logobeta
본 영문본은 리걸엔진의 AI 번역 엔진으로 번역되었습니다. 수정이 필요한 부분이 있는 경우 피드백 부탁드립니다.
텍스트 조절
arrow
arrow
(영문) 춘천지방법원 2018.11.27 2016구합702
영업정지처분취소
Text

1. The plaintiff's claim is dismissed.

2. The costs of lawsuit shall be borne by the Plaintiff.

Reasons

1. Details of the disposition;

A. The Plaintiff is operating the “Cre-Center” in the Gangseo-gu Yangwon-gun B (hereinafter “instant institution”), and the instant institution was designated from the Defendant as a long-term care institution on August 1, 2009.

(b) From June 13, 2016, the defendant and the National Health Insurance Corporation, who have run the procedures of recovery and disposition of the National Health Insurance Corporation and related litigation;

6. Until May 16, 2013, the instant agency conducted a field investigation on the details of long-term care benefits from May 2013 to April 2016 (36 months) and confirmed the Plaintiff’s following violations.

At night protection, hereinafter referred to as “violation 1”.

- Claim (2,758,410 won) - From June 2015 to April 2016, - Claim (970,520 won) due to the increase in the number of days of services and the number of times of services to increase the number of hours of services to be provided to recipients D, claiming that the services be provided by extending the number of hours of services to be provided to be provided to be provided to be provided to be provided to be provided to be recipient D during the night hours from June 2015 to April 2016.

> 서비스 시간을 늘려서 청구 (12,183,570원) - 주야간보호서비스를 제공받는 수급자에게 이 사건 기관 내 목욕실에서 몸 씻기 서비스를 제공하고 방문요양 서비스를 제공한 것으로 청구함 특이사항: 수급자 E, F의 산정기준 위반 청구건 중 조사대상기간 이전 청구건 3,212,600원은 추가로 환수할 예정임 2) 국민건강보험공단은 원고에 대하여, 2016. 8. 16. 노인장기요양보호법 제43조에 따라, ‘가정방문 급여원칙 위반(미인가 시설 포함), 서비스 일수, 횟수를 늘려서 청구, 서비스 시간을 늘려서 청구(복지용구 개수 포함)’를 이유로 과다 지급된 장기요양급여 15,912,510원[≒ 제1 위반사실에 따른 3,728,930원(= 2,758,410원 970,520원) 제2 위반사실에 따른 12,183...

arrow