Indian-American physician Pleads Guilty To Fraud: Faces 20 Year Jail Term In US (Photo Linked in Mona Ghosh)
Mona Ghosh, an Indian American physician is facing 20 years imprisonment in the US, following the 51-year-old admitted to fraud activities in her healthcare firm. Mona Ghosh owned and operated a women’s healthcare firm named ‘Progressive Women’s Healthcare, providing obstetrics and genecology services. Notably, she and her staffers fraudulently obtained reimbursements accountable for at least 2.4 million dollars, India Today reported citing the Attorney’s office.
Mona Ghosh and her employees submitted reimbursement claims to Medicaid, a joint federal and state program that helps cover medical costs for some people with limited income and resources, and other healthcare programs such as TRICARE. Mona Ghosh admitted that she made the reimbursement claims for services and procedures that were either not provided or not medically necessary, and some of the procedures were performed without patient consent. according to the US Attorney’s office.
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The accused’s jail term of 20 years is expected to start on October 22.
The Attorney’s office stated that the woman “fraudulently overstated the length and complexity of in-office and telemedicine visits”. She submitted claims using billing codes for which the visits did not qualify to seek higher reimbursement rates, it added.
The Indian-American physician on June 27 pleaded guilty to two counts of federal healthcare fraud charges for billing Medicaid and private insurers for nonexistent services. She has also admitted to have falsely fabricated medical records to support the fake reimbursement claims to the insurance companies. Notably, while admitting the crime, she agreed that she was accountable for more than $1.5 million of such fraudulently obtained reimbursements.
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However, the final amount will be determined by the US court at the sentencing.
