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(영문) 서울행정법원 2012.07.19 2008구합32409
요양급여
Text

1. Regarding the restitution disposition of KRW 119,483,510 for medical care benefit costs related to unfair issuance of medical prescriptions among the instant lawsuits.

Reasons

1. Details of the disposition;

A. The Plaintiff, a social welfare foundation established for the purpose of implementing social welfare programs under the Social Welfare Act, established and operated C Hospital, which is a health care institution under the National Health Insurance Act (hereinafter “instant hospital”).

(b) The Minister of Health and Welfare from June 25, 2007 to the same year;

7. From September 23, 2005 to April 30, 2007, the instant hospital conducted a field investigation on the overall amount of health insurance, health insurance, medical care, and medical care benefits (hereinafter “instant field investigation”) with regard to the period subject to investigation from September 23, 2005 to April 30, 207. As a result, the instant hospital discovered the fact that it received medical care benefit costs from the Defendant in total amount of KRW 731,478,490 (the difference between the gross amount and the gross amount, which was caused in the process of treating the fractional amount of national funds) by fraudulent or other unlawful means as shown below.

The summary amount of the No. 1 of the No. 493,325,547 was claimed to be implemented without implementing the Ethical ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic ethic e.

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