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(영문) 서울북부지방법원 2017.12.13 2017고단81

사기등

Text

Defendants are not guilty.

Reasons

Indictment

1. Defendant A

A. From May 1, 2015 to April 30, 2016, the Defendant: (a) the Defendant issued diagnosis to 56 patients, such as false-patient L, who were suffering from illness and injury, which he/she operated in the Jung-gu Seoul Metropolitan GovernmentJ (hereinafter “the instant council member”) by failing to directly observe the patient’s condition; (b) the Defendant, as a whole, prescribed that he/she repeatedly recorded the patient’s prescription for at least seven days during the period of hospitalization, and prescribed that he/she shall not increase or decrease in injection, etc. according to the patient’s symptoms; and (c) the Defendant regularly prescribed the patient’s condition without directly observe the patient’s condition; and (d) the patient’s manpower and financial management were kept in excess of the number of sick patients; (d) the Defendant neglected the management of the hospitalized hospital, thereby allowing them to take employment distance during the period of hospitalization or to take care of the patient’s food at the outside of the hospital due to frequent prescription, etc.; and (e) made it difficult to provide the patient with employment distance and medical treatment.

Defendant filed a false or exaggerated medical care benefit with the National Health Insurance Corporation by the foregoing method, and received KRW 846,740 from the National Health Insurance Corporation that believed the truth of the claim for medical care benefits for patients L around December 2015.

In addition, the Defendant received KRW 26,496,140 from the National Health Insurance Corporation to June 30, 2016, the sum of the amount of medical care benefits for 56 false-victims, as stated in the list of crimes (the details of medical care benefits) Nos. 1 through 56.