Melinda A. Gaboury, COS-C

Melinda A. Gaboury, COS-C
Melinda A. Gaboury, COS-C Chief Executive Officer
Publications written by Melinda A. Gaboury, COS-C
  • Home Health Pocket Guide to OASIS-C2 View
Recent articles written by Melinda A. Gaboury, COS-C
  • Diagnosis Coding for Home Care – Tips for Success View
  • Pre-Claim Review Demonstration Coming Back? View
  • OASIS D – What is on the Horizon? View

Upcoming Events

Fri 20

The Home Health Proposed Rule

July 20 @ 2:00 pm - 3:30 pm CDT
Nashville TN
United States
Speaker: Melinda Gaboury

Detail Proposed PPS Rates & Changes to Case Mix Weights for 2019 • Review proposed rule detail of base rate adjustment • Review the case mix weights proposed for 2019 • Review the proposed changes in CBSA/Wage Index for 2019 • Review proposed LUPA rates for 2019 List Core changes to the PPS system as…

Thu 26

Hospice Targeted Probe and Educate

July 26 @ 11:00 am - 12:30 pm CDT
Nashville TN
United States
Speaker: Katie Wehri

This webinar provides an overview of the current hospice targeted probe and educate activity with real-life examples of the types of documentation that has proven troublesome for some hospices and how issues can be avoided. A rundown of the documents that will be part of every targeted probe and educate review regardless of probe topic…

Sun 29

HCAF 29th Annual Conference and Trade Show

July 29 - August 1
Orlando FL
United States
Speaker: Melinda Gaboury

Join the Home Care Association of Florida for the largest home care industry event of the year in the Sunshine State – Home Care Con! The 2018 Annual Conference & Trade Show will kick off in Orlando with a one-day pre-conference on July 29, followed by three full days conference sessions starting July 30 and…

Melinda A. Gaboury is co-founder and Chief Executive Officer of Healthcare Provider Solutions, Inc. (HPS). Melinda Gaboury and Mark Cannon founded the company in April 2001 to provide financial, reimbursement, billing, operational and clinical consulting to the home care and hospice industries.

With more than 27 years in home care, Melinda has over 17 years of executive speaking and educating experience, including extensive day-to-day interaction with home care and hospice professionals.  She routinely conducts Home Care and Hospice Reimbursement Workshops and speaks at state association meetings throughout the country. Melinda has profound experience in Medicare PPS training, billing, collections, case-mix calculations, chart reviews and due diligence. ZPIC, RA, ADR & TPE appeals with all Medicare MACs have become the forefront of Melinda’s current impact on the industry. She is currently serving on the NAHC/HHFMA Advisory Board as ex-officio and is Associate Director on the Home Care Association of Florida Board of Directors. Melinda is also the author of the Home Health Pocket Guide to OASIS-C2: A Reference Guide for Field Staff.

Melinda attended Cumberland University in Lebanon, Tennessee and received her Bachelor of Business Administration in Accounting.  She began her career in 1991 with a large Tennessee based homecare chain as a staff accountant and later joined a national healthcare consulting firm as their Reimbursement Manager.   

Prior to the inception of Medicare PPS, Melinda began researching, auditing and reviewing processes with OASIS, ICD-9 Coding and clinical documentation. She has developed and taught clinician and billing Medicare PPS Training and Hospice Training Workshops in a variety of venues. Melinda’s priority remains bridging the gap between clinical and financial issues in home health and hospice agencies.   The one unique thing that Melinda brings to the industry is the development of very effective compliance education while being able to also teach the reimbursement aspect and how they are directly related.

Melinda has many years of firsthand experience in the following key areas: 

  • Medicare PPS Billing Training
  • Medicare Hospice Billing Training
  • Chart Reviews as a result of OIG Corporate Integrity Agreements
  • Chart Reviews for Billing, ICD-10 Coding & OASIS Integrity Issues
  • Coordination of Clinical and Financial Staff Communications
  • Home Health PPS & Hospice Billing, Collections & Case Mix Calculations
  • Medicare Revenue Recognition Models
  • Operations Reviews and Process Improvement
  • Due Diligence Procedures
  • Staffing Pattern Analysis
  • Management of a Medical Billing Department
  • Financial Feasibility Studies/Certification Applications
  • Correspondence and Appeals with Medicare Administrative Contractors