Healthcare Provider Solutions

ABOUT

Melinda A. Gaboury, COS-C

Chief Executive Officer

Melinda A. Gaboury, COS-C

Chief Executive Officer

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 29 years in home care, Melinda has over 20 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. UPIC, 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 Treasurer on the Home Care Association of Florida Board of Directors. Melinda is also the author of the Home Health Guide to OASIS-D1: A Reference 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.

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

  • Medicare Home Health 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/PDGM & 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

Home Health Guide to OASIS-D1: A Reference for Field Staff

Authored by CEO, Melinda A. Gaboury, this brand-new pocket guide provides a quick reference for filling out the OASIS, with tips and callouts on new items, including which items affect PDGM case mix, rating, and value-based purchasing reimbursement.

This reference explains how OASIS items fit into various assessments and provides troubleshooting tips to avoid incorrect PDGM payments, denials, and fines!

Recent Videos

NEW GG Item Education for OASIS Completion (VIDEO)

NEW GG Item Education for OASIS Completion (VIDEO)

This Monday Minute assists in making agencies aware of the new CMS released GG Education Item for OASIS completion. Hello everyone, welcome to our Monday Minute. Today I want to discuss, very briefly, the new GG Item Education that CMS has published on their website....

NEW GG Item Education for OASIS Completion (VIDEO)

2022 Home Health Final Rule Includes DELAY in VBP (VIDEO)

This Monday Minute will review the 2022 Home Health Final Rule highlights, including the exciting announcement that Value Based Purchasing will be delayed until 2023. Hello, everyone welcome to our Monday Minute. Today we're going to discuss the release of the 2022...

Upcoming Events with Melinda

Don’t miss our upcoming training webinars, workshops, conferences, and speaking engagements.

30 Nov

Nationwide Rollout of Home Health Value-Based Purchasing

November 30 @ 9:00 am - 12:00 pm EST REGISTER Speaker: Melinda A. Gaboury, CEO
01 Dec

AAHC Annual Conference

December 1 REGISTER Speaker: Melinda A. Gaboury, CEO

Monday Minute with Melinda

Get critical weekly video updates to empower your agency

HPS Alliance Portal

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Recent Articles Written by Melinda A. Gaboury, COS-C

NEW GG Item Education for OASIS Completion (VIDEO)

NEW GG Item Education for OASIS Completion (VIDEO)

This Monday Minute assists in making agencies aware of the new CMS released GG Education Item for OASIS completion. Hello everyone, welcome to our Monday Minute. Today I want to discuss, very briefly, the new GG Item Education that CMS has published on their website....

NEW GG Item Education for OASIS Completion (VIDEO)

2022 Home Health Final Rule Includes DELAY in VBP (VIDEO)

This Monday Minute will review the 2022 Home Health Final Rule highlights, including the exciting announcement that Value Based Purchasing will be delayed until 2023. Hello, everyone welcome to our Monday Minute. Today we're going to discuss the release of the 2022...

NEW GG Item Education for OASIS Completion (VIDEO)

This Monday Minute assists in making agencies aware of the new GG Item Education that CMS has published on their website for OASIS completion. We have provided a link to this new education and hopefully, you’ll find it very useful in the training of your staff specific to the GG Items in the OASIS documentation.

2022 Home Health Final Rule Includes DELAY in VBP (VIDEO)

This Monday Minute will review the 2022 Home Health Final Rule highlights, including the exciting announcement that Value Based Purchasing will be delayed until 2023. With this nationwide rollout being put off until January 2023, CMS is allowing for agencies to receive additional education to be able to figure out exactly how this Value Based Purchasing process works and be able to more fully understand how your agency can be successful under the Value Based Purchasing Model.