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(영문) 광주지방법원 2019.02.27 2018고단4646

의료법위반등

Text

A defendant shall be punished by imprisonment for one year.

except that the execution of the above punishment shall be suspended for two years from the date this judgment becomes final and conclusive.

Reasons

Punishment of the crime

From November 1, 2016 to February 28, 2018, the Defendant is the head of a hospital who has operated the “C convalescent Hospital” in the former B, which was in operation of the “Cvalescent Hospital.”

The defendant, with the knowledge of the fact that there are many symptoms, the cancer patients who are not in need of hospitalization were hospitalized falsely, and attempted to receive insurance money from each insurance company, were hospitalized, thereby inducing patients, thereby raising the profits of the hospital.

1. No medical person who has violated the Medical Service Act shall prepare a false medical record, etc. or make an additional statement or amendment intentionally differently from the fact;

On January 21, 2017, the Defendant entered false medical records about 11 patients, as shown in the attached list of crimes (1), such as treating D in an electronic medical record (EMR) and falsely stating that he/she had prescribed 2 kinds of drugs in an electronic medical record (EMR).

Accordingly, the defendant stated medical records differently from the fact.

2. Fraud;

A. The Defendant committed a false hospitalization of cancer patients with many symptoms, who need not be hospitalized, and prepared false documents related to medical records, such as medical examination and treatment, and received a false request from the National Health Insurance Corporation for medical care expenses and acquired them by fraud, as if he had conducted normal hospitalized treatment.

The defendant is the same as D from January 19, 2017.

D. As such, the medical records, etc. were prepared falsely as if the National Health Insurance Review and Assessment Service had performed normal hospitalized treatment even though it had not been actually hospitalized for 41 days until December 28, 200, and then claimed the medical care expenses for women to the National Health Insurance Review and Assessment Service, and acquired them by receiving KRW 1,804,740 from the

The Defendant received total of KRW 9,491,610 from the National Health Insurance Corporation through 116 times through the same method, such as the attached list of crimes (2).

B. The Defendant is cancer patients.

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