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(영문) 서울북부지방법원 2015.12.01 2015고단3574
사기
Text

A defendant shall be punished by imprisonment for four months.

However, the execution of the above punishment shall be suspended for one year from the date this judgment becomes final and conclusive.

Reasons

Punishment of the crime

From March 2010 to March 2010, the Defendant: (a) from around 2010 to around 2010, the C Care Center 1, which is a communal living home for the aged; (b) from June 2013 to around 201, the C Care Center 2, a communal living home for the aged at the same place; and (c) from October 2010 to a person who actually operates a short-term care center for the aged at the same place, the C Care Center 1,

In the case of a medical care and communal living home for older persons (at least five and not more than nine persons), a long-term care institution shall manage the criteria for placement of employees, such as the head of the facility or the secretary general, one of social workers, one nursing officer, or one caregiver per three admitted persons, and one caregiver per three admitted persons. In order for a long-term care institution to claim expenses for health insurance to the Health Insurance Service (hereinafter referred to as the "Agency"), it shall register the actual working hours of its employees every month through an information system on the website of the NHIS, and immediately register the changes even if the working hours are changed, and where a vacancy occurs to a caregiver, etc. different from the criteria for placement of employees, it shall request the Service to accurately enter the number of employees, such as the fact, by accessing the website, whenever the vacancy occurs.

Nevertheless, when the defendant claims expenses for long-term care benefits to D, the representative of the above three medical care centers (Suspension of Prosecution on the same day) and the Corporation as the defendant's children, the defendant did not reflect the reduction rate according to the vacancy ratio, such as caregivers, and conspired to receive the money by claiming long-term care benefits by means of excessive working hours than the actual working hours.

1. The Defendant, one of the first medical care sources, in collusion with D, connected to the information system on the website of the Corporation by using the computer at the above medical care center office, and the fact that C medical care center E is a caregiver of the first medical care center is the above medical care center from July 2, 2013 to March 31, 2014.

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