Mathias Consulting - About Mathias Consulting

Robin's Bio

Tue, 12 Aug 2008 11:15:35 -0700

Robin is well known in the field of healthcare fraud and abuse and Medicaid decision support. Her website, MathiasConsulting.com is the most popular site for researching fraud cases. She speaks about healthcare fraud and abuse at conferences nationwide, including the 2005 Medicaid Management Information System (MMIS) Conference, Medicaid Managed Care Congress, Managing Managed Care Claims, and Association of Certified Fraud Examiner’s Insurance Fraud Conference. She is interviewed in the media and made her television debut on CNBC in a live interview about alleged healthcare fraud at Tenet Hospitals.

Typical Client Results

Wed, 23 Feb 2005 16:34:55 -0800

We dramatically decrease the expenses caused by fraud for our healthcare clients. In addition, we often discover other ways that our clients can save money. These are some of the ways we’ve saved our clients millions of dollars:

$2.5 Million Growth Hormone Fraud Ring

During a casual review of pharmacy expenditures, we noticed that our client spent far more on growth hormones than we expected. Growth hormones should be prescribed for growth hormone deficiency or AIDS wasting that has not been responsive to steroids. Neither of these legitimate uses would account for the volume of growth hormones dispensed to this client’s beneficiaries.

Resume for Robin Mathias

Thu, 17 Jan 2008 21:20:30 -0800

Healthcare analyst with a decade of experience designing, procuring, implementing and using decision support and reporting systems to manage Medicaid and other healthcare programs. Analytic skills include fraud and abuse detection and investigation, Surveillance and Utilization Review (SURS), budget forecasting, managed care rate setting, cost benefit analysis and benefit modeling. Excellent written and oral presentation skills, leadership, team building, time management, training and testing.

Healthcare Experience

Fri, 23 Jan 2004 00:32:51 -0800

Mathias Consulting was founded by Robin Mathias, a Medicaid, fraud and abuse, and healthcare policy and analysis expert. As a state employee, Robin built Indiana Medicaid’s data analysis capabilities from the ground up. Starting with nothing but a 386 PC and a stack of microfiche, Robin was able to introduce healthcare data analysis into Indiana’s policy making process, helping Indiana make policy changes that would save over a billion dollars in a few years.