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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 a person who operates C convalescent (hereinafter referred to as the "instant hospital") under the National Health Insurance Act, which is a medical care institution for medical care under the Medical Care Assistance Act.
On September 7, 2012, the Health Insurance Review and Assessment Service requested the Defendant to conduct an on-site investigation of the instant hospital on the ground that “The assistant nurse D of the instant hospital was reported to have been employed on December 15, 201 and worked concurrently, but it is confirmed that he/she had worked on December 16, 2011 under the Nursing and Work Schedule,” after conducting on-site verification of the instant hospital.
Accordingly, the Defendant conducted an on-site investigation with respect to the instant hospital from March 18, 2013 to March 22, 2013 (subject period: from January 18, 2012 to March 3, 2012; from September 2012 to January 1, 2013; hereinafter “instant on-site investigation”); and as a result, the Plaintiff filed a report different from the actual working date (from December 16, 201 to December 28, 2011) in lieu of the date of the Plaintiff’s assistant nurse D’s work, on the ground that the Plaintiff unfairly claimed expenses for hospitalization fees and medical care benefits in violation of the criteria for calculating differential rate of nursing personnel; and accordingly, imposed a penalty surcharge on the Plaintiff on September 26, 2014; and imposed a penalty surcharge in lieu of the business suspension on the Plaintiff’s medical care institution; and imposed a penalty surcharge in lieu of the business suspension on the Plaintiff’s medical care institution’s disposition;
(2) The Plaintiff’s assistant nurse’s assistant nurse’s assertion as to whether the disposition of this case is legitimate or not, and the Plaintiff’s assistant nurse’s assertion as to the validity of the disposition of this case was entered as of December 15, 201, as of December 15, 201. The Plaintiff’s assistant nurse’s assertion as to whether the disposition of this case was legitimate. The Plaintiff’s assistant nurse’s assistant nurse’s assertion as to the validity of the disposition of this case was entered as of December 15, 201.