I don't think these are nefarious. I'll relate it to something I know more about with mental health. Insurance only covers sessions with a therapist if there's a diagnosis. If there's no diagnosis, insurance won't pay. This causes therapists to put a diagnosis in their notes, even if the person doesn't fit the criteria, in order to help the person get their sessions covered.
This inflates the number of people diagnosed with something (adjustment disorder, general anxiety, and depression are most commonly used because the criteria are pretty easy to hit) and could give a false impression of the statistics. Technically it's fraud, but because of how the system is set up, it becomes extremely common practice for therapists who take insurance.
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