사기
The defendant is not guilty. The summary of the judgment against the defendant shall be published.
1. The summary of the facts charged is the director of the Ethical department located in the Full-time Ethic Zone D in the Jeonju-si, who directly takes charge of the overall operation of the hospital, such as operating expenses for patients, consultation on insurance relations, medical treatment, surgery, confirmation of entrance discharge and issuance of medical certificates, or supervises the employees.
The hospital operated by the defendant is a hospital specializing in the training type of relics and textile type treatment and removal surgery, and the method of the procedure is using an anti-resistant resuscitation test (one man:Moomom).
The operation through the above method is a non-benefit item that is not included in the insurance benefits of the National Health Insurance Corporation, and it is individually covered by the accident insurance of the private insurance company and must be hospitalized after the operation. However, 30%-100% of the medical expenses to be borne by the patient himself/herself according to the terms and conditions of the medical expenses for loss of the private insurance company can be paid.
However, the above procedure using satom is a procedure that does not require continuous observation and treatment of doctors, such as medication and treatment after the operation, but can be immediately discharged after stabilizing at the recovery room.
Accordingly, the Defendant: (a) issued a written confirmation of hospitalization to ensure that the patients can receive insurance treatment; (b) made it possible to attract patients; (c) make profits from the patients with counselors; and (d) explained the methods of confirming whether the patients wished to obtain insurance coverage without receiving the actual hospitalization; and (c) made false certificates of hospitalization to the effect that the patients were hospitalized by using so-called “low-age ward” (referring to treating them by hospitalization when they have been hospitalized for six or more hours) although they did not actually receive hospitalization after the surgery; and (d) issued the relevant documents to the patients, and issued the insurance proceeds under the name of operating expenses by having the patients submit the relevant documents to the insurance company.