted in her plea settlement that she was accountable for greater than $1.5 million of such fraudulently obtained reimbursements. The ultimate quantity might be decided by the court docket at sentencing, a media launch mentioned.
In keeping with court docket paperwork, from 2018 to 2022, Ghosh submitted, and precipitated her workers to submit, fraudulent claims to Medicaid, TRICARE, and quite a few different insurers for procedures and providers that weren’t offered or weren’t medically essential, a few of which have been carried out with out affected person consent.
Ghosh additionally fraudulently overstated the size and complexity of in-office and telemedicine visits and submitted claims utilizing billing codes for which the visits didn’t qualify with the intention to search greater reimbursement charges, her plea settlement states.
She admitted that she had ready false affected person medical data to assist the fraudulent reimbursement claims.
