logobeta
본 영문본은 리걸엔진의 AI 번역 엔진으로 번역되었습니다. 수정이 필요한 부분이 있는 경우 피드백 부탁드립니다.
텍스트 조절
arrow
arrow
(영문) 수원지방법원 2015.11.26 2015구합66005
업무정지처분취소
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. From May 15, 2008, the Plaintiff operated a long-term care institution for older persons (Article 2 subparag. 4 and Article 31(1) of the Act on Long-Term Care Insurance for Older Persons (hereinafter “instant medical care institution”) with a mutual name “C” (Article 34(1)1 of the Welfare of Older Persons Act), starting from May 15, 2008, and offered facility benefits (Article 23(1)2 of the Act on Long-Term Care Insurance for Older Persons).

B. As a result of the instant on-site investigation of the instant medical care institution from December 1, 2014 to December 4, 2014 (hereinafter “instant on-site investigation”) conducted by public officials in charge of Yangyang-gun and employees in charge of the National Health Insurance Corporation, the Plaintiff determined that the Plaintiff unduly claimed expenses for long-term care benefit (facility benefits) as follows:

The period of investigation shall be from June 1, 2013 to October 31, 2014 (17 months) falsely claiming details of violations: 7,446,060 won.

1. To register D who did not have worked at the instant medical care institution as a physical therapy and report D who had worked for 128 hours in May 2014 and 96 hours in June 2014 and receive expenses for long-term care benefits.

2. A request for a violation of the criteria for calculation of long-term care benefits costs after registering E that has not worked at the instant medical care institution as a caregiver and reporting E that it has worked for at least 160 hours each on February 2, 2014 and March 2014: 14,970,250 won;

1. AF registered as a caregiver who takes exclusive charge of administrative affairs, such as claims for expenses for long-term care benefits, but files a report on his/her service as a caregiver for at least 160 hours on August 2014 and receives expenses for long-term care benefits;

2. G registered as a caregiver is to receive expenses for long-term care benefits reported as a caregiver who has worked for at least 160 hours each month from July 2013 to September 2013, even though he/she does not actually provide the beneficiary with long-term care services, such as assistance in physical activities and emotional assistance, as a caregiver, while mainly performing the duties of managing vehicles and equipment;

3. H registered as a caregiver; and

arrow