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

Clarifying Uncertainty Surrounding the Timely Initiation of Care Outcome Measure
A long-established outcome measure for home health, the Timely Initiation of Care Outcome Measure, seems to have some uncertainty surrounding it that we’d like to clear up. The Timely Initiation of Care Outcome Measure is determined using the dates recorded in...

Understanding the Increased Focus on Teaching Episodes and What Medical Reviewers are Looking for in the Documentation
Recently, audits like Targeted Probe and Educate (TPE), UPIC, SMRC, and RAC have become more frequent, especially since the start of the year. A notable area of focus for home health agencies that wasn’t heavily scrutinized in the past is teaching episodes. ...

Self-Reporting your Hospice Aggregate Cap: Reviewing the Details
We have approached the time of the year to address the self-reporting of your Hospice Aggregate Cap. For this year, the aggregate Capmust be submitted by February 28, 2025, and will cover the fiscal year ending on September 30, 2024. Remember that the reports...
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
Join HPS Alliance!
Access exclusive educational home care and hospice resources online
with an annual membership in HPS Alliance
Recent Articles Written by Melinda A. Gaboury, COS-C

Clarifying Uncertainty Surrounding the Timely Initiation of Care Outcome Measure
A long-established outcome measure for home health, the Timely Initiation of Care Outcome Measure, seems to have some uncertainty surrounding it that we’d like to clear up. The Timely Initiation of Care Outcome Measure is determined using the dates recorded in...

Understanding the Increased Focus on Teaching Episodes and What Medical Reviewers are Looking for in the Documentation
Recently, audits like Targeted Probe and Educate (TPE), UPIC, SMRC, and RAC have become more frequent, especially since the start of the year. A notable area of focus for home health agencies that wasn’t heavily scrutinized in the past is teaching episodes. ...

Self-Reporting your Hospice Aggregate Cap: Reviewing the Details
We have approached the time of the year to address the self-reporting of your Hospice Aggregate Cap. For this year, the aggregate Capmust be submitted by February 28, 2025, and will cover the fiscal year ending on September 30, 2024. Remember that the reports...
Healthcare Provider Solutions proudly affiliates with the national Home Care & Hospice Associations and many state associations.

