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(영문) 부산지방법원 2019.08.29 2018구합21225
장기요양급여비용환수처분 취소
Text

1. The plaintiff's claim is dismissed.

2. The costs of lawsuit shall be borne by the Plaintiff.

Reasons

Details of the disposition

The Plaintiff is operating the “C”, a long-term care institution, (hereinafter referred to as the “instant medical care institution”) in G, G, Gyeongnam-gun.

As a result of the instant medical care institution’s on-site investigation (hereinafter “instant on-site investigation”) on the details of long-term care benefit (16 months from May 2015 to August 2016) of the instant medical care institution from October 14, 2016 to October 14, 2016, the Defendant and the head of the relevant Si/Gun verified that the Plaintiff received expenses for long-term care benefits by unlawful means as indicated in the following table.

D. A caregiver’s claim after providing the details of the reasons for the classification (source) to the beneficiary during the period from March 28, 2016 to March 31, 2016. However, the caregiver’s claim for medical care benefits by unfairly claiming the number and frequency of 118,440 services and claiming for medical care benefits; (1) A caregiver’s claim for medical care benefits from January 8, 2016 to January 12, 2016; (2) A caregiver’s claim for medical care benefits from July 10 to July 15, 2015 to 10; (304,440 additional medical care costs to the beneficiary; and (4) during the period from February 16, 2015 to February 16, 2015 to the beneficiary’s claim for additional medical care benefits; (5) A caregiver’s claim for medical care benefits from 204,440 additional medical care costs to 200,000 won; and (6) C.

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