1-8 · Appeals against administrative dispositions

Preparation of written opinions for long-term care institutions, administrative appeals for business suspension, and review requests for reimbursement

If a National Health Insurance Service on-site investigation finds improper claims or violations of staffing standards, a business suspension by the city, county or district head (Article 37), a fine for negligence and recovery of benefit costs by the Service (Article 43) can all be imposed at once under the Long-Term Care Insurance Act. During a suspension the institution cannot claim benefit costs, which leads directly to loss of recipients and staffing problems, and in certain cases a penalty surcharge may replace the suspension (Article 37-2). A suspension is disputed by administrative appeal within 90 days of learning of the disposition, a recovery decision by a request for review to the Service within the same period, and a fine for negligence by a written objection within 60 days of receiving the notice, so the authorities and deadlines differ. Calculation errors are often corrected at the opinion submission stage after the prior notice, so preparation starts there.

HWANG YUNSANG ADMINISTRATIVE OFFICESONGDO · 37.3892° N / 126.6439° E
#Preparation of written opinions for long-term care institutions, administrative appeals for business suspension, and review requests for reimbursement#Official check#1-8
🌐 Preparation of written opinions for long-term care institutions, administrative appeals for business suspension, and review requests for reimbursement
01

Procedure

Procedure

Procedure type
  • Appeal Difficulty High

    Submitting an opinion, objection or administrative appeal against a disposition or decision already made, or applying for damage relief or dispute mediation. The reviewing body decides after examining the facts and the law, so preparing supporting evidence is important.

We will prepare the long-term care institution's prior notice opinion, business suspension administrative appeal request, and National Health Insurance Service (NHIS) recovery decision review request form. We distinguish between different dispositions and receiving organizations.

Scope & fee
Response to advance notice
We will write an opinion by reviewing the notice of suspension or recovery of business at 1 long-term care institution and the provided salary, personnel, and administrative data. Requests for administrative appeal and review after disposition are separate. Scope of writing: 1 type of prior notification opinion, 5 pages per page. It does not include in-office submissions.
Documents to challenge business suspension
We will review the local government's business suspension of 1 long-term care facility and the evidence provided, and prepare an administrative appeal request. Requests for review of the National Health Insurance Service (NHIS)'s recovery decision, objections to fines, and suspension of execution are separate. Scope of preparation: 1 type of administrative appeal request for business suspension, 5 pages per type. It does not include in-office submissions.
Documents to challenge recovery of funds
We will prepare a review request by reviewing the National Health Insurance Service (NHIS)'s recovery decision and provided claims, personnel, and service records of 1 long-term care institution. administrative appeal for local government business suspension and request for reexamination by the National Health Insurance Service (NHIS) are separate. Scope of preparation: Request for review of recovery decision, 1 type, 5 pages per type. It does not include in-office submissions.
  1. 01

    Respond during the on-site investigation: Before signing the investigation result confirmation, check for any inaccuracies and record your opinion if there are any. Gather benefit provision records, work schedules and care worker attendance records for the same period as the investigation.

  2. 02

    Classify the issues: Determine whether the case involves claims for services not provided, claims while a care worker was hospitalized or on leave, inflated service hours or staffing standard violations. Also compare by recipient whether it was an error or intentional and whether the amount and period of recovery were calculated correctly.

  3. 03

    Submit opinions on the prior notice: When you receive a prior notice of suspension or a notice of planned recovery, submit an opinion statement and supporting materials within the deadline in the notice. Attach substitute staff records, explanations of record errors and corrective action materials to correct calculation errors first.

  4. 04

    Appeal the suspension and consider a surcharge instead: File an administrative appeal within 90 days of learning of the suspension, and if operations must continue, also apply for a stay of execution. If recipients need protection, also consider requesting that a penalty surcharge replace the suspension.

  5. 05

    Object to the fine for negligence: A fine for negligence is not subject to administrative appeal, so file a written objection with the authority within 60 days of receiving the notice. Once an objection is filed, the imposition loses effect and the case moves to a court fine trial.

  6. 06

    Request review of the recovery decision: For the Service's recovery decision on unjust enrichment, file a request for review with the Service within 90 days of learning of the disposition, and if you disagree, proceed to a request for re-review. These deadlines run separately from the suspension and fine, so manage the dates for each notice.

02

Filing route

Filing route

Disposing authority (city, county or district), National Health Insurance Service, or the Administrative Appeals Commission

Confirm the current filing office, jurisdiction, and online availability on the official website.

Official check
Actual processing agencyCompetent city, county, or district office · National Health Insurance Service · Metropolitan or Provincial Administrative Appeals Commission
Statutory and policy authorityMinistry of Health and Welfare
Online routeOnline Administrative Appeal (simpan.go.kr)
03

Deadlines & processing notes

Deadlines & processing notes

Check deadlines and next steps against the notice, filing date, and any request for additional documents.Official check
04

Fees & official charges

Fees & official charges

Administrative service fee
  • Response to advance notice from KRW 500,000
  • Documents to challenge business suspension from KRW 500,000
  • Documents to challenge recovery of funds from KRW 500,000
All administrative service fees exclude 10% VAT.

Included in the basic fee — Initial document review, required-document guidance, basic form preparation, one filing support and responses to up to two supplement requests.

Conditional success fee — For this service, any conditional success fee may be separately agreed within the lawful service scope and stated in a written engagement agreement. No outcome is guaranteed.

Displayed amounts are starting estimates, not statutory or standard rates. The final fee is confirmed after consultation and document review in the engagement agreement. Government fees and actual expenses may change.

Fees & official charges →
05

Basic documents

Basic documents

Basic documents0 / 8

Business suspension, fines for negligence and recovery each have a different authority and appeal route, so if you respond based on only one notice's deadline, it is easy to miss the others; manage the deadline of each notice separately.

Scope of services

Scope of services

Hwang Yunsang Administrative Agent Office prepares and translates documents for administrative agencies, submits them on your behalf, and guides you through permit, application, and notification procedures. Services that require the principal’s personal appearance, principal’s application, or electronic signature may be limited in delegation.