How a Hospital Nurse Triggered a $12M False Claims Act Recovery

https://fast-wiki.win/index.php/Record-Setting_FCA_Recoveries_and_Why_Whistleblower_Retaliation_Protection_Often_Fails_in_Practice

In 2018 a senior nurse at a regional hospital noticed a recurring pattern: billing for high-level physician services that had never occurred, upcoding of routine procedures, and phantom consultation notes generated by a third-party physician