logobeta
본 영문본은 리걸엔진의 AI 번역 엔진으로 번역되었습니다. 수정이 필요한 부분이 있는 경우 피드백 부탁드립니다.
텍스트 조절
arrow
arrow
(영문) 서울고등법원 (춘천) 2015.07.15 2015노1
특정경제범죄가중처벌등에관한법률위반(사기)등
Text

The judgment of the court below is reversed.

Defendant

A Imprisonment with prison labor of two years and six months and fine of one million won, Defendant B, C, and D, respectively.

Reasons

Summary of Grounds for Appeal

The court below ruled that the defendants acquired the total sum of 1,191,71,710,340 won from the National Health Insurance Corporation (hereinafter referred to as the "Corporation") in the sum of 1,191,710,710,340 won in the sum of 727,411,720 won in the aggregate of 348,259,770 won in the case of nurses 282,192,192,230 won in the case of fraudulent health care benefit in the Evaluation Institute of Property Restatement of 445,219,49,490 won for general patients (the Corporation's charge) classified by the defendants. The court below held that the defendants acquired the total sum of 1,191,710,340 won in the case of the general patient's health care benefit and the amount of health care benefit under the National Basic Living Security Act (hereinafter referred to as the "basic living patient")

The Health Insurance Review and Assessment Service (hereinafter referred to as the "Assessment Service") is a notification notification disposition subject to summons, which reduces health care benefit costs of KRW 117,510,90 from the quarter of April, 201 to the quarter of January, 2012 on the ground that the J convalescent Service falls under the whole sub-subsidiary 20% as a result of the evaluation of the appropriateness of hospitalization benefits in the convalescent hospital in 2010.

However, in the administrative litigation instituted by another medical corporation, the court of the lawsuit rendered a judgment revoking the notification disposition subject to restitution, and the judgment became final and conclusive as is. Accordingly, the Evaluation Institute shall exclude the general patient’s health care benefit cost illegally received by the Defendants from KRW 843,450,570, which reflects the costs of health care benefit unfairly reduced according to the final and conclusive judgment, from KRW 727,41,720 ( KRW 445,219,490 + KRW 282,192,230 + KRW 116,038,850, which is the difference, from the amount acquired by the Defendants.

hereinafter referred to as 'the first chapter'.

The Defendants’ part of the medical care benefit cost provided by the Defendants refers to the doctor who works for the period from 18:00 to 09:00 a day in the Jvalescent Hospital (hereinafter “pacting doctor”).

arrow