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(영문) 서울중앙지방법원 2012.09.20 2010고단6815
사기
Text

The defendant is innocent.

Reasons

1. The summary of the facts charged of this case is that “The defendant is the president of Gangnam-gu Seoul Metropolitan Council, who directly takes charge of the operation of the Council members, such as the diagnosis of patients, surgery, decision on release from entrance, diagnosis, and issuance of written confirmation of release from entrance, or who supervises the operation of the Council members, such as instructions, supervision, etc.” The above member of the Council run by the defendant uses the rash laccule treatment method (EVT) and the Blood Traction Act as a doctor specialized in treatment and surgery. The operation by the above method of procedure is non-benefit items not included in the insurance benefits of the National Health Insurance Corporation. The patient is entitled to receive the medical expenses borne by the patient himself/herself in accordance with the insurance company’s terms and conditions of medical expenses separately purchased from the accident insurance company and then hospitalized the patient after the surgery. However, the operation using the above method of procedure does not require continuous observation and treatment, such as medication after the surgery, etc., and the defendant cannot receive the so-called surgery immediately after the discharge of the patient from the hospital.”

The purpose of this study was to make patients receive insurance money as operating expenses by preparing a false written confirmation of hospitalization as if the patient had been hospitalized and having the patient submit the relevant documents to the insurance company.

After that, on April 23, 2010, the Defendant performed an operation of a doercing surgery by removing D, a patient who had undergone the operation of a doercing surgery by the above member of the Council.

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