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(영문) 광주지방법원 2015.11.18 2015고단3018
사기등
Text

Defendant

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

However, from the date when this judgment has become final.

Reasons

Punishment of the crime

Defendant

A is the Director of the 4th G Hospital of the Seoul Northern-gu Seoul Northern-gu G Hospital.

Defendant

B. B: “C, as if the patient were hospitalized without being hospitalized,” recruited the so-called “patient who prepared medical records, etc., as if the patient were hospitalized,” and received a certain fee from Defendant A, and was employed at the above hospital.

Accordingly, the Defendants conspired as follows: “Defendant B and C shall recruit patients, and Defendant A shall prepare false medical records, etc.”

1. On February 2, 2015, Defendant A drafted a medical record, etc. at the above hospital, such as “from February 2, 2015 to February 16, 2015, Defendant A hospitalized for 14 days under the name of the following pains, and the name of the patriarched ward.”

On March 9, 2015, Defendant A claimed H’s medical care benefit cost from the above hospital to the National Health Insurance Corporation.

However, in fact, Defendant A did not have been hospitalized in addition to setting a day off or treating physical therapy.

As above, the Defendants deceptioned victims of the National Health Insurance Corporation and received KRW 737,280 from H’s health care benefit costs at the above Corporation around that time, and acquired the shares of the Corporation as shown in the attached Table of Crimes (1).

Attached Form

"Period of hospitalization" 2 No. 15.02.02-02.16 of the Criminal Date List (1) refers to "15.01.01.02.02", and "date and place" means "from February 2, 2015 to February 16, 2015," and "I" in No. 5 is a clerical error in the J.

2. The Defendants were aware of the fraud aiding and abetting the insurance company to obtain insurance proceeds by deceiving the insurance company as if they were received, even though H did not actually receive hospitalized treatment at the above hospital.

Nevertheless, around February 2015, Defendant A prepared a medical record and a nursing record book stating that “H was hospitalized in the above hospital as the above-mentioned sick person” at the above hospital, and thereafter H around that time.

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