beta
Text
Defendant
A Imprisonment with prison labor for ten months and for eight months, respectively.
Reasons
Punishment of the crime
Defendant
A is a doctor who establishes a H oriental medical hospital in Seo-gu, Seo-gu, Gwangju, and Defendant B is the chief of the department and the chief of the counseling office of the above hospital.
The Defendants promoted to the effect that they would have the patients without the need to be hospitalized receive insurance money from the insurance company to which they have joined.” The Defendants conspired to register the patients who do not need to be hospitalized or who do not reside in the hospital, and then to acquire the benefits of medical care from the National Health Insurance Corporation on its own.
1. The Defendants in violation of the Special Act on the Prevention of Insurance Fraud issued to I a false certificate of discharge from admission, a medical expenses calculation receipt, and a nursing receipt that I, from September 2, 2016 to September 17, 2016, received hospitalization at the above hospital from around early October 2016, who did not receive normal hospitalization due to unnecessary hospitalization, to the above hospital. On October 10, 2016, I filed a claim for insurance proceeds with an employee in charge of the Saemaul Bank of Korea of the victim Saemaul, accompanied by the above documents, and then received KRW 130,000 as the insurance proceeds from the victim company.
As a result, the Defendants made it easy for 124 patients to receive total amount of money equivalent to KRW 253,782,563 from 27 victims as shown in attached Table 1 by preparing and delivering relevant documents in the same way from October 2016 to May 2017, including preparing and delivering false documents related to claims for insurance money in order to assist them in claiming and receiving insurance money.
2. The Defendants filed a claim for medical care benefits with the Health Insurance Review Institute, which was falsely hospitalized by using a program for claiming medical care benefits installed on the computer at the aforementioned hospital around September 2017 (round September 2, 2016, around September 17, 2016), according to the aforementioned recruitment.