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

OASIS-E Training Series (5-Part)

This OASIS-E Training Series is for new and seasoned OASIS clinicians alike! OASIS-E is a complex data assessment set for Home Health which has had a huge update with OASIS-E that will go into effect January 2023.  Having a thorough understanding of the OASIS-E guidance and conventions as well as the intent for each OASIS item is foundational to the accurate completion of OASIS-E. We take it one step further by incorporating information on how to accurately carry out the patient assessment to obtain the most accurate scores.

Home Health Guide to OASIS: A Reference for Field Staff, 2024

Set your agency up for success with the OASIS guide created by Healthcare Provider Solutions to help your agency get ahead of the game. The updated guide provides a quick reference for filling out the OASIS-E, with tips and callouts on key items, including which items affect HHRG and payment, 5-star rating, and value-based purchasing reimbursement. This reference explains how OASIS items fit into various assessments and provides troubleshooting tips to avoid incorrect payments, denials, and fines.

Recent Videos

April Home Health Value Based Purchasing IPR Reports Released

April Home Health Value Based Purchasing IPR Reports Released

  At the end of April, the latest installment of the Home Health Value Based Purchasing Interim Performance Reports (IPR) was released. This edition includes data calculations for the OASIS items through December 2023, providing a full year’s worth of data....

April Home Health Value Based Purchasing IPR Reports Released

Review Choice Demonstration Extended for Five More Years

  The Review Choice Demonstration, a program that offers home health agencies several options for claim reviews, has been extended for another five years. This demonstration, managed by the Medicare Administrative Contractor Palmetto GBA, is currently in effect...

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

April Home Health Value Based Purchasing IPR Reports Released

April Home Health Value Based Purchasing IPR Reports Released

  At the end of April, the latest installment of the Home Health Value Based Purchasing Interim Performance Reports (IPR) was released. This edition includes data calculations for the OASIS items through December 2023, providing a full year’s worth of data....

April Home Health Value Based Purchasing IPR Reports Released

Review Choice Demonstration Extended for Five More Years

  The Review Choice Demonstration, a program that offers home health agencies several options for claim reviews, has been extended for another five years. This demonstration, managed by the Medicare Administrative Contractor Palmetto GBA, is currently in effect...

Healthcare Provider Solutions proudly affiliates with the national Home Care & Hospice Associations and many state associations.