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
  • New Medicare Cards – Questions Answered View
  • Targeted Probe and Educate View
  • 2018 OASIS-C2 Guidance Manual Update View

Upcoming Events

Thu 19

Arkansas Hospice Partners in Care Conference

October 18 - October 20
Little Rock AR
United States
Speaker: Melinda A. Gaboury, CEO

To share evidence based information in pain & symptom management and end of life care, along with communication
tools to better care for patients with serious illness. At the conclusion of this activity, the participant will be able to:
Manage the physical, psychological, and social causes of distress in life limited patients and their families.
Distinguish the difference between palliative care & hospice and recognize the appropriate timing of each in the
medical care of a patient with serious illness.
Develop strategies for implementing a palliative care program
Develop practical strategies for introducing discussions of a patient’s end of life care plan.
Develop practical techniques to improve advance care planning.
Cultivate approaches to working with diverse patient populations with different diseases in various settings.

Recognize signs of burnout and unhealthy professional behavior.
Develop strategies for mindfulness and self-care”

Fri 20

Top ADR Denials & ZPIC/UPIC Update

October 20 @ 11:00 am - 12:30 pm CDT
Speaker: Melinda A. Gaboury, CEO

This session will review the goal of the ADR Reviews & ZPIC audit process. Agencies will learn how to respond to these record requests as well as the subsequent audit findings. Top ADR denials will be addressed. The newest probe, Targeted Probe & Educate (TPE), will be introduced, including the chart defining how TPE is going to work. This session will describe likely audit risks for home health agencies and how to monitor those risks. ZPIC audits are rampant and there are various issues with responses to these contractors. Lastly, this session will assist in providing a checklist for the documentation required to be sent in, but also a checklist of things to review in the chart before sending it in.

Sun 22

The 2017 Midwest Regional Conference on Palliative and End of Life Care

October 22 - October 24
Frontenac MO
United States

The conference is designed to assist health care professionals in understanding the health care issues when treatment changes from curative to palliative care. Palliative care focuses on comfort and quality of life rather than cure and prolongation of life. Palliative care is the foundation of hospice services, however the principles are applicable to any setting where care is being provided to the terminally ill.

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