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(영문) 서울중앙지방법원 2015.05.07 2014고단8767
사기등
Text

[Defendant A]

1. The defendant shall be punished by a fine of six million won;

2. 100,000 if the defendant does not pay the above fine.

Reasons

Punishment of the crime

Defendant

B is a medical device distributor, and the defendant A is a herb doctor.

1. The Defendants: (a) established and operated a medical institution by providing one-way medical facilities to Defendant B; and (b) providing one-way medical institution under the name of one-way medical institution under the condition that Defendant A receive part of the profits from Defendant B; and (c) offered medical treatment to the Health Insurance Corporation to claim for the medical care benefits expenses, and recruited to receive them.

No person other than a medical person who has established a non-medical person may establish a medical institution.

around September 5, 2013, the Defendants: (a) around the first floor of the Gangnam-gu Seoul DD Building; (b) Defendant B prepared a medical facility by leasing a commercial building and performing artificial construction; and (c) Defendant A filed a report on the establishment of a medical institution with the name of “Egywon” with the name of “Egywon”; (c) Defendant B takes charge of overall management, such as the administrative affairs of the hospital, employment of employees, cash receipt and disbursements, patient attraction, and financial management; and (d) Defendant A treated patients.

As a result, the Defendants conspired to establish a medical institution by Defendant B, not a medical person.

(b) No person other than a medical institution established under the Medical Service Act for fraud may claim medical care benefit costs under the National Health Insurance Act;

Defendants are above A from September 5, 2013 to August 29, 2014.

As stated in paragraph (1), Defendant A provided medical treatment to the patient, and the Defendants also submitted a statement of medical care benefit costs to the Health Insurance Review and Assessment Service to request the victim to review the statement.

As such, the Defendants were informed of the results of the review by the Health Insurance Review and Assessment Service by deceiving the victim Corporation, and were recorded in the annexed list I from the victim Corporation that believed it to be true.

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