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.
Melinda A. Gaboury, with more than 30 years in home care, has over 22 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 PDGM 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 as the Chair of the NAHC/HHFMA Advisory Board and Work Group and is currently serving on the Board of Directors for both the Home Care Association of Florida & Tennessee Association for Home Care. Melinda is also the author of the Home Health OASIS Guide to OASIS-E  and Home Health Billing Answers, 2023.
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 home care 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
Recent Videos
VBID Model Hospice Carve-In to End in December 2024
The Value-Based Insurance Design (VBID) model has included a hospice carve-in since 2021. Shockingly, it has been announced within the VBID demonstration framework that the hospice carve-in will conclude on December 31, 2024. The hospice carve-in, which was...
Navigating the Playing Field – Part 2: Mastering the Game of Medicare Advantage
With Medicare Advantage on the rise how can your agency knock it out of the park and use it to your advantage? The short stop answer is with implementing consistent processes. When a batter is up to bat, they know which direction to go and what bases they must...
Understanding the Top Two Reasons for Hospice Medical Review Denials
An increase in denials is occurring due to two very important hospice medical review topics – the Face-to-Face Encounter and the Certificate of Terminal Illness. Face-to-Face Encounter The Face-to-Face Encounter is mandatory for every 3rd or subsequent benefit...
Upcoming Events with Melinda
Don’t miss our upcoming training webinars, workshops, conferences, and speaking engagements.
Monday Minute with Melinda
Every Monday, watch as Melinda discusses relevant and critical topics that impact the home health and hospice industries.
HPS Alliance Portal
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Recent Articles Written by Melinda A. Gaboury, COS-C
VBID Model Hospice Carve-In to End in December 2024
The Value-Based Insurance Design (VBID) model has included a hospice carve-in since 2021. Shockingly, it has been announced within the VBID demonstration framework that the hospice carve-in will conclude on December 31, 2024. The hospice carve-in, which was...
Navigating the Playing Field – Part 2: Mastering the Game of Medicare Advantage
With Medicare Advantage on the rise how can your agency knock it out of the park and use it to your advantage? The short stop answer is with implementing consistent processes. When a batter is up to bat, they know which direction to go and what bases they must...
Understanding the Top Two Reasons for Hospice Medical Review Denials
An increase in denials is occurring due to two very important hospice medical review topics – the Face-to-Face Encounter and the Certificate of Terminal Illness. Face-to-Face Encounter The Face-to-Face Encounter is mandatory for every 3rd or subsequent benefit...