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Defendant shall be punished by a fine of KRW 3,000,000.
When the defendant does not pay the above fine, 100,000 won.
Reasons
Punishment of the crime
The Defendant is the representative of Seo-gu Daejeon, who operates the above long-term care institution established under the Act on Long-Term Care Insurance for the Aged.
The Defendant, while operating the foregoing long-term care institution, intended to commit fraud by filing a false claim for medical care benefits, while providing home care benefits (long with long-term care benefits that provide the head of a household with physical activities, household activities, bathing service, etc.) to older persons who are aged 65 years or older under the Welfare of Older Persons Act and the Long-Term Care Insurance for Older Persons Act (hereinafter referred to as “beneficiarys”), who have been rated as older persons, including dementia, as older persons who have been suffering from dementia
On February 2, 2011, the Defendant: (a) on February 2, 2011, filed a false medical care benefit claim as if the caregiver D provided the recipient E with visiting care service; (b) received KRW 36,600 on February 36, 201 from the National Health Insurance Corporation; and (c) obtained a total of KRW 18,774,668 over 460 as indicated in the separate crime list (1).
B. On March 3, 2011, when a caregiver did not provide the recipient with the service during the period of hospitalization at a hospital, the Defendant filed a false medical care benefit claim as if the caregiver F provided the recipient G with visiting care service, and the Defendant received the amount of KRW 39,500 on March 25, 201 from the National Health Insurance Corporation, and acquired the total amount of KRW 1,028,480 through 36 times, such as the list of crimes (2) in the attached list of crimes.
C. On December 1, 2011, the Defendant filed a false medical care benefit claim as if the recipient H had provided the visiting care service to a medical institution, even though the recipient did not provide the said service during the period of hospitalization in a medical institution.