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Defendant shall be punished by imprisonment for a term of one year and six months.
Reasons
Punishment of the crime
The defendant, as the representative director of E in Ulsan-gun, was in collusion with F, the secretary general of the above Council members, and G, the above Council members, had prepared false medical records, etc., in order to receive medical care benefits and medical benefits from the victim.
1. Fraud;
A. The Defendant filed a false claim for hospitalization fees in collusion with F and G from December 1, 2009 to January 9, 2010, the Defendant provided medical care benefits to the victim of the National Health Insurance Corporation by falsely inputting the name of the patient, the number of days of medical care, etc. by falsely entering the patient into the victim’s name, the number of days of medical care, etc. in collusion with F and G during the aforementioned period, although H, a Sin of G, had not been diagnosed and hospitalized by “the dementia of the habitual illness (F03),” etc. for the above period.
As a result, the Defendant conspired with F and G by deceiving the victim in the above manner, and received KRW 858,430 as medical care benefits from the victim around that time, and received KRW 30,309,390 in total as medical care benefits from June 11, 2012.
B. Although the Defendant, in collusion with F and G on June 1, 2009, did not provide physical treatment with respect to “L,” etc. at the above Council member from around July 9, 2009 to around July 1, 2009, the Defendant filed a false claim for medical treatment or nursing fees with the victim under the same method as the foregoing, he/she filed a false application for medical treatment or nursing fees with the National Health Insurance Corporation in consultation with F and G, and filed a false application for medical treatment fees with the victim under the same method as the foregoing.
Accordingly, the Defendant conspireds with F and G in the above manner.