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(영문) 대전지방법원 논산지원 2015.11.06 2015고단332
사기
Text

Defendants shall be punished by imprisonment for ten months.

However, for two years from the date this judgment became final and conclusive, each of the above defendants is against the defendants.

Reasons

Punishment of the crime

Defendant

B The head of the headquarters of the E Medical Foundation Fvalescent is the medical corporation located in Chungcheongnam-gun D, and the defendant A is a person in charge of the claim for medical insurance in the Fvalescent.

1. When the Defendants ordinarily input the number of nurses working at the medical department of the above Fvalescent hospital, as the number of nurses was the second class of nursing and calculated at a lower level than the first class of nursing, the Defendants entered A and G, who are qualified as a nursing nurse, as if they were the nurses working at the medical department, and calculated the medical expenses according to the first class of nursing and recruited to claim excessive medical expenses from the National Health Insurance Corporation and the patients.

Defendant

A around January 2014, entered the insurance claim program into a nurse who works for A and G in the medical department, and calculated the first class of nursing in the insurance claim program, and then claimed KRW 1,537,410 to the National Health Insurance Corporation for the victim, and KRW 560,820 to the victim H, respectively, by calculating the medical expenses for patient H as KRW 2,098,230.

However, in fact, since A and G did not work at the medical department, they should not be input as a nurse who works at the medical department in the insurance claim program, even though they should not be input as a nurse who works at the medical department, it was calculated by the first class of nursing in the medical department, and then claimed excessive medical expenses. The normal medical expenses calculated by the first class of nursing class 2 were 2,040,570 won.

Accordingly, the Defendants conspired to induce victims, and then claimed excessive amount of KRW 46,128 from the National Health Insurance Corporation, and KRW 11,532 from the victim H, and the medical corporation had the E-Medical Foundation obtain property benefits equivalent to KRW 57,660 from January 2014 to April 2014, and had the medical corporation E-Medical Foundation claim excessive medical expenses of KRW 13,867,760 in total over 289 times, as shown in the annexed crime list 1.

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