Cleveland, tn psychiatrist Gulshan Sultan and fraud

Bradford Health Svc
1600 Clingan Ridge Dr NW
Cleveland, TN 37312
Bradley County
(423) 473-0021

The claims were for alleged violations of the federal False Claims Act and the Tennessee Medicaid False Claims Act during 2000 to 2005 which resulted in losses to the Medicare and TennCare programs of $267,253 for more than 6,000 false claims.

The complaint alleged that Dr. Sultan submitted false billing to the Medicare and the TennCare programs under two separate codes under her name when services were not performed by her but rather by a nurse without the requisite psychiatric training and licensing and also submitted bills on over 200 separate days for face-to face, time-based psychotherapy services when she did not perform the services billed. The complaint also states that on a number of days Dr. Sultan claimed to have performed time-based services well in excess of 24 hours.

Dr. Sultan agreed to the consent judgment to settle the claims alleged in the lawsuit as well as separate administrative claims of the Medicare program.

Dr. Sultan, previously charged with certain criminal violations involving the false billing for psychiatric services performed by her nurse, pled guilty in United States District Court and was sentenced on July 7, 2006, to two years probation and ordered to pay restitution of $3775 and a $5,000 fine for the federal criminal conviction.

As a result of the criminal conviction, Dr. Sultan has been
excluded from participating in the Medicare and TennCare programs.

http://www.chattanoogan.com/2008/3/20/124314/1.1-Million-Judgment-Entered-Against.aspx

Great-West Healthcare
These are the plans that Dr. Sultan accepts.

000569208: Corporation For-Profit - Foreign
Name:	CIGNA HEALTHCARE, INC.
Old Name:	GREAT-WEST HEALTHCARE, INC.
Foreign Name:
Status:	Active	Initial Filing Date:	01/31/2008
Formed in:	VERMONT	Delayed Effective Date:
Fiscal Year Close:	December	AR Due Date:	04/01/2012
Term of Duration:	Perpetual	Inactive Date:
Principal Office:	1601 CHESTNUT STREET PHILADELPHIA, PA 19192 USA
Mailing Address:	1601 CHESTNUT STREET PHILADELPHIA, PA 19192 USA
AR Exempt:	No
Shares of Stock:	0
Assumed Names History Registered Agent
Agent Name:	C T CORPORATION SYSTEM
Agent Address:	800 S GAY ST STE 2021 KNOXVILLE, TN 37929-9710 USA

Tennessee Network HMO PPO

Education
Dr. Sultan was educated at the following institutions:
Medical School
Dhaka Medical College Completed: 1970

Insurance Accepted

Acceptance of particular Insurance Plans may vary, based on different office locations. As a result, we've listed Plans accepted at different locations. Click on any company to see which specific plans are accepted by Dr. Sultan. 1600 Clingan Ridge Dr NW Cleveland, TN Great-West Healthcare

http://www.vitals.com/doctors/Dr_Gulshan_Sultan.html
A medical license is required for a doctor to receive a NPI number and practice in any given state. Requirements vary by state but most require, at a minimum, post-graduate training in the doctor's specific specialty. Dr. Gulshan Sultan is confirmed to have a license in TN and OH.

Dr. Gulshan Sultan accepts the following plans for Great-West Healthcare at the 1600 Clingan Ridge Dr NW, Cleveland, TN location: PPO, HMO and others. Individual insurance coverage may vary based on different office locations. See additional insurance networks and plans that are accepted.

http://beta.healthgrades.com/physician/dr-gulshan-sultan-yncnn

• pecialties: Psychiatry
• 63 years old

  
  Dr. Sultan's Insurance Accepted

  • CIGNA

Finding the Best Doctor That Is Right for You

Choosing a doctor is one of the most important and personal decisions you make.

The results below are based on 2 patient experience surveys about Dr. Sultan.
Before you make a decision about her care, please take into account all aspects of her background. This includes training, experience and education as well as patient experience survey results!

Are you Dr. Sultan? Post a response for patients to view by logging into the Physician Portal.

SURVEY RESULTS

= Provider Average = National Average

OVERALL # of Surveys Definitely Not Mostly Not Not Sure Mostly Yes Definitely Yes Recommend to a Friend: Would you recommend Dr. Sultan to family and friends? 2 ABOUT DR. SULTAN # of Surveys Definitely Not Mostly Not Not Sure Mostly Yes Definitely Yes Time Spent with Patient: Do you feel the provider spends an appropriate amount of time with you? 2 Listens and Answers Questions: Does the provider listen to you and answer your questions? 2 Helps Patients Understand Their Condition: Does the provider help you understand your medical condition(s)? 2 Level of Trust: Do you trust your provider to make decisions / recommendations that are in your best interests? 2 DR. SULTAN'S OFFICE # of Surveys Poor Fair Good Very Good Excellent Scheduling Appointments: Ease of scheduling urgent appointments when you feel ill: 2 Office Environment: Office environment (cleanliness, comfort, lighting, temperature, location): 2 Office Friendliness: Friendliness and courtesy of the office staff: 1 Wait Time: Once you arrive for a scheduled appointment, how long do you have to wait (including waiting room and exam room) before you see this provider: 1 31 to 45 Minutes 31 to 45 Minutes National Average

Affiliated Hospitals

• Skyridge Medical Center - Westside
• (423) 472-3141 (Office)

2 620 Cherokee Blvd Ste 111 , Chattanooga, TN 37405

(423) 266-9000 (Office)

Practice: Gulshan A Sultan MD

1600 Clingan Ridge Dr NW
Cleveland, TN 37312
Get Directions

Practice:Office Locations

620 Cherokee Blvd Ste 111
Chattanooga, TN 37405
Get Directions

http://psychiatricnews.blogspot.com/2006_03_01_archive.html

Officials said on a number of occasions, Dr. Sultan would enter a bill code for a 20-45 minute visit, when those visits were actually five to 10 minutes in length.

TBI investigators with the Medicaid Fraud Control Unit said the overbilling occurred between May and September 2003.

Her Chattanooga office was on Cherokee Boulevard and in Cleveland on Clingan Ridge Drive NW.

http://www.taf.org/whistle194.htm
Cleveland psychiatrist Gulshan Sultan has agreed to pay $1.1 million to resolve claims against her in a joint lawsuit brought by the federal government and the state of Tennessee. Dr. Gultan was billing for work performed by a nurse, and for time-based services well in excess of 24 hours a day. >> To read more

http://www.justice.gov/usao/tne/ace.html

The ACE Program in the Eastern District of Tennessee has gained a national reputation for its outstanding work. We have recovered millions of dollars and significant administrative oversight agreements by pursuing health care and procurement fraud cases and investigations involving health care providers and suppliers such as hospitals, doctors, pharmaceutical companies, and durable medical equipment suppliers, as well as government contractors. Some examples of the significant ACE recoveries in recent years include:

• $40 Million settlement with the operator of Erlanger Medical Center for violations of the Stark law, Anti-Kickback statute, and the False Claims Act, including a comprehensive five-year Corporate Integrity Agreement with the Office of Inspector General of the U.S. Department of Health and Human Services to ensure continued compliance with federal health care benefit program requirements.
  
  
• $1.7 Million civil settlement with East Tennessee Heart Consultants, a practice group of 42 physicians, for violations of the False Claims Act relating to improperly withholding and failing to refund overpayments of medical expenses by Medicare and other government health plans, including a comprehensive five-year Corporate Integrity Agreement. As a result of the investigation, the practice also agreed to refund an additional $1.2 million to a large number of its patients from whom it had received overpayments.
  
  
• $1.1 Million consent judgment against psychiatrist Gulshan Sultan for false claims submitted to Medicare and Medicaid/Tenncare for psychiatry services not provided as billed.
  
  
• $6.2 Million settlement with The Shaw Group and its subsidiary Stone & Webster Construction, Inc., relating to False Claims Act allegations in performance of a contract with the Tennessee Valley Authority (TVA), including the first corporate integrity and monitoring agreement in TVA history between the Office of Inspector General and a TVA contractor.
  
  
• $1.3 Million settlement with Louisville-based Kindred Healthcare, Inc. and its successor PharMerica Healthcare Pharmacy, LLC, for violations of state and federal laws regarding overbilling TennCare and the Medicaid program for pharmaceuticals.
  
  
• $1.8 Million settlement with Benchmark Physical Therapy for violations of state and federal laws regarding overbilling Medicare and TennCare/Medicaid for physical therapy services.
  
  
• $1.27 Million settlement relating to clean-up costs under the Oil Pollution Act and civil Clean Water Act penalties arising out of an explosion of an oil well in Oliver Springs, Tennessee, operated by Walden Resources, LLC, and ZTX Drilling, LLC.

To report fraud and abuse against the Federal government, please contact the ACE Coordinator for the Eastern District of Tennessee.

http://psychwatch.blogspot.com/2007/01/state-and-federal-government-accuse.html

Here is a collection of links to the various medical boards found in the various states of the USA. This information is useful if you need to file a complaint against your doctor, your physician or other medical practitioner, or your psychiatrist.

http://psychwatch.blogspot.com/2006/06/usa-medical-licensing-board-web-pages.html

The cases below represent a "running tally" of False Claims Act cases compiled by the Taxpayers Against Fraud Education Fund for Fiscal Year 2008

http://www.taf.org/total2008.htm

7/30/2008

ExpressScripts committed fraud by disguising drug rebates as administrative and other fees and keeping them, and buy switching patients from one drug to another without doctor's authorization. Express-Scripts managed the drug plan for Cigna which was a contractor for New York state's Empire Plan.

http://www.wnd.com/2008/07/69128/

Recently, Cleveland psychiatrist Gulshan Sultan agreed to settle out of court with the government for $1.1 million. According to the government, during a five-year period, this one psychiatrist submitted 6,000 false claims to Medicare. Some days, the government alleged, Sultan billed Medicare more than 24 hours a day, demonstrating her remarkable ability to ignore the rules of time as well as space.

Sultan also allegedly billed Medicare for 200 separate days of face-to-face visits during times when no one saw patients. These 200 imaginary visits seem less like miracles and more like hallucinations, but either way Sultan was convicted of criminal misconduct and excluded from participating in the Medicare program. She won’t get another chance to perform miracles on Medicare patients.

1600 Clingan Ridge Dr NW

Cleveland, TN 37312

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At this address:

Sultan Gulshan MD‎ -

1-888-577-0012
24 HOURS A DAY

PROGRAMS AND SERVICES

• All patients receive a multidisciplinary assessment to determine the need for treatment.
• Medical detoxification and medical stabilization are provided 24 hours a day as needed.
• Our residential inpatient program provides a safe, protected, supervised environment for withdrawal caused by the physical and behavioral complications associated with addiction.
• Family programs are a vital part of treatment. Family members join the patient and learn about addiction and the family’s role in the recovery process.
• Patients are divided into small treatment groups headed by licensed counselors. Counseling is based on the 12-Step philosophy, and is conducted in individual, group, and specialized sessions.
• Partial hospitalization is provided as the risk of withdrawal subsides, physical complications improve, and the emotional crisis diminishes.
• Intensive outpatient treatment provides continued therapy and relapse-prevention education. Patients reside at home and often return to work during this phase of treatment.
• Continuing care provides long-term stability through regular monitoring and connection to the treatment process. 12-Step programs assist adults in remaining clean and sober through peer fellowship and recovery programs.
• Adventure-based programs teach patients to challenge their own self-imposed limits. They help build self-confidence, trust, teamwork, and respect for others.
• Families are encouraged to participate in Alcoholics Anonymous and Al-Anon meetings in their local communities.

For more information or immediate confidential help, call 1-888-577-0012, 24 hours a day, seven days a week.

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Bradford Health Svc

1600 Clingan Ridge Dr Nw
Cleveland, TN 37312

(423) 473-0021

Bradford Health Svc is classified in Cleveland Psychology and Psychiatrists.

Bradford Health Services

Category: Insurance - All
Users Rating:

(423) 473-0021
1600 Clingan Ridge Drive Northwest
Cleveland, TN 37312

Bradford Health Services is a business dealing in the Insurance - All industry. Bradford Health Services is located in Cleveland, TN on 1600 Clingan Ridge Drive Northwest.

Bradford Health Services telephone number is
(423) 473-0021.

Telefax: No fax number available
Website: No web address available

Bradford Health Services - Cleveland 1600 Clingan Ridge Drive NW Cleveland, TN 37312-3652 Counties served: Bradley Hamilton Marion McMinn Meigs Polk Rhea Sequatchie Type of organization: Other Description: The service for Chemical Dependency includes: adult/adolescent care, free emergency consultations services 24-7, family programs, detox stabilization, residential care and partial hospitalization, addiction therapy for pain management patients, extended care, healthcare professional program, intensive outpatient program, continuing care, assess to recovery program (ATR) geared to meth and cocaine user. Adult/adolescent groups held Monday thru Thursday from 5:00PM to 8:00PM Adult group day session held Monday thru Friday 5:00PM to 8:00PM Family sessions required for adults in program held 5:00PM to 8:00PM Thursdays only DUI classes held every third Saturday of each month form 8:00AM to 8:00PM Hours of operation: Mon - Fri., 9:00am - 5:00pm (specific programs are held at different times) Categories: Drug/Alcohol Abuse , Mental Health and Counseling Phone: 423-473-0021 Hotline: 866-246-3216 (after hours) Fax: 423-473-7694 Web site http://www.bradfordhealth.com Conditions that apply: Participants must have a desire to come to terms with their substance abuse or emotional issues. Eligibility: commercial insurance, TennCare, private pay and TN State Funded Program (ATR). Translation services offered: Offers Free or Discounted Services? No Last updated: 2008-01-20 11:22:28 Preferred Language ENGLISH Espaņol

Š2005 TennHelp.com

Bradford Health Services

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Bradford Health Services is a Psychologist office located in Cleveland, TN. A psychologist focuses on the evaluation, prevention, diagnosis, and treatment of mental health issues. Psychologists are concerned with the different aspects of behavior and mental processes. A clinical psychologist uses psychotherapy and other counseling skills to improve emotional and mental health.

Please call Bradford Health Services at (423) 473-0021 to schedule an appointment in Cleveland, TN or to get more information.
Bradford Health Services
1600 Clingan Ridge Drive Northwest

Cleveland, TN

37312

Phone: (423) 473-0021

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Sale Date Price Deed Book Page Vac/Imp Type Instrument Qualification 12/12/2001 $175,000 1169 803 VACANT WD N 03/02/2000 $0 1033 844 05/09/1995 $0 366 230 11/29/1994 $0 362 633 01/05/1955 $0 94 454

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Additional Description
	BRADFORD HEALTH SERVICES

Gulshan A Sultan MD

1

1600 Clingan Ridge Dr NW
Cleveland, TN 37312
(423) 472-3141
Get Directions

2

620 Cherokee Blvd Ste 111
Chattanooga, TN 37405
(423) 266-9000
Get Directions

620 Cherokee Blvd, Chattanooga, TN 37405

(423) 266-9000

Gulshan Sultan MD

Business Details

Categories

(Edit)
Social & Human Services Organizations, Psychiatry Physicians, Individual & Family Services Organizations, Social & Human Services,Counseling Services

Hours of Operation

(Edit)

• 24 Hours a Day
  

Products & Services

(Edit)

• Licensed Professional Counselors

Additional Information

• Depression Anxiety & Panic Disorders, Addiction Alcohol & Drug Abuse Treatment, Schizophrenia - Bi-Polar, Attention Deficit Disorder, Child Adolescent Adult & Geriatric Psychiatry, Individual /... More

Collection Service Group

620 Cherokee Blvd, Chattanooga, TN 37405

Categories: Debt Collection

Property Owner and Mailing Address

Jan 1 Owner: SULTAN GULSHAN PO BOX 5808 CLEVELAND, TN 37320 USA 000154000: Corporation For-Profit - Foreign Name: ADDICTION RECOVERY CHATTANOOGA PROPERTY, INC. (TN-ARC CHATTANOOG> Foreign Name: Status: Inactive - Revoked (Administrative) Initial Filing Date: 01/11/1985 Formed in: DELAWARE Delayed Effective Date: Fiscal Year Close: January AR Due Date: 05/01/1988 Term of Duration: Perpetual Inactive Date: 12/31/1987 Principal Office: 1209 ORANGE STREET WILMINGTON, DE 19801 USA Mailing Address: 1209 ORANGE STREET WILMINGTON, DE 19801 USA AR Exempt: No Shares of Stock: 0 Assumed Names History Registered Agent Agent Name: C T CORPORATION SYSTEM Agent Address: 800 S GAY ST STE 2021 KNOXVILLE, TN 37929-9710 USA 000352298: Corporation For-Profit - Foreign Name: ADDICTION & MENTAL HEALTH SERVICES, INC. Foreign Name: Status: Active Initial Filing Date: 06/10/1998 Formed in: ALABAMA Delayed Effective Date: Fiscal Year Close: December AR Due Date: 04/01/2013 Term of Duration: Perpetual Inactive Date: Principal Office: 2101 MAGNOLIA AVE S STE 518 BIRMINGHAM, AL 35205-2853 USA Mailing Address: 2101 MAGNOLIA AVE S STE 518 BIRMINGHAM, AL 35205-2853 USA AR Exempt: No Shares of Stock: 0 Assumed Names History Registered Agent Agent Name: C T CORPORATION SYSTEM Agent Address: 800 S GAY ST STE 2021 KNOXVILLE, TN 37929-9710 USA http://www.namfcu.net/resources/medicaid-fraud-reports-newsletters/2008-publications/08MarApr.pdf

http://www.tn.gov/opengov/vendors/vpa/pdf/359_Jan2011.pdf