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
  • 2018 Home Health Final Rule View
  • Claim Denials Due to NO OASIS Will Now Return to Provider View
  • New Medicare Cards – Questions Answered View

Upcoming Events

Wed 20

The Home Care Final Rule 2018 Webinar

December 20 @ 2:00 pm - 3:30 pm CST
Speaker: Melinda A. Gaboury, CEO
Jan 09

Home Health 2018 Final Rule & Contractor Update

January 9, 2018 @ 9:00 am - 10:30 am CST
Speaker: Melinda Gaboury

This webinar will review the details of the 2018 Final Home Health Rule which includes 2018 rates and update to Value Based Purchasing and HH Quality Reporting Program. This webinar will also review the goal of the ADR/RA & ZPIC audit process. Agencies will learn how to respond to these record requests as well as the subsequent audit findings. The timelines for responses and the recoupment process will be defined. This session will describe likely audit risk for home health agencies and how to monitor those risks. Lastly, this session will assist in providing a checklist for the documentation required to be sent in, but also a checklist of things to review in the chart before sending it in.

Jan 10

Hospice: Regulatory Necessities (Election/NOE/CTI)

January 10, 2018 @ 11:00 am - 12:30 pm CST
Speaker: Katie Wehri

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 and clinical consulting to the home care and hospice industries.

With more than 16 years of executive speaking, educating and most importantly day-to-day experience working with home care and hospice professionals. Gaboury has been a speaker for 20+ state home care and hospice associations. She is on the NAHC/HHFMA Advisory Board and Work Group. Gaboury has been a speaker for NAHC at both the Financial Manager’s Annual Conference and NAHC Annual Conference each year for the last 8 years. She is actively conducting Basic and Advanced Home Care and Hospice Seminars throughout the country. Gaboury is also the author of the Home Health Pocket Guide to OASIS-C2: A Reference Guide for Field Staff.

Gaboury 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 home care chain as a staff accountant and later joined a national healthcare consulting firm as their Reimbursement Manager.

Prior to the inception of Medicare PPS Gaboury 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. Gaboury’s priority remains bridging the gap between clinical and financial issues in home health and hospice agencies. The one unique thing that Gaboury 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.

Gaboury has many years of first hand 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 Care PPS & Hospice Billing, Collections & Case Mix
  • Medicare Revenue Recognition Models
  • Due Diligence Procedures
  • Staffing Pattern Analysis
  • Management of a Medical Billing Department