Hoffman Estates Physician Indicted On 13 Counts Of Fraud: Feds

CHICAGO — A licensed physician who owned and operated a women's healthcare business in Hoffman Estates has been indicted by a federal grand jury on 13 counts of healthcare fraud. Mona Ghosh, 50, of Inverness, participated in the fraudulent activity between February 2018 and April 2022, according to prosecutors.

Ghosh, who owned and operated Progressive Women's Healthcare, S.C., participated in a scheme to defraud the government programs of Tricare and Medicaid, along with several private insurance companies. Ghosh allegedly fraudulently obtained, and caused Progressive to obtain, approximately $796,000 in fraudulent payments from multiple health care benefit programs for services that were not provided as billed out of her 1585 Barrington Road practice.

Prosecutors said each count of health care fraud is punishable by up to 10 years in federal prison.

Among the fraudulent claims Ghosh reported were purported telemedicine visits when the doctor 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, including endometrial ablations and laboratory testing.

"Targeting government and private healthcare programs relied on by the public to maintain their well-being is a serious crime," acting U.S. Attorney Morris Pasqual said in a statement. "In addition to submitting false claims, the allegation that defendant performed medically unnecessary procedures to enrich herself is particularly disturbing."

Police are asking anyone who may have been a victim of Ghosh, or know someone that may have been, should contact the FBI at mg@fbi.gov.