요양기관 업무정지처분 취소청구의 소 등
Of the instant lawsuit, the Defendant National Health Insurance Corporation’s medical care benefit costs of KRW 647,440,000 against the Plaintiff on February 15, 2019.
Details of the disposition
The Plaintiff is a doctor who establishes and operates a “C Council member” (hereinafter “instant Council member”) on the level B and 3 in Scheon-si.
The Defendant Minister of Health and Welfare (hereinafter “Defendant Minister”) conducted an on-site investigation on April 10, 2017, setting the investigation period from January 1, 2016 to February 2, 2017 as a total of 14 months and changed the investigation period from March 13, 2014 to February 2017 to 36 months, and conducted an on-site investigation.
(hereinafter “instant on-site investigation.” As a result of the instant on-site investigation, on December 21, 2018, the Defendant Minister suspended the business of a medical care institution for 30 days (from August 26, 2019 to September 24, 2019) based on the “Article 98(1)1 of the National Health Insurance Act” on the following grounds:
(hereinafter referred to as the “instant disposition of business suspension”. Improper amount: 18,622,220 won: double claim for medical care benefit after non-care of the patient: 16,753,190 won; 16,753,190 won; 2. According to Article 9(1) [Attachment 2] of the Regulations on the Standards for Medical Care Benefits in National Health Insurance, the examination fees have been collected from the person who received the expenses as non-care; 368,720 won: 8,720 won as medical care benefit costs; 201: 1.30% of the medical care costs; 201; 1.30% of the medical care costs; 1.4% of the medical care costs; 30% of the medical care costs after consultation with the person in charge of treatment at his/her own request; 1.4% of the medical care costs after consultation with the patient or after consultation with the patient; 1.5% of the medical care costs;