Healthcare Provider Solutions

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.

With more than 29 years in home care, Melinda has over 20 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 PPS 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 as ex-officio and is Treasurer on the Home Care Association of Florida Board of Directors. Melinda is also the author of the Home Health Guide to OASIS-D1: A Reference for Field Staff.

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 homecare 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

Home Health Guide to OASIS-D1: A Reference for Field Staff

Authored by CEO, Melinda A. Gaboury, this brand-new pocket guide provides a quick reference for filling out the OASIS, with tips and callouts on new items, including which items affect PDGM case mix, rating, and value-based purchasing reimbursement.

This reference explains how OASIS items fit into various assessments and provides troubleshooting tips to avoid incorrect PDGM payments, denials, and fines!

Recent Videos

Local Coverage Determinations (LCD) (VIDEO)

Local Coverage Determinations (LCD) (VIDEO)

  This Monday Minute reminds home health and hospice about the significance that the LCD can have in the medical review of Medicare charts. Hello everyone, and welcome to our Monday Minute. Today I want to remind you about a very important document that the...

Local Coverage Determinations (LCD) (VIDEO)

The Impact of Hurricane Ida

  This Monday  Minute will touch on the impact that Hurricane Ida has had on home health and hospice and exceptions granted by CMS to this area. Hello everyone, welcome to our Monday Minute. Today I want to share with you some information that has come to our...

Local Coverage Determinations (LCD) (VIDEO)

Medicare Claims Processing Issues Logs (VIDEO)

  This Monday Minute emphasizes the importance of reconciling payments to your AR and the significance of the Medicare MAC claims processing issues logs. Hi everyone, and welcome to our Monday Minute. Today I'd like to discuss with you the Medicare MAC claims...

Upcoming Events with Melinda

Don’t miss our upcoming training webinars, workshops, conferences, and speaking engagements.

21 Oct

Hospice Billing Series: Part 2 – Details of Medicare Claims Processing

October 21 @ 2:00 pm - 3:30 pm EDT REGISTER Speaker: Melinda A. Gaboury, CEO
22 Oct

Value Based Purchasing – IHHC

October 22 @ 11:00 am - 12:30 pm CDT REGISTER Speaker: Melinda A. Gaboury, CEO

Monday Minute with Melinda

Get critical weekly video updates to empower your agency

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Recent Articles Written by Melinda A. Gaboury, COS-C

Local Coverage Determinations (LCD) (VIDEO)

Local Coverage Determinations (LCD) (VIDEO)

  This Monday Minute reminds home health and hospice about the significance that the LCD can have in the medical review of Medicare charts. Hello everyone, and welcome to our Monday Minute. Today I want to remind you about a very important document that the...

Local Coverage Determinations (LCD) (VIDEO)

The Impact of Hurricane Ida

  This Monday  Minute will touch on the impact that Hurricane Ida has had on home health and hospice and exceptions granted by CMS to this area. Hello everyone, welcome to our Monday Minute. Today I want to share with you some information that has come to our...

Local Coverage Determinations (LCD) (VIDEO)

Medicare Claims Processing Issues Logs (VIDEO)

  This Monday Minute emphasizes the importance of reconciling payments to your AR and the significance of the Medicare MAC claims processing issues logs. Hi everyone, and welcome to our Monday Minute. Today I'd like to discuss with you the Medicare MAC claims...