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1. The Defendant’s imposition of a penalty surcharge of KRW 273,313,360 against the Plaintiff on July 28, 2017 is revoked.
2. The plaintiff's remainder.
Reasons
1. Details of each disposition;
A. The Plaintiff is a non-profit medical corporation established on April 1, 2008 for the purpose of establishing and operating a medical institution, and has established and operated a medical corporation,C convalescent (titled medical corporation,D convalescent hospital, and hereinafter “instant convalescent hospital”) on the second and second floors of the race city.
B. The Defendant conducted a field investigation on the instant convalescent hospital from November 17, 2014 to the 21st day of the same month (the period subject to investigation: October 201 to August 2014; hereinafter “instant field investigation”); and as a result, determined that the Plaintiff was unfairly claimed and paid KRW 161,779,90 for medical care benefit costs and medical care costs and KRW 68,328,340 for medical care benefit costs as follows.
2. Details of unfair amount calculation;
(a) Unfair amount: 161,779,90 won for medical care benefit, and 68,328,340 won for medical care benefit;
(b) Details of the calculation of the unfair amount - Claim for violation of the standard of differential calculation of hospitalization fees in a convalescent hospital - Medical care benefit costs - Medical care benefit costs 64,325,64 won, medical care costs 64,64 won - In the case of assistant nurse E, he/she has provided assistant services to a pharmacy from May 17, 2011 to March 31, 2014. In the case of assistant nurse F, he/she has not provided nursing services from December 1, 2012 to the 16th day of the same month, he/she reported differently from the fact that he/she actually provided nursing services according to the number of inpatients, and claims for medical care benefit costs and medical care costs - quarterly of the first quarter of the applicable year - The details of the report on nursing classes of the medical care benefit costs - The medical care benefit costs and expenses - The quarterly of the first quarter 2, 2011 to the first quarter 3/42/42, 2341/424/1 quarterly.