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 on the NAHC/HHFMA Advisory Board and Work Group and is Treasurer on the Home Care Association of Florida Board of Directors.  Melinda is also the author of the Home Health OASIS Guide to OASIS-D1 and Home Health Billing Answers, 2022.

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

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

Hospice New Rates 2023, ICD-10 Codes Updated & PDGM Proposed (VIDEO)

Medical Review and Plan for the Next Visit Documentation (VIDEO)

  We have seen some key points that Medical Reviewers are beginning to deny if the expected documentation is not present. There are several items that are required on individual visit notes. Clinicians get tired of hearing Medical Review discussions about...

Upcoming Events with Melinda

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

Monday Minute with Melinda

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

Hospice New Rates 2023, ICD-10 Codes Updated & PDGM Proposed (VIDEO)

Medical Review and Plan for the Next Visit Documentation (VIDEO)

  We have seen some key points that Medical Reviewers are beginning to deny if the expected documentation is not present. There are several items that are required on individual visit notes. Clinicians get tired of hearing Medical Review discussions about...