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(영문) 서울북부지방법원 2018.08.22 2015고단4092

사기등

Text

A defendant shall be punished by imprisonment for one year.

Reasons

Punishment of the crime

From November 10, 2009, the Defendant is a person who actually operates a Visiting Care Center B (hereinafter “B”) that is a specialized elderly medical care center (hereinafter “B”) and manages all employees, such as the above-mentioned Medical Care Center’s medical care and care staff.

1. Fraud;

A. From July 2008, the National Health Insurance Corporation (hereinafter “Corporation”) provides beneficiaries who have difficulty in living a daily life through the long-term care insurance system for older persons or for elderly diseases, etc. with a medical care center operator who provides medical care (to visit and take bath care) through the care program.

Accordingly, pursuant to the Act on the Insurance of Long-Term Care for the Aged Act, a person operating a home-based care facility, such as visiting care and bathing service, provides that “the total hours required for the preparation to provide necessary services, the provision of services, and the completion thereof from the arrival of a beneficiary’s home” for the hours of providing benefits pursuant to the Health and Welfare Director’s “Public Notice on the Standards for Payment of Long-Term Care Benefits and the Methods for Calculating Expenses, etc.” In cases where a person provided home-based care benefits concurrently or in succession, the expenses for providing benefits are calculated by allocating the hours during which the person actually provided the benefits to each beneficiary (at least 30 minutes but less than 30 minutes and less than 30 minutes and less than 17,490 won, at least 90 minutes, at least 23,450 won, at least 120 minutes, at least 150 minutes, at least 3,650 minutes, at least 30 minutes, at least 40 minutes, and at least 20 minutes, at least 40 minutes, and at least 20 minutes;