Text
Defendant shall be punished by a fine of KRW 10 million.
If the defendant does not pay the above fine, KRW 100,000.
Reasons
Punishment of the crime
The Defendant is a person who, with his will, operates the “E” hospital on the second floor of the D Building in Seoyangyang-si.
1. Although the Defendant provided non-benefit medical treatment to the patient at the above hospital, he/she prepared a false record of medical treatment as if he/she provided medical treatment, etc., and received medical care costs from the Victim Health Insurance Corporation and received medical care costs. Although he/she did not actually wish to do so from the hospital, he/she was provided with the diagnosis and the Maternology method, etc. at the hospital, and was committed with intent to falsely claim medical care costs by preparing a false record, etc.
가. 피고인은 2013. 9. 28. 경 위 병원에서 사실은 쥐젖 제거를 목적으로 내원한 환자 F 에게 레이 져 치료를 시행하고 비급여비용 금 10,100원을 징구하였음에도 피해자에게 급여 항목인 ‘ 바이러스 사마귀’ 상 병으로 진찰료를 사실과 다르게 청구한 것을 비롯하여 별지 범죄 일람표 1 기 재와 같이 2013. 9. 4. 경부터 2014. 6. 25. 경까지 사이에 환자 39명을 대상으로 비급여 대상 진료 후 요양 급여 비용을 청구하였다.
Accordingly, the defendant, by deceiving the victim, obtained a total of 379,320 won and acquired it by fraud.
B. On February 13, 2014, the Defendant filed a false record of medical treatment as if he/she had not been provided with the patient G, and filed a claim for KRW 11,950 with the victim for expenses for benefits as stated in the attached Table 2, as in the attached Table 2, from September 4, 2013 to August 27, 2014, for 49 patients without any actual medical treatment.
Accordingly, the defendant, by deceiving the victim, obtained a total of 4,826,840 won and acquired it by fraud.
2. No medical person who has violated the Medical Service Act shall falsely prepare a medical treatment record, etc. or intentionally enter or revise any additional record differently from the fact;
Nevertheless, the defendant.