Roy S. Shelburne, DDS

Dr. Shelburne is a 1981 Honor Graduate from Virginia Commonwealth University’s School of Dentistry. After graduation, Dr. Shelburne opened his practice “back home” in his grandfather’s hardware store building and practiced there for 27 years. He has been a past president of the Southwest Virginia Dental Society and has volunteer at Virginia’s various MOM projects across the state. Dr. Shelburne has also been a short term missionary with the Baptist Medical Missions International to Honduras, CA.

Some dentists may fear litigation but few worry about going to prison. Dr. Shelburne became aware that he was a target of an investigation when on October 24, 2003 the FBI broke down the back door of his office and confiscated all his business and dental records. Over the course of the next 3 years every aspect of his life was subjected to the closest scrutiny. Roy was indicted in October of 2006 was found guilty of healthcare fraud, racketeering, and money laundering in March of 2008. He was sentenced to 24 months in Federal Prison and was ordered to pay fines and restitution. Roy was released from Federal custody in May of 2010 is presently serving a 3 year period of supervised probation.

During the investigation as well as in the preparation for and during the trial it became apparent that his records, billing, and coding systems were faulty and ignorance is no excuse. The Court stated that this action was intended to send a message to the healthcare community and Dr. Shelburne has taken that statement literally. Dr. Shelburne has now focused his efforts toward the education of others to prevent the same from happening to them. His message is that it is possible to implement systems that can form a defensive systems approach. A speaker, consultant, and writer, Dr. Shelburne specializes in record keeping and business systems that protect and defend.

One and a half hours to a full day lecture course with a corresponding half-day hands on workshop available

Dr. Shelburne went to prison on August 20, 2008 and was released on May 14, 2010 and learned a series of lessons the hard way. There are ways to protect and defend a dental practice and to prevent what happened to him from happening to you. You can protect your practice in the event of a Board complaint, insurance audit, malpractice claim, or criminal complaint and maximize legitimate reimbursement.

Dr. Shelburne found that his records and systems were faulty. He learned that it is critical and possible to implement protocols and form a defensive systemic approach to record keeping. Know that if it’s not in your clinical record, you didn’t see it, you didn’t say it, you didn’t do it, it didn’t need to be done, and it doesn’t exist….from the legal perspective. To be prepared for any challenge the whole dental team must be careful, concise, complete, and diligent, not just the doctor. Learning and implementing this no non-sense team approach to record keeping could mean the difference between success and failure in the event of an action or challenge to your practice and will result in maximum legitimate reimbursement.

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2-4 hour course

CDT Codes are changing at an unprecedented rate and ICD-10 completely new.  In the CDT, over 175 additions, deletions, and modifications have occurred over the past 3 years. ICD-10 is a new medical coding system that will become mandatory on October 1, 2016 for most medical payers.   Remaining current is essential for maximum reimbursement and documentation that supports the treatment is paramount.  This course will provide the most current information regarding these most recent CDT coding changes and ICD-10. The information is designed to maximize legitimate reimbursement, leaving no money on the table.  There are many new strategies that will directly affect reimbursement and the bottom line.  Move your practice to the next level by arming the doctor and staff with the latest coding information.

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One and a half hour to full-day course with a subsequent half-day hands on workshop available

When the practice is paid rapidly and appropriately, things are good; however, when there are delays, denials, and requests for additional information, thing are not quite so good. Mistakes can be devastating to the practice.

During the investigation as well as in the preparation for and during my trial it became apparent that my billing and coding systems were faulty. I now educate others so that they can bill and code appropriately. My message is; it is possible to implement systems that can form a proactive defensive systemic approach that will result in maximum legitimate reimbursement. To be prepared for this challenge the team must be careful, concise, complete, and diligent. Learning and implementing my approach will result in higher reimbursement while reducing the risk associated with the coding piece of the practice. If the deficiencies in your systems are ignored both doctor and staff are at risk.

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One and a half hour to full-day course with a subsequent half-day hands on workshop available

Dangers abound to the vitality of your practice and your future success. It is possible not only to survive but to thrive in the midst of today’s challenges…if you are prepared. Knowledge is power so come learn: what you need to know, what you need to do, and what you can achieve if you are willing to face those challenges head on, without fear or hesitation.

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One and a half hour to full day course with a subsequent half-day hands on workshop available

When the practice is paid rapidly and appropriately, things are good; however, when there are delays, denials, and requests for additional information, thing are not quite so good. Mistakes can be devastating to the practice. Learn the proper use of the codes in a way that maximizes legitimate reimbursement, reduces risk, and lowers the stress in your practice.

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One and a half hour to full day course with a subsequent half-day hands on workshop available

Risk is everywhere. As a dentist that served as Chairman of the Board of a local not for profit hospital, I observed first-hand the benefits of the quality improvement principals as they applied to medicine and the hospital environment. Quality improvement principals work very efficiently and effectively to improve the systems of operation and reduce risk when adopted in the dental environment as well. Application of these principals in dental practices has ultimately resulted in more streamlined systems of operation, increased job satisfaction, improved treatment outcomes and elevated overall patient satisfaction. The purpose of this presentation is to share the principals of quality improvement and to empower the dental team to adopt and implement these principals making what we do easier and better.

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“Stone walls do not a prison make, nor iron bars a cage”
While incarcerated at the Federal Prison Camp in Manchester, KY for 19 months I had ample time to evaluate where I had been, where I was, and where I was going. It became very clear, while there in prison, that I had begun a sentence of imprisonment long before the steel doors slammed behind me on August 20, 2008 due to the choices I had made. It was in that prison camp that I began to experience true freedom for the first time in a very long time. Behind those 4 walls I found that release comes when we find and draw from our strength, character, vision, wisdom and experience. I invite you to come with me as I share what was discovered in the process, about me, about human nature, about the practice of dentistry, and the about the world around us.

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