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(영문) 수원지방법원 2019.12.12 2019구합607
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. B, from January 20, 2016 to November 20, 2018, the National Health Insurance Corporation (hereinafter “E”) operated “E”, a long-term care institution providing visit care, visiting bathing, visiting nursing, and night-time care benefits. (2) The Defendant conducted an on-site investigation under Article 61(2) of the Act on Long-Term Care Insurance for the Aged (hereinafter “instant on-site investigation”) with respect to “E” for five days from October 31, 2016 to November 4, 2016 under the personnel support of the Vice Governor of the National Health Insurance Corporation.

As a result of the instant on-site investigation, the Defendant claimed that B violated the criteria for the placement of human resources by reporting F as a person in charge of visiting visit care, bathing, and visiting nursing who is unable to hold concurrently offices as a nurse at night, and accordingly, violated the criteria for the placement of human resources by adding F-to-door care expenses. The fact that: (a) the guardian of the Republic of Korea requested or did not provide visit care benefits provided to his/her family; (b) the two caregiver provided visiting nursing benefits in duplicate to the beneficiary; and (c) the guardian claims the additional placement of visiting human resources (social workers) additional placement of visiting medical care benefits (social workers) for six months from March 2016 to August 2016; (b) the additional placement of visiting medical care benefits (social workers) additional 7,718,700 won; (c) the visiting care benefits additional 121,730 won; (d) the night care benefits additional 4,090 won; and (d) the additional placement of visiting medical care benefits additional 1234,2934.

3) On November 15, 2016, the National Health Insurance Corporation notified B of the scheduled recovery of expenses for long-term care benefits equivalent to the above amount by means of electronic offsetting, and notified B of the determination on recovery of expenses for long-term care benefits (hereinafter referred to as “the determination on recovery of expenses for long-term care benefits”).

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