HOFFMAN ESTATES, Ill. (WBBM NEWSRADIO) -- A Northwest suburban doctor has been indicted by a federal grand jury in Chicago on thirteen counts of health care fraud for submitting fraudulent requests for reimbursement.
Mona Gosh, 50 operated Progressive Women’s Healthcare in Hoffman Estates.
The U.S. Attorney's office said she participated in a scheme to defraud the government programs of TRICARE and Medicaid, along with several private insurance companies.
The indictment alleges that Ghosh knowingly submitted fraudulent claims for reimbursement for services that were not provided and for services that were not medically necessary.
These included claims for telemedicine visits when Ghosh did not speak to the patient, claims for office visits and procedures when Ghosh did not see the patient, claims for procedures predicated on false diagnosis, and claims for medically unnecessary procedures and tests.
Ghosh's practice obtained approximately $796,000 in fraudulent payments from multiple health care benefit programs for services that were not provided as billed.
“Targeting government and private healthcare programs relied on by the public to maintain their well-being is a serious crime,” said Acting U.S. Attorney Morris Pasqual.
“In addition to submitting false claims, the allegation that defendant performed medically unnecessary procedures to enrich herself is particularly disturbing."
Related
Listen to our new podcast Courier Pigeon
Listen to WBBM Newsradio now on Audacy!