장기요양급여비용 환수처분 취소 청구
1. The plaintiff's claim is dismissed.
2. The costs of lawsuit shall be borne by the Plaintiff.
1. Details of the disposition;
A. The Plaintiff is operating the “C Care Center”, a long-term care institution under the Act on Long-Term Care Insurance for the Aged in the Gu/Si/Gu (hereinafter “instant medical care center”).
B. From September 25, 2018 to 28 of that month, the former and the U.S. Mayor conducted an on-site investigation of the instant medical care center.
As a result of the survey, it was confirmed that the Plaintiff received the cost of long-term care benefits unfairly as follows.
1. Violation of the guidelines for subscription to specialized indemnity insurance - Liability insurance for all beneficiaries in accordance with relevant statutes, and where a beneficiary fails to subscribe to such insurance, the expenses for long-term care benefits shall be subtracted during the relevant period;
- Nevertheless, the Plaintiff received expenses for long-term care benefits from May 9, 2016 to July 10, 2017 by unfairly claiming the cost of long-term care benefits.
2. Violation of criteria for additional placement of human resources - An institution to which the calculation of reduction is applied pursuant to relevant Acts and subordinate statutes may not be subject to the application of the addition of expenses for long-term care benefits during
- Nevertheless, the Plaintiff applied additional placement to the cost of long-term care benefits on January 2017 when the cost of long-term care benefits should be reduced due to the non-purchasing of liability insurance for professionals.
3. Violation of additional standards for strengthening the placement of employees at night - An institution to which the calculation of reduction is applied pursuant to the relevant Acts and subordinate statutes may not apply the addition of expenses for long-term care benefits during the relevant month.
- Nevertheless, on February 2017, the Plaintiff added the strengthening of the placement of employees at night to the cost of long-term care benefits for which the cost of long-term care benefits should be reduced due to the non-purchasing of liability insurance for professionals.
C. Accordingly, the Defendant paid to the instant medical care center pursuant to Article 43 of the Long-Term Care Insurance Act (amended by Act No. 14321, Jun. 3, 2017; hereinafter the same shall apply) for the Plaintiff on December 17, 2017.