Anchorage Psychiatrist Indicted for Medicaid Fraud
Outcome
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Details
Anchorage Psychiatrist Indicted for Medicaid Fraud — Settlement
Outcome: Official websites use .gov A .gov website belongs to an official government organization in the United States.
Official websites use .gov A .gov website belongs to an official government organization in the United States.
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The State of Alaska, Department of Law, Medicaid Fraud Control Unit (MFCU), announced today the indictment of an Anchorage area physician. Dr. Shubhranjan Ghosh, 39, of Anchorage and founder of Ghosh Psychiatric Services, was indicted yesterday by a grand jury on 18 felony counts for fraudulently billing Medicaid, committing a scheme to defraud Medicaid, tampering with physical evidence in an ongoing investigation and 15 counts of misconduct involving a controlled substance. Dr. Ghosh will be arraigned on Monday, July 28, 2014 at 1:45 p.m.
Read more on www.law.state.ak.us
HHS Office of Inspector General
How Crucible Prevents This
Crucible's billing compliance controls enforce documentation-to-claims reconciliation, requiring clinical attestation before claims submission and flagging billing patterns that deviate from documented care delivery. Crucible's controlled substance tracking enforces DEA-compliant inventory reconciliation, flags prescribing pattern anomalies, and requires segregation of duties for dispensing and record-keeping. Crucible's immutable audit trail prevents records from being altered or destroyed, and its document retention enforcement ensures compliance with record-keeping requirements.
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