[daoboy]

For what it's worth, this sort of gaming works both ways.

Many medical administrations do everything they can to upcode in order to bill for more money.

The whole system is a mess.

[nadermx]

It's beyond our control, says only country where this happens daily.

[bluGill]

IT is beyond our control because we have setup a system where the people who are paying don't want to control things.

My boss wants insurance to be expensive - if I could afford it I would be more willing to quit (retire early).

Finding cheaper services isn't in my interest - I'm not paying any bills anyway.

Insurance companies like the complexity because it means I can't understand the system and so I have to use them.

Doctors don't really care as they just have administrators play the game for them. Once in a while they look at the game and say something, but really this is just they don't understand how the game is played (they shouldn't - they are doctors, they should be looking at medical issues not administrative ones).

[antonymoose]

Pretty sure fraudulent billing practices exist in a variety of nations and industries.