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(영문) 서울북부지방법원 2016.01.12 2015고단4058

사기

Text

A defendant shall be punished by imprisonment for six months.

However, the execution of the above sentence shall be suspended for a period of two years from the date this judgment became final and conclusive.

Reasons

Punishment of the crime

The Defendant is a person who operates a "D Care Center", a long-term medical care institution, a home care center located in Seoul Special Metropolitan City, Nowon-gu, the first floor of 112.

The National Health Insurance Corporation, through the long-term care insurance for older persons, has long-term medical care institutions provide long-term care benefits, such as visiting medical care and visiting bathing, etc., to long-term care institutions, and then provides long-term medical care institutions with care benefits for beneficiaries who have difficulty in performing mixed daily life due to dementia cerebrovascular diseases, etc. among older persons aged 65 years or older or persons under 65 years of age.

An operator of a long-term medical care institution at home may not provide benefits for at least four hours per visit in cases of visiting medical care, and support for a written statement off, etc. shall not exceed one hour per visit. The hours for providing benefits for a medical care care provider, which is a family member living together, shall not exceed 90 minutes per visit; and (2) in cases of visiting bathing, he/she shall be provided with a telegraphic bath using bathing; and (3) in cases of failing to purchase a liability insurance policy, he/she shall claim expenses for benefits based on the number of visits; and (3) in cases of a medical care protection company, 10% of the relevant expenses for benefits shall be reduced and claimed.

On October 3, 2009, the Defendant provided a false report on the details of the benefits of a medical care protection company, such as providing a false report on the hours of the provision of the benefits, by visiting the information system of the National Health Insurance Corporation’s website by using computers at the office of the above medical care center, from September 23, 2009 to September 30, 2009, while the Defendant provided a visiting medical care to the beneficiary F from September 3, 2009 to September 29, 2009, G of the medical care care protection company provided a beneficiary H, who is not a family member, with visiting medical care benefits to the beneficiary H, who is not a family member, from September 3, 2009 to September 29, 209.

The defendant deceivings the National Health Insurance Corporation of the victimized person as above, and is at the end of October 2009 from the injured person.