logobeta
본 영문본은 리걸엔진의 AI 번역 엔진으로 번역되었습니다. 수정이 필요한 부분이 있는 경우 피드백 부탁드립니다.
텍스트 조절
arrow
arrow
(영문) 서울행정법원 2018.08.23 2018구합51706
요양기관업무정지처분취소
Text

1. On November 13, 2017, the Minister of Health and Welfare issued a 30-day business suspension against the Plaintiff’s institution providing medical benefits.

Reasons

1. Details of the disposition;

A. The Plaintiff is a medical corporation that opens and operates a C convalescent hospital (hereinafter “instant hospital”) under the Medical Care Assistance Act, which is a medical care institution under the National Health Insurance Act, on the level B, 3 through 7th, Sacheon-si.

B. Upon receiving a request from the Defendant National Health Insurance Corporation (hereinafter “Defendant Corporation”), the Minister of Health and Welfare (hereinafter “Defendant Minister”) conducted on-site investigations as to whether the instant hospital claims the appropriateness of medical care benefit costs and medical care costs.

(Period of Investigation: From April 2013 to March 2014, and from August 2014 to October 2014; hereinafter “instant on-site investigation”). (C)

On October 23, 2017, based on the "Article 98 (1) 1 of the National Health Insurance Act" with respect to the Plaintiff, the Defendant was subject to the business suspension of the medical care institution for the instant hospital for 30 days (from February 12, 2018 to March 13, 2018) (hereinafter "the instant medical care institution business suspension") and on November 13, 2017 under the "Article 28 (1) 1 of the Medical Care Assistance Act, the Plaintiff was subject to the business suspension of the institution providing medical care for the instant hospital (hereinafter "business suspension of the instant medical care institution") for 30 days (from February 12, 2018 to March 13, 2018) regarding the instant hospital based on the "Article 28 (1) 1 of the Medical Care Assistance Act."

The request for a violation of separate compensation basis based on securing necessary human resources: Medical care benefit cost of KRW 49,470,30, medical care benefit cost of KRW 21,744,360 - Medical Archives D from July 29, 2013 to November 28, 2013; and E from November 1, 2013 to November 28, 2013 to another medical care institution in the same building, it cannot be calculated as necessary human resources both jointly using the facilities of the original administrative office of the F Hospital, which is another medical care institution in the same building, and the receipt and receipt affairs, but it cannot be calculated as necessary human resources at the same time, the separate compensation amount according to securing the necessary human resources in the long-term care hospital in the quarter of April 4/4, 2013 and the first quarter of January 4, 2014 is excessive:

arrow