Dr. Ghosh was accused of defrauding Tricare and Medicaid — in addition to several private insurance companies — from February 2018 to April 2022 by filing reimbursement claims for services that were either not provided or not medically necessary.
These services included medically unnecessary tests and procedures, telemedicine and office visits in which Dr. Ghosh did not see or speak to the patient and procedures predicated on false diagnosis.
Dr. Ghosh, who owned and operated Progressive Women’s Healthcare S.C. in Hoffman Estates, also allegedly obtained $796,000 in fraudulent payments from healthcare benefit programs.
Each count of healthcare fraud may be punishable by 10 years in federal prison.
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.