I think it's safe to say that whenever there is a policy that requires professionals to be less-than-truthful to get the outcome they want, probably the system

I think it's safe to say that whenever there is a policy that requires professionals to be less-than-truthful to get the outcome they want, probably the system needs to be considered for reform. To answer your question : No, this shouldn't be a part of an MD (or their paperwork writing partners in the office) job. In the U.S. do I personally seek MDs that excel at writing insurance codes? You bet I do. It's important to achieve any decent level of personal care without breaking the bank -- keeping in mind that i'm not particularly wealthy.