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
  • Targeted Probe and Educate – What We Have Learned So Far View
  • CAHPS – Home Health & Hospice View
  • HHCCN, ABN, NOMNC – Which Form Do I Use? View

Upcoming Events

Mon 19

National Association for Home Care & Hospice 2018 March on Washington

March 19 - March 20
United States

Please join the National Association for Home Care & Hospice (NAHC) on March 19-20, 2018, as leaders and advocates for home care and hospice gather in Washington, D.C., to make our voices heard in the halls of Congress. NAHC is hosting a panel discussion on current legislative issues impacting home care and hospice on Monday, March 19, and participants are encouraged to schedule individual meetings with members of Congress on Tuesday, March 20.

Wed 21

Top Hospice Claim Risk Areas

March 21 @ 10:00 am - 11:30 am CDT
Nashville TN
United States
Speaker: Katie Wehri

The risk for payment of hospice claims increased significantly with CMS’ implementation of targeted probe and educate. This webinar briefly reviews the targeted probe and educate model and delves into stated and potential hospice target areas, how they impact operations and preparation and response plans, as well as what is expected to be in every hospice medical record to support the claim. Topics covered include long lengths of stay, criteria for general inpatient care, proper use of Q-codes, certification of terminal illness and election statements.

Tue 27

Home Care Manager Certificate Program

March 27 - March 29
Las Vegas NV
United States
Speaker: Melinda Gaboury

The Home Care Manager Certificate Program HCMCP® is an interactive and intensive educational program, providing leading edge management concepts and skills that are critical for home care managers to know and understand. This program was designed to accommodate all sections of home care, from private pay to large home care agencies. There are two modules to choose from: Private Duty or Medicare Certified. This program was designed to improve your leadership skills, learn the fundamentals of budgeting, marketing, financial management, compliance, regulatory and human resources of entry level home care managers.

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