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(영문) 광주지방법원 2016.11.03 2016고단3430
사기등
Text

The defendant shall be punished by a fine of KRW 10,000,000 (per million), but if the above fine is not paid, KRW 100,000 (per million) shall be one day.

Reasons

Punishment of the crime

The Defendant is the head of a hospital of the D Hospital located in the Ganyang-gun, Namyang-gun, Namyang-gun, from September 2012 to September 2014, who exercises overall control over the overall operation of the hospital, such as the admission of the patient, discharge of the patient, handling of profits, and employee supervision

The Defendant, such as E, etc., who found the above hospital, had been in a situation where the patients indicated in the attached Table 1, were in a condition that they could achieve the purpose of sufficient treatment only with the outpatient treatment without having to remain in the hospital and undergo continuous management and observation of medical professionals, and actually received outpatient treatment, such as receiving injection from the above hospital, receiving physical treatment, and living a daily life through free communication of residence and workplace, etc., even though they had been under normal hospital treatment, they received medical care expenses from the National Health Insurance Corporation as if they were under normal hospital treatment, and received them, and tried to help the above patients receive medical care expenses from the insurance company and receive the insurance proceeds for hospital treatment.

1. From May 27, 2013 to June 18, 2013, when E, a patient who found the above hospital, received medical care benefits from the above hospital, such as “after receiving medical treatment under the name of ‘mal root disease' and free communication of residence, etc.,” the Defendant, on July 15, 2013, filed a claim for medical care benefits for the above E with the National Health Insurance Corporation as if the above E received medical care benefits from the victim for 23 days as if he had received normal hospitalization for 23 days, and then wrongfully acquired KRW 45,094,440 through the same method, such as the statement in the list of crimes 1.

2. From May 27, 2013 to June 18, 2013, 2013, E obtained medical treatment from the above D Hospital, despite the fact that the said D Hospital received medical treatment under the name of “the name of the disease accompanied by the nephal ppuri disease,” such as free communication of residence, etc., and received medical treatment.

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