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: A Reference for Field Staff; 2023 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
Recent Videos
Is a Mock Survey in my Home Health or Hospice’s Best Interest?
MOCK SURVEY DEFINED Mock Surveys are a great tool to assist organizations in preparing for an imminent survey. Whether recertification or initial certification survey, a mock survey is recommended to assist in identifying any gaps in compliance and in developing a...
Discussing the January 2023 Quarterly OASIS-E Q&A (VIDEO)
The CMS Quarterly OASIS-E Q&A is a valuable resource for staying current with the latest developments on OASIS-E. During this session, questions from participants covered a wide range of topics, but there are a few key questions that I would like to expand...
Sudden Reactivation of Code 31755 and the Impact it Has on Claims (VIDEO)
In Home Health there has been an edit in place that required the date on the HIPPS code line of a claim to match the first billable visit on the claim. In the past, under 60-day payment methodology, that was not that big of a deal. In 2021, after having...
Upcoming Events with Melinda
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Recent Articles Written by Melinda A. Gaboury, COS-C
Is a Mock Survey in my Home Health or Hospice’s Best Interest?
MOCK SURVEY DEFINED Mock Surveys are a great tool to assist organizations in preparing for an imminent survey. Whether recertification or initial certification survey, a mock survey is recommended to assist in identifying any gaps in compliance and in developing a...
Discussing the January 2023 Quarterly OASIS-E Q&A (VIDEO)
The CMS Quarterly OASIS-E Q&A is a valuable resource for staying current with the latest developments on OASIS-E. During this session, questions from participants covered a wide range of topics, but there are a few key questions that I would like to expand...
Sudden Reactivation of Code 31755 and the Impact it Has on Claims (VIDEO)
In Home Health there has been an edit in place that required the date on the HIPPS code line of a claim to match the first billable visit on the claim. In the past, under 60-day payment methodology, that was not that big of a deal. In 2021, after having...