A settlement has been reached in a whistleblower class action lawsuit brought against American Family Care Inc who is accused of knowingly submitting claims to Medicare for outpatient office visits that were billed at a higher rate than was appropriate.
The whistleblower's portion of the settlement recovery has not been determined.
Originally filed by a whistleblower in October of 2010, the government's case alleged American Family Care knowingly selected Evaluation and Management codes for a level of services that exceeded those actually provided in order to artificially increase the amount of reimbursement it received for those visits.