“Doctors typically bill one of three "medical codes" each day of a patient's hospital stay: one indicating a patient is stable or improving, one indicating that a patient is responding inadequately, and one indicating a patient is unstable or has "a significant complication."”

According to an affidavit against Dr. Brian Hyatt, 99.95% of the hospital care claims for Medicaid patients under his care were billed under the “a significant complication” code, which bills at the highest rate. 

Billing patients at an inappropriately high rate is a type of Medicaid fraud known as "up coding."

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