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(영문) 서울행정법원 2014.01.07 2011구합15480
요양기관업무정지처분취소
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. The Plaintiff is an intention to establish and operate a medical institution with a trade name, “Csan Women and Council Members” (hereinafter “instant hospital”) on the fourth floor of the building in Ansan-si, Ansan-si.

B. The defendant from February 26, 2010 to the same year

3. From February 1, 2007 to November 30, 2009, the instant hospital was on-site investigation by setting the period subject to the investigation for six days from February 1 to November 30, 2009.

As a result, it was found that the instant hospital unfairly claimed the medical care benefit cost of KRW 32,720,250 as follows:

According to the detailed matters on the criteria and method for applying the Medical Care Benefits Act (Notice No. 2007-3 of the Ministry of Health and Welfare, January 23, 2007), an application for violation of the criteria for the recognition of an operation using artificial tape 1 (the summary amount) recognizes that an operation of an operation using artificial tape is conducted only when the main amount of hummatic loss or hummatic loss is confirmed by the epidemology examination, and the hummatic pressure is less than 120ccH2O (hereinafter “the recognition criteria of this case”). If it does not meet the criteria of this case, all kinds of medical expenses, such as operating fees, hospitalization fees, and anesthesia, are non-benefit.

However, even if the result of the epidemian test did not meet the criteria for recognition of this case, the Plaintiff filed a claim for hospitalization fees, anesthesia fees, and surgery fees by modifying the data as a result of the test by changing the name and the date of the test as a result of the examination of other patients meeting the criteria for recognition of this case.

29,102,700 Alternative Medicines and False Claim Castro (A07204491/282-283) were used, and claimed as Carnastro (W0028081/453-457 won) (W091,765 won) (W028081/453-457 won) (W028081/457 won) or carnastro (A0720491/282-283 won).

(2,635,620) 3,727,385

C. Accordingly, on April 8, 2011, the Defendant had been amended by Act No. 111141 on December 31, 2011.

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