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(영문) 청주지방법원 2016.05.12 2015고단1152
사기등
Text

A defendant shall be punished by imprisonment for one year.

However, the execution of the above punishment shall be suspended for a period of two years from the date this judgment becomes final and conclusive.

Reasons

Punishment of the crime

Pursuant to the Long-Term Care Insurance Act for the Aged Act on April 22, 2010, the Defendant reported the “G medical care institution” in the “G medical care institution” in the “G medical care institution” in the “Gu, Seo-gu, Seo-gu, Seo-gu, Chungcheongnam-gu, Chungcheongnam-gu, Cheongju-si, on May 13, 2010; the “I medical care institution” in the “I institution”; the “K” in the “K” in the “Gu, Seo-gu, Seo-gu, Seo-gu, Cheong-gu; and the “O” in the “Gu, Seo-gu, Seo-gu, Cheong-gu, Cheong-gu, Cheong-gu, Cheong-gu, Cheong-gu, Cheong-gu, Cheong-si, Cheong-si, Cheong-si, Cheong-gu, Cheong-gu, Cheong-si, Cheong-gu, Cheong-gu, Cheong-si, Cheong-si, Cheong-si, Da.

1. The “G medical care institutions” operated by the Defendant in violation of the Act on Fraud and the Insurance of Long-Term Care for Older Persons related to “G medical care institutions” are “Wel and night protection institutions” to provide only “day and night protection” among the benefits for home care prescribed in the Act on Long-Term Care Insurance for Older Persons, and only provide beneficiaries with the method of returning home, such as support for physical activities only during a certain period of time, and shall not provide beneficiaries with protection for at least 24 hours. In the event of violation, the National Health Insurance Corporation may not receive the cost of long-term care benefits from the National Health Insurance Corporation.

However, the Defendant did not have any necessary facilities and human resources different from the reported details in receiving additional costs equivalent to the “facility benefit” charges separately from the recipient’s protection, and instead operated part of the recipients in the form of “facility benefit” in the form of an illegal “facility benefit” while lodging in the said medical care institution. As such, the Defendant was able to charge the cost of long-term care benefit by falsely preparing and claiming the relevant content as if the re-issuance of the “daily and night care” service method had been provided, and then receiving the cost of long-term care benefit.

The Defendant’s “G medical care institutions” from April 12, 2013 to May 8, 2013.

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