Biography
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, and TPE appeals with all Medicare MACs have become the forefront of
Melinda’s current impact on the industry. Melinda is currently Chair of the
NAHC/HHFMA Advisory Board and Work Group, is Treasurer on the Home Care
Association of Florida Board of Directors, and serves on the Tennessee
Association for Home Care Board of Directors. Melinda is also the author of the
Home Health OASIS Guide to OASIS-E and Home Health Billing Answers,
2023.
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
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Melinda
A. Gaboury and D. Mark Cannon, CPA, founded Healthcare Provider Solutions, Inc.
in April 2001 to provide products and services to the home care and hospice
industries. Their staff of seasoned professionals serve clients nationwide,
including the US territories. Healthcare Provider Solutions’ core services
include home care and hospice billing and collections, receivable collection
projects, outsourced coding, clinical compliance chart reviews, operational
reviews, and education through seminars and webinars.
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