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(영문) 서울행정법원 2018.11.22 2018구합63129
업무정지 처분 취소 청구의 소
Text

1. An institution providing medical benefits for 59 days (from July 9, 2018 to September 5, 2018) that the Defendant provided to the Plaintiff on April 20, 2018.

Reasons

. Expenses for medical benefits of KRW 271,783,060 and KRW 11,567,540;

B. Claim for Violation of the Standards for Operating Specific Medical Equipment - Medical Care Benefit Costs of KRW 211,292,310, and Medical Care Benefit Costs of KRW 10,10,450 - Medical Care Benefit Costs of KRW 10,10,450 - In the case of D of the department of visual medicine, even though it did not exclusively work at the hospital in this case, such as remotely read, without working at the hospital in this case from December 1, 2012 to June 11, 2014, it reported as full-time personnel and claims for the unfair medical care benefit cost of KRW 60,623,065 and medical care benefit cost of KRW 1,468,475 - Medical Care Benefit Costs of KRW 60,623,065 and medical care benefit cost of KRW 1,468,475 - Medical Care Benefit Costs of the National Treasury in the process of processing visual images and other medical care costs of the hospital in this case without reporting the difference between the total work cost and the medical care cost of *.

C. On March 28, 2018, based on Article 98(1)1 of the former National Health Insurance Act (amended by Act No. 13985, Feb. 3, 2016; hereinafter the same), the Defendant issued a disposition to suspend the operation of a medical care institution for 73 days (from July 9, 2018 to September 19, 2018), and on April 20, 2018, the Defendant issued a disposition to suspend the operation of a medical care institution for 59 days (from July 9, 2018 to September 5, 2018) based on Article 28(1)1 of the Medical Care Assistance Act.

Each disposition of business suspension (hereinafter collectively referred to as "each disposition of this case") shall be taken, and individually, the detailed calculation details of the disposition of business suspension of the medical care institution of this case and the instant medical care institution shall be as follows:

1. Grounds related to the disposition of business suspension of the instant medical care institution: Article 70 of the former Enforcement Decree of the National Health Insurance Act (amended by Presidential Decree No. 27296, Aug. 2, 2016; hereinafter the same shall apply).

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