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Man pleads guilty to making false statements in DME, genetic testing scheme

Man pleads guilty to making false statements in DME, genetic testing scheme

BOSTON – A Florida-based doctor has pleaded guilty in federal court in Boston to making false statements in connection with a multi-million-dollar health care fraud scheme involving medically unnecessary genetic testing and durable medical equipment (DME), according to the U.S. Attorney’s Office for the District of Massachusetts. Between February 2020 and June 2020, Simon Grinshteyn, 52, worked with a purported telemedicine company to sign medical documentation, including doctor orders, for medically unnecessary genetic testing and DME. The medical records and doctor orders Grinshteyn received and signed were pre-populated and made it appear that Grinshteyn was providing legitimate consultations to the Medicare beneficiaries and had conducted examinations of the beneficiaries and/or would provide further medical care to them. Grinshteyn generally did not contact the beneficiaries himself and had no provider-patient relationship with the beneficiaries. DME suppliers and laboratories ultimately submitted claims to Medicare for these signed orders. As a result of Grinshteyn’s participation in this scheme, Medicare paid more than $3.1 million in claims for DME and genetic testing that were based on false documentation. The charge of making false statements relating to health care matters provides for a sentence of up to five years in prison, three years of supervised release and a fine of up to $250,000 or twice the gross pecuniary gain or loss, whichever is greater. U.S. District Court Judge Angel Kelley scheduled sentencing for June 24, 2026.

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