Healthcare Provider Solutions

What Healthcare Provider Solutions does

Healthcare Provider Solutions (HPS) is a privately held, founder-owned healthcare consulting firm headquartered in Nashville, Tennessee, founded in April 2001 by Melinda Gaboury and Mark Cannon. The company exclusively serves U.S. home health and hospice agencies with financial, reimbursement, billing, coding, clinical compliance, and operational consulting services, supporting 130+ agencies nationwide through a 100% U.S.-based team of credentialed OASIS and ICD-10 specialists. Its technology stack is anchored by the proprietary HPS Portal, a secure client platform that delivers denial and ADR notifications, daily unbilled claim visibility, billing compliance reviews, and AR and claim status tracking, and the HPS Alliance Dashboard, a centralized membership hub for on-demand training, audit tools, and direct consultant access. The business model combines an annual subscription layer (HPS Alliance membership at $499/year with 12 webinars and two Nashville workshops), professional consulting billed at hourly rates with a 10% member discount, and paid workshops/webinars priced at $99-$200 per attendee, supplemented by free AR and Coding/OASIS evaluations as lead generation. HPS holds CHAP and ACHC accreditations and is HIPAA-compliant, and its leadership maintains direct influence on industry rule-making through the NAHC/HHFMA Advisory Board and multiple state association boards of directors.

Name

Healthcare Provider Solutions

Legal name

Healthcare Provider Solutions, Inc.

Website

https://healthcareprovidersolutions.com

Company type

Private

Founded year

2001

Operating status

Operating

Headcount range

51–100 employees

Short description

Healthcare Provider Solutions is a Nashville-based, founder-owned healthcare consulting firm providing billing, coding, OASIS, and clinical compliance services exclusively to U.S. home health and hospice agencies through a proprietary client portal and a $499/year HPS Alliance membership.

Ownership category

akta.pro rank

Product category

Healthcare Consulting (Home Health and Hospice Billing, Coding, and Compliance)

NAICS

Home Health Care Services (62161)

SIC

Services-Home Health Care Services (8082)

akta.pro primary industry

Home Health Therapy Services (PT/OT/SLP) Providers (HLAFAEAM)

akta.pro secondary industry

Palliative Care (Home-Based) Providers (HLAFAEAD)

Keywords

• Home health billing services
• Hospice billing consulting
• OASIS-E2 training
• Revenue cycle management
• Clinical compliance consulting

Headquarters

HQ city

Nashville

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Others

Revenue model

1. HPS Alliance Membership Subscription: Annual subscription membership providing access to on-demand education, compliance resources, webinars, workshops, audit tools, and consulting support. Priced at $499/year per membership with additional discounts on hourly consulting services.
2. Professional Consulting Services: Billed consulting services including billing consultant on call, clinical consultant on call, revenue cycle consulting, coding services, clinical compliance consulting, medical review consulting, due diligence reviews, and operations process reviews. Offered at hourly rates with 10% discount for HPS Alliance members.
3. Event and Workshop Fees: Revenue from paid workshops and webinars including the annual Home Health Workshop and Hospice Workshop. Additional attendee passes priced at $99-$200 per person. Free webinars available as lead generation for membership.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels6 records

Core offering

Healthcare Provider Solutions (HPS) delivers financial, reimbursement, billing, coding, OASIS, clinical compliance, and revenue cycle consulting services exclusively to U.S. home health and hospice agencies. The company sells a $499/year HPS Alliance membership that bundles on-demand education, webinars, workshops, and audit tools, alongside hourly-billed professional services covering end-to-end billing, OASIS-E2 training and certification support, coding, medical review, due diligence, and on-site training. All services are delivered by a 100% U.S.-based, CHAP- and ACHC-credentialed consultant team, supported by the proprietary HPS Portal for secure client deliverables tracking.

Product overview

Healthcare Provider Solutions (HPS) offers a comprehensive suite of consulting and education services for home health and hospice agencies, organized around a membership platform (HPS Alliance) and various service offerings. The core portfolio includes billing and revenue cycle management services (Home Health Billing, Hospice Billing, Revenue Cycle Consulting, Managed Care Contracting), coding and OASIS assessment services (Home Care & Hospice Coding, Coding Training, OASIS-E2 Training), and clinical compliance consulting (Medical Review, Operations Process Review, Due Diligence). The HPS Alliance membership serves as the primary educational hub, providing access to webinars, workshops, audit tools, and consulting support for $499/year. Additional products include the secure HPS Portal for tracking deliverables, training publications like the Home Health Guide to OASIS, and free evaluation tools for AR and Coding & OASIS reviews. All services are delivered by a 100% U.S.-based team with support for 15+ EMR systems across 130+ agencies nationwide.

Differentiator

Problem solved

Functional benefit

Brands

• HPS Alliance: Annual membership program providing on-demand education, compliance resources, webinars, workshops, and consulting support for home health and hospice professionals

Products and services

• HPS Alliance Membership Annual subscription membership priced at $499/year that provides access to on-demand education, compliance resources, 12 exclusive webinars per year, two annual compliance workshops in Nashville, audit tools, ongoing regulatory updates, and a 10% discount on additional hourly consulting services. Designed for home health and hospice agency professionals and teams.
• HPS Portal Secure, purpose-built web portal that enables HPS clients to track progress, manage deliverables, view denial and ADR notifications, monitor daily unbilled claims, complete billing compliance reviews, and track AR and claim status. Built for existing HPS consulting and billing clients.
• Home Health Billing Services Recurring billing services that help home health agencies close gaps, recover dollars, and bill with confidence through a 100% U.S.-based billing team. Suitable for home health agencies seeking outsourced or supplemental billing capacity.
• Hospice Billing Services Recurring billing services for hospice providers, managed entirely in the U.S. with proactive compliance, payer expertise, and full visibility into every claim. Suitable for hospice agencies needing outsourced or supplemental billing.
• Billing Consultant on Call Hourly, on-demand access to U.S.-based billing consultants with no monthly minimums or long-term commitments. Designed for home health and hospice agencies that need flexible billing expertise.
• Revenue Cycle Consulting Consulting engagements covering aged claims to full revenue cycle consulting, helping agencies uncover hidden inefficiencies, recover receivables, and maintain steady cash flow. Designed for home health and hospice agencies experiencing AR backlog or systemic revenue cycle issues.
• Managed Care Contracting and Credentialing Contracting and credentialing services that help home health and hospice agencies expand payer reach, negotiate rates, and strengthen long-term payer relationships.
• Home Care & Hospice Coding Services Outsourced coding services delivering reliable accuracy, survey-ready compliance, and stronger cash flow through U.S.-based certified coders. Designed for home health and hospice agencies needing supplemental coding capacity.
• Coding Training Offerings Specialized coding training programs designed by HPS clinical and operational specialists to sharpen coding precision for home health and hospice staff.
• Clinical Compliance Consulting Consulting engagements covering QAPI oversight, mock surveys, and chart reviews to provide actionable compliance insight supporting growth, performance, and survey success. Designed for home health and hospice agencies preparing for surveys or seeking to strengthen clinical compliance programs.
• Medical Review Consulting U.S.-based clinicians guide home health and hospice agencies through TPE, ADR, RAC, SMRC, CERT, PPEO and UPIC processes, from chart preparation through all levels of appeals.
• Operations Process Review Comprehensive operational reviews that expose inefficiencies, correct process breakdowns, and build operational structure for home health and hospice agency growth.
• Clinical Consultant on Call On-demand clinical consultants providing clarity, compliance insight, and confidence for tough survey citations or complex eligibility questions. Suitable for home health and hospice agencies needing responsive clinical expertise.
• Due Diligence Services Objective, data-driven reviews of clinical documentation, compliance, quality, and reimbursement for investors, owners, and leadership teams evaluating home health and hospice acquisitions or investments.
• 2026 OASIS-E2 Training Series (5-Part) Five-part training series updated for 2026 providing comprehensive OASIS assessment guidance, including all new and revised OASIS-E2 items. Designed for new and seasoned OASIS clinicians in home health agencies.
• Home Health Guide to OASIS: A Reference for Field Staff, 2026 Field reference guide providing guidance on completing the OASIS assessment, including all new and revised OASIS-E2 items, with updated guidance effective April 1, 2026. Designed for home health field staff.
• Mastering OASIS GG Items Workshop Workshop (recorded) covering the critical role of OASIS Section GG items in achieving quality and payment success in home health care.
• On-Site Training In-person specialized training programs covering OASIS-E2, coding precision, and assessment clarity, designed by HPS clinical and operational specialists and delivered on-site at client locations.
• OASIS-E2 Education Training programs focused on mastering OASIS-E2 assessments and providing clarity to every assessment, designed by HPS clinical and operational specialists.

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

Four partnerships are on record, tiered core.

• National Alliance for Care at HomecoreStrategic or Co-development PartnerHPS proudly affiliates with the National Alliance for Care at Home and many state associations. This partnership provides access to industry networks, regulatory updates, and collaborative opportunities with other home care and hospice providers.
• State Home Care AssociationscoreStrategic or Co-development PartnerHPS maintains affiliations with multiple state home care and hospice associations, including Home Care Association of Florida and Tennessee Association for Home Care. CEO Melinda Gaboury serves on boards of directors for state associations.
• CHAP (Community Health Accreditation Partner)coreOthersHPS is CHAP certified, demonstrating compliance with national standards for home and hospice care consulting services. CHAP certification validates quality and competency in providing healthcare consulting services.
• ACHC (Accreditation Commission for Health Care)coreOthersHPS is ACHC certified, demonstrating commitment to quality standards in home health and hospice consulting. ACHC accreditation is recognized as a mark of excellence in healthcare services.

Scale indicators4 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• MatrixCare (ResMed): MatrixCare is a leading EMR for home health, hospice, and post-acute providers and offers adjacent RCM and analytics services, making it a broader incumbent in the same market HPS serves.
• Forvis (formerly BKD) Healthcare: Forvis is a large professional services firm whose healthcare practice serves home health and hospice agencies with reimbursement, compliance, and consulting services, representing a scaled incumbent alternative to HPS.
• WellSky Home Health: WellSky's post-acute platform includes home health software, analytics, and services that increasingly bundle billing and compliance support, positioning it as a broad incumbent competing for the same agency customers as HPS.

Emerging players

• KanTime: KanTime is an EMR for home health, hospice, and behavioral health that competes in the post-acute software layer where HPS's HPS Portal and RCM services operate.
• Dedicated Nursing Associates / SHP (Strategic Healthcare Programs): Strategic Healthcare Programs (SHP) provides OASIS and outcomes benchmarking/analytics for home health and hospice agencies, offering an adjacent complementary solution to HPS's training and OASIS services.

Direct peers

• Axxess: Axxess provides EMR software plus billing and consulting services for home health, hospice, and home care providers, overlapping with HPS on coding, OASIS, and revenue cycle support for the same customer base.
• McBee Associates: McBee Associates provides healthcare consulting, RCM, and clinical compliance services with a focus on post-acute and home health providers, overlapping directly with HPS's consulting and audit support offerings.
• SimiTree Healthcare Consulting: SimiTree (formed via the merger of Simione and BlackTree Healthcare Consulting) provides RCM, billing, coding, OASIS, and clinical consulting for home health and hospice agencies, making it the closest direct competitor to HPS in terms of service mix and customer segment.
• Healthcarefirst (by ResMed): Healthcarefirst offers RCM, billing, coding, and clinical documentation services for home health and hospice agencies, directly overlapping with HPS's core revenue cycle and consulting offerings.
• BlackTree Healthcare Consulting: BlackTree Healthcare Consulting is a post-acute consulting firm specializing in RCM, billing, coding, and operations for home health and hospice, directly comparable to HPS (now part of SimiTree).

Market position

Strengths5 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/HPS_Alliance
• YouTubeyoutube.com/channel/UC0MMn84wYDUxHAeXvC87tJw
• Facebookfacebook.com/Healthcare-Provider-Solutions-Inc-491257047603745
• LinkedInlinkedin.com/company/healthcare-provider-solutions-inc-

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Healthcare Provider Solutions