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(영문) 서울북부지방법원 2015.11.13 2015고합241
특정경제범죄가중처벌등에관한법률위반(사기)
Text

Defendant

A Imprisonment for two years, Defendant B and C shall be punished by imprisonment for one year and six months.

except that from the date of this judgment.

Reasons

Punishment of the crime

Defendant

A is the director of the F Care Center in both weeks (hereinafter referred to as the "Medical Care Center"), who is in charge of overall control of the above medical care center; the manager of the care center in the care center in Defendant B; the manager of the care center in the care center in the care center in Defendant C; and the head of the office team in charge of the affairs of the National Health Insurance Corporation (hereinafter referred to as the "Corporation") to claim expenses for long-term care benefits (hereinafter referred

From July 2008, the Corporation provides beneficiaries who have difficulty in living their daily lives through the long-term care insurance system for older persons and the elderly's disease, with facility benefits (admission to long-term care facilities) and benefit for home care (door Care Services) to the operators of long-term care institutions, and provides them with medical care benefits.

In order to claim medical care benefits, it shall be operated in compliance with the criteria for placement of employees under the Enforcement Rules of the Welfare of Older Persons

노인복지법 시행규칙(제22조 제1항, 별뵤4의 제6항)에 따르면, 입소자가 30명 이상인 시설의 경우 입소자 2.5명당 요양보호사 1명, 물리치료사 1명, 간호(조무)사 1명, 사회복지사 1명, 입소자 50명 이상인 경우 영양사 1명을 배치하여야 함 . 노인장기요양보험법에 의하여 직원 1인의 월 근무시간이 160시간 이상인 경우 1인으로 계산하고, 동일 직종에 종사하는 직원 중 1인으로 계산되지 아니한 직원의 근무시간은 합하여 계산하는 등 직원배치 기준의 충족 여부에 따라 그 배치 기준이 충족되었을 경우, 공단은 입소자의 장기요양등급 및 급여제공일수를 기준으로 매월 급여비용을 산정하여 장기요양기관 운영자에게 100% 지급해 주고 있다.

In order to claim expenses for benefits to the Corporation, the long-term care institution shall register the actual working hours of employees every month through the information system on the website of the Corporation, and also change working hours.

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