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

Value Based Purchasing Benchmarks & Achievement Thresholds (VIDEO)

Value Based Purchasing Benchmarks & Achievement Thresholds (VIDEO)

Hello, everyone and welcome to our Monday Minute. Today I want to share with you some updated information regarding the coming implementation of the Value Based Purchasing nationwide rollout. The Value Based Purchasing model is set to begin for the entire nation on...

Value Based Purchasing Benchmarks & Achievement Thresholds (VIDEO)

Sequestration is BACK! (VIDEO)

Hello, everyone and welcome to our Monday Minute. Today we are here to talk about the touchy subject of sequestration. The sequestration deduction from your Medicare payments began several years ago and continued to be deducted and renewed until the Public Health...

Upcoming Events with Melinda

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

Monday Minute with Melinda

Get critical weekly video updates to empower your agency

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

Value Based Purchasing Benchmarks & Achievement Thresholds (VIDEO)

Value Based Purchasing Benchmarks & Achievement Thresholds (VIDEO)

Hello, everyone and welcome to our Monday Minute. Today I want to share with you some updated information regarding the coming implementation of the Value Based Purchasing nationwide rollout. The Value Based Purchasing model is set to begin for the entire nation on...

Value Based Purchasing Benchmarks & Achievement Thresholds (VIDEO)

Sequestration is BACK! (VIDEO)

Hello, everyone and welcome to our Monday Minute. Today we are here to talk about the touchy subject of sequestration. The sequestration deduction from your Medicare payments began several years ago and continued to be deducted and renewed until the Public Health...