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(영문) 서울행정법원 2015.06.11 2014구합20827
장기요양급여비용환수처분취소
Text

1. All of the plaintiff's claims are dismissed.

2. The costs of lawsuit shall be borne by the Plaintiff.

Reasons

Details of the disposition

The Plaintiff is a person operating the “B Elderly Specialized Care Center for the Aged” (hereinafter “instant medical care center”) and the “C Older Short-Term Care Center for the Aged” (hereinafter “instant center”), each of which is a long-term care institution under the Long-Term Care Insurance Act for the Aged (hereinafter “the instant center”). The instant medical care center and the instant center, collectively, are operated.

As a result, the Defendant conducted an on-site investigation of the instant facilities (from July 12, 2012 to March 2014, 2014; hereinafter “instant on-site investigation”) in collaboration with the Ministry of Health and Welfare from May 12, 2014 to May 16, 2014, the Plaintiff discovered that the instant facilities were unfairly claimed medical care benefit costs as follows.

[2] A social worker who violates the standards for placement of human resources (195,202,620 won) shall have worked for a maximum of four days (32 hours) from August 2012 to February 2013, and for a maximum of 4 hours from September 2012 to February 2013; for a nurse who violates the standards for placement of human resources (2), for a nurse who has worked for at least 160 hours each month even though he/she did not work for the period from September 201 to February 2013; for a nurse who has worked for at least 160 hours each month from March 3, 2013 to 10; for a nurse who has worked for at least 3 months from March 1, 2013 to 20.0; for a caregiver, from September 1, 2014 to March 1, 2014 to 30 hours each month, despite the fact that he/she has worked for at least 15 hours each month;

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