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Indian-American doctor jailed for healthcare fraud

Ghosh instructed employees to carry out the fraud and fabricated patient records to support the false claims.

Mona Ghosh / LinkedIn

An Indian-American physician was sentenced to ten years in prison for orchestrating a healthcare fraud scheme that spanned four years and endangered the well-being of patients in suburban Chicago.

Mona Ghosh, 52, owned and operated Progressive Women’s Healthcare, a clinic in Hoffman Estates, Illinois, specializing in obstetrics and gynecology. 

Also Read: Indian American pharma tycoon arrested for healthcare fraud

Between 2018 and 2022, she submitted fraudulent claims to Medicaid, TRICARE, and multiple private insurers for procedures that were medically unnecessary or never performed. In some cases, services were carried out without patient consent.

According to the U.S. Attorney’s Office for the Northern District of Illinois, Ghosh instructed employees to carry out the fraud and fabricated patient records to support the false claims. The billed services included endometrial ablations, biopsies, ultrasounds, lab tests, STD screenings, and vaccinations. 

Ghosh also used improper billing codes to exaggerate the complexity and duration of visits, both in-person and virtual, to increase reimbursements.

On June 9, U.S. District Judge Franklin U. Valderrama sentenced Ghosh to 120 months in prison and ordered her to pay approximately $1.5 million in restitution.

 U.S. Attorney Andrew S. Boutros, said, “Dr. Ghosh’s fraud scheme was particularly egregious because she endangered the health of her patients by performing unnecessary medical procedures, including procedures that severely limited some patients’ ability to have children in the future.”

FBI Special Agent-in-Charge Douglas S. DePodesta said, “She spent years traumatizing patients, lying to insurers, and stealing taxpayer money to feed her greed.”

Ghosh pleaded guilty in 2024 to two counts of healthcare fraud. Her sentencing comes amid broader federal crackdowns on healthcare fraud. Earlier this month, Indian-origin pharmaceutical executive Tonmoy Sharma was arrested in Los Angeles in connection with a separate $149 million fraud case.

The investigation was led by the FBI, the U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG), the Defense Criminal Investigative Service (DCIS), and the Illinois Attorney General’s Office.


 

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