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Suburban doctor charged in health care fraud scheme

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Northwest suburban doctor accused of collecting nearly $800,000 in fraud

HOFFMAN ESTATES, Ill. β€” A northwest suburban doctor has been charged with 13 counts of health care fraud, alleging he received nearly $800,000 in reimbursements for medical services that were never provided to patients.

Mona Ghosh, a board-certified physician who owned and operated Progressive Women’s Healthcare SC in Hoffman Estates, filed false claims between February 2018 and April 2022, according to a federal indictment.

Prosecutors allege that Gosh received $796,000 in fraudulent payments from several health care programs, such as TRICARE and Medicaid, for claims that included:

  • Telemedicine visits when Ghosh allegedly did not speak to the patient
  • Office visits and procedures when Ghosh reportedly did not see the patient
  • Procedures based on a false diagnosis
  • Medically unnecessary procedures and tests, including endometrial ablation and laboratory tests

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“Targeting the public and private health care programs that the public relies on to maintain their well-being is a serious crime,” Acting US Attorney Maurice Pascual said. β€œIn addition to making false claims, the allegation that the defendant performed medically unnecessary procedures to enrich herself is particularly troubling. This office will continue to work closely with our law enforcement partners to bring to justice those who steal from healthcare programs and unnecessarily put patients at risk.”

Progressive Women’s Healthcare SC in Hoffman Estates has closed for good.

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Anyone who may know Gosh’s victim is asked to contact the FBI at mg@fbi.gov.

https://wgntv.com/news/northwest-suburbs/suburban-doctor-indicted-on-health-care-fraud-scheme/

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