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(영문) 전주지방법원 2020.08.12 2020고단815

사기등

Text

A defendant shall be punished by imprisonment for two years.

However, the execution of the above punishment shall be suspended for three years from the date this judgment becomes final and conclusive.

Reasons

Punishment of the crime

1. The Defendant, as the spouse of D, the president of the “C Hospital” located in Jinjin-gu Seoul Metropolitan City, Seoul, is a person who has been in charge of the overall operation of the said hospital.

On June 2017, the Defendant: (a) when the instant hospital was operated by the enemy, the Defendant was hospitalized with a false director or director; or (b) drafted false medical records as if he/she performed surgery such as injection, water treatment, and physical shock therapy; (c) received medical care benefits from the victim from the National Health Insurance Corporation; and (d) instructed employees, such as the director of the hospital nursing department E and the director of the veterinary treatment office, including the F, to the effect that “inception and outpatienting of internal responsibilities, there is no inconvenience and inconvenience in dispute with the patients; and (d) to add the number of cases where the patient was inside and outside of the hospital, the hospitalization of the director, director, and the preparation of false medical records.”

According to the foregoing instructions, the employees of the above hospital prepared false medical records, such as the record date of medication, etc. as if they received the above medical records, although G who received the treatment at the above hospital around September 18, 2017, although there was no fact that the above medical records had been received from the patient at the above hospital, and the Defendant received KRW 15,724,520 in total as medical care benefits by preparing false medical records, etc. with respect to the patients who were hospitalized at the above hospital from June 7, 2017 to March 29, 2018 in the same manner, including that the victim claimed medical care benefits from the victim based on the above medical records and received KRW 614,150 as medical care benefits from the victim.

Accordingly, the Defendant received property by deceiving the victim in collusion with the employees of hospital E, etc.

2. Paragraph (1) of this Article is applicable to the Defendant of the Special Act on Insurance Fraud Prevention.