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Defendant
A Imprisonment of 10 months, Defendant B shall be punished by a fine of 3,000,000 won.
Defendant
B The above fine.
Reasons
Punishment of the crime
Defendant
A In the actual operation of the G convalescent on June 14, 201, established by a medical corporation established on E on June 14, 201, A, while taking charge of overall affairs, such as the operation, accounting, patient management, and insurance claims, of the G convalescent hospital (the representative of March 24, 2013). H is a person who is the spouse of the above A and operates the above hospital together with the above A’s spouse. Defendant B is a person who is in charge of the duties, such as the entrance, discharge and management of patients, care expenses management, and quarterly report and request for review to the Evaluation Institute of the Health Insurance Review, and I is a person who is in charge of assisting Defendant B’s duties on behalf of the principal director.
The Defendants, H, and I evaluated the nursing grade (average number of patients/average number of nursing personnel) in accordance with the calculation standards of differential hospitalization based on the level of nursing human resources solely on the report of nursing human resources submitted by the Health Insurance Review and Evaluation Institute, and accordingly, conspired to receive medical care benefits according to the grade higher than the actual grade by reporting the current status of false nursing human resources to the Health Insurance Review and Evaluation Institute, with the knowledge that the victim would be paid medical care benefits.
around October 2013, Defendants A, and H, according to the above public offering, Defendant B and H shall enter falsely the service log of nurses or nursing assistants who did not work at the age (at night) and report it to the Health Insurance Review Evaluation Institute. Defendant B, and I shall enter H, K, L, L, M, and N as nursing staff, and even if they were temporarily employed at the time of absence of the full-time workforce or nursing staff, they shall enter them falsely into the Health Insurance Examination Evaluation Institute, and report it to the effect that they were reported to the Health Insurance Review Institute.