The following is an excerpt from Medpage Today.
A Chicago-area physician is facing healthcare fraud charges after allegedly seeking reimbursement for services that were not provided or not medically necessary, including endometrial ablations.
Mona Ghosh, MD, who owned and operated Progressive Women’s Healthcare in Hoffman Estates, has been indicted on 13 counts for her alleged participation in a scheme to defraud both TRICARE and Medicaid, as well as several private insurance companies, the Department of Justice (DOJ) announced.
Ghosh is alleged to have fraudulently obtained, and caused her practice to obtain, approximately $796,000 in payments.
Fraudulent claims reportedly included those for telemedicine visits and office visits/procedures in which Ghosh allegedly did not speak to or see the patient, as well as those for procedures predicated on false diagnoses and medically unnecessary tests and procedures, such as laboratory testing and endometrial ablations.
MedPage Today previously reported on instances of women being pitched endometrial ablation as a simple procedure to relieve heavy menstrual bleeding, which then led to complications, such as heavier bleeding, severe pain, and dangerous scarring. Physicians have raised concerns over improper patient selection and treatment failure when it comes to endometrial ablations.
Link to article here.
