Text
1. The plaintiff's claim is dismissed.
2. The costs of lawsuit shall be borne by the Plaintiff.
3. The Plaintiff’s purport and purport of the claim on March 6, 2019.
Reasons
1. Basic facts
A. The Defendant is a medical corporation that operates the “D Hospital” in the Cheongdo-gun, Cheongbuk-do.
B. The Ministry of Health and Welfare issued a disposition of business suspension against the Defendant on May 2, 2017, as follows:
- The investigation period: From February 2012 to September 2013, 2014, and from November 2014 to January 2015 (23 months): 3,525,901,530 won: 37,202,130 won: Calculation method: (1) False claim such as hospitalization fees (354,623,580 won): Medical care benefits may be claimed by a medical institution established under the Medical Service Act pursuant to Article 42(1) of the National Health Insurance Act, but, in some of the patients, a claim for the calculation standard of hospitalization fees, etc. (2) from November 2014 to January 2015 (22,578,867 won): 30% of the total amount of hospitalization fees, etc. for non-hospitalized patients at 203-65 of the Ministry of Health and Welfare, and 19% of the total amount of hospitalization fees for non-hospitalized patients at 194% of the total number of hours of hospitalization.
C. In the foregoing hospital, E received outpatient treatment from August 7, 2015 to July 4, 2018, and F was hospitalized from August 9, 2016 to December 17, 2017, and from December 22, 2017 to July 31, 2018, respectively, and G was hospitalized from July 28, 2016 to February 24, 2017, and from March 3, 2017 to July 20, 2017.
[Ground of recognition] Facts without dispute, Gap evidence 2, 3, Eul evidence 1 and 2 (including additional numbers), the purport of the whole pleadings
2. The gist of the Plaintiff’s assertion lies in ensuring hospitalization and treatment costs incurred by diseases between E, F, and G.