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(영문) 광주지방법원 목포지원 2014.10.13 2014고단357
사기
Text

Defendant

A Imprisonment for six months, and Defendant B shall be punished by a fine of three million won.

Defendant

B The above fine shall not be paid.

Reasons

Punishment of the crime

Defendant

A is a person in charge of the duties of the above medical care center, including the operator of the "F Care Center" in Pyeongtaek-gun, the number of admitted persons, the employment of employees, and the payment of wages. Defendant B is a person in charge of the duties of claiming medical care benefits to the National Health Insurance Corporation while working as a facility at the above medical care center.

In order to claim medical care benefits to the National Health Insurance Corporation in a long-term care institution, the standards for facilities prescribed in the Act on Long-Term Care Insurance for the Aged and the standards for placement of employees according to the number of persons eligible for admission to the National Health Insurance Service shall be observed. The current number of persons shall be calculated by calculating the total time of hospitalization for one month by the number of days, and the number of caregivers shall be calculated by dividing the current number of days into 2.5, which is the standards for placement of caregivers after a certain

On November 24, 2012, the Defendants conspired to act as a normal caregiver at the F Care Center and reported to the victim of the National Health Insurance Corporation that G, H, I, and J did not work as a normal caregiver at the F Care Center, and applied the reduction rate of 25% to the cost of health care benefit, but deceiving the victim by claiming the cost of health care benefit at an amount not applied, and deceiving the victim by means of claiming the cost of health care benefit. From December 24, 2012 to the Gwangju Bank account in the name of H, around December 24, 2012, acquired total of KRW 27,04,980, which is the difference between the amount calculated by receiving the reduction rate of 27,761,245 won from December 24, 2012 to May 24, 2013, and acquired the total amount of KRW 40,937,271,75 won through the total amount of six times from May 24, 2013.

Summary of Evidence

1. Legal statement of the witness J;

1. The defendants' statements in part of the interrogation protocol of the prosecution against the defendants

1. The police statement of H;

1.K, L, M, N,O, P, I.

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