Roy Shelburne, DDS

Dentist, Speaker

Shelburne Photo

About Dr. Roy Shelburne

Dr. Roy Shelburne graduated from Virginia Commonwealth University's School of Dentistry and opened his practice "back home" in his grandfather's hardware store building, practicing there for 27 years. He served as president of the Southwest Virginia Dental Society and volunteered at Virginia's various Mission of Mercy projects across the state. Dr. Shelburne has also been a short-term missionary with the Baptist Medical Missions International to Honduras.

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 of 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 2006 and 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. Upon his release from Federal Custody in May of 2010, he served a 3 year period of supervised probation.

During the investigation and trial, it became apparent that his records, billing and coding systems were faulty. The Court stated that his case was intended to send a message to the healthcare community, and Dr. Shelburne has decided to share his message to educate others, to prevent the same from happening to them.

As a speaker, writer and consultant, Dr. Shelburne specializes in teaching a defensive system approach to record keeping and business systems, offering protection from incomplete and faulty records.

Courses Offered

Clinical Records Prevent Criminal Records- "Do Dentistry, Not Time"

Dr. Shelburne went to prison on August 20, 2008 and was released on May 14, 2010, learning a series of lessons the hard way. There are ways to protect and defend a dental practice, to prevent what happened to him from happening to you.

Know that if it is 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 because, the whole team is potentially at risk. Learning and implementing this no nonsense 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.

Available in lecture or hands-on format, between 2-6 hours length

Objectives:

  • To have fun while learning
  • To understand that what you don't know can hurt you, and ignorance is no excuse
  • To learn to assimilate and maintain records that can both protect and defend
  • To understand due diligence, and how to conduct records review and internal audits to ensure accuracy and excellence

Cracking the Code: Coding Essentials, CDT & ICD

CDT codes are changing at an unprecedented rate and ICD-10 codes are completely new to many practices. For the CDT codes, over 175 additions, deletions and modifications have occurred over the last few years. ICD-10 is a new medical coding system that became mandatory on October 1, 2016 for medical payers. Many practices are unaware that Medical plans may reimburse dentists for necessary treatment.

Remaining current is essential for maximum reimbursement, and proper documentation that supports the treatment is paramount. This course will provide the most current information regarding the most recent CDT coding changes, and will identify those services that could qualify for medical plan reimbursement. The information is designed to maximize legitimate reimbursement, leaving no money on the table. Move your practice to the next level by arming the doctor and staff with the latest coding information.

Available in lecture or hands-on format, 2-4 hour content length

Objectives:

  • To laugh while learning
  • To assess if current CDT or ICD codes are being used and/or being used properly
  • To update the latest dental coding information for CDT and ICD
  • To obtain the maximum legitimate reimbursement for the practice

Raising the Reimbursement Roof, while reducing the Regulatory Risk

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

Learning the proper usage of codes and documentation will result in maximum legitimate reimbursement, reducing risk, as well as lowering the stress in your practice, and just may keep you out of jail in the process.

Available in lecture or hands-on format, 2-3 hours in length

Objectives:

  • To have fun while learning
  • Learn the most commonly misused codes
  • To correct common coding mistakes and eliminate reimbursement delays
  • To be equipped to provide the necessary supportive information and be paid quickly and consistently

Maneuvering the Dental Minefield

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

During the investigation and trial, it became apparent that my billing and coding systems were faulty. Educating others to bill and code appropriately has now become my mission. It is possible to implement systems, form a proactive defensive approach and obtain maximum legitimate reimbursement. Preparing for this challenge, the team must be careful, concise, complete and diligent. By learning and implementing my approach, higher reimbursement and lower risk will be associated with proper coding. If the deficiencies in your systems are ignored, both doctor and staff are at risk.

Available in 1.5 hour to full day lecture, with or w/o hands-on workshop

Objectives:

  • To recognize the dangers of coding improperly
  • To see the benefits of proper coding
  • To learn the most commonly misused codes and how to avoid the "usual" errors
  • To be able to develop systems that result in timely payment 

Risky Business, Where's the Danger and How to Prepare

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 to 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.

Available in 1.5 hour to full day lecture, with or w/o hands-on workshop

Objectives:

  • Learn the 5 biggest threats to the success of your practice
  • Implement systems that address and protect against the threats that exist
  • Prepare for the challenges to your practice and become prepared to thrive

 

Stop the Insanity, by doing things differently-"Making your best better"

Risk is everywhere. As a dentist that served as Chairman of the Board for a local not-for-profit hospital, I observed first-hand the benefits of the quality improvement principles as they applied to medicine and the hospital environment. Quality improvement principles work efficiently and effectively, improving the systems of operation and reducing the risk in the dental environment, as well.

Application of these principles in dental practices can result in more streamlined systems of operation, increased job satisfaction, improved treatment outcomes, and elevated patient satisfaction. This presentation will share the principles of quality improvement to empower the dental team to adopt and implement these principles, making our job easier and better.

Available in 1.5 hour to full day lecture, with or w/o hands-on workshop

Objectives:

  • To understand the principles of quality improvement
  • Implementation of quality improvement systems to improve patient outcomes, increase revenue and reduce stress in the dental environment

Be Free at Last

"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 four walls, I found that release comes when we find and draw from our inner 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 about the world around us.

Available in 1 hour lecture/keynote presentation

Objectives:

  • To realize we are all in bondage of one kind or another
  • To understand that before we can be free, we must recognize what is binding us
  • To embrace the fact that our freedom can only be achieved when we refocus our lives by using our time and talents, and by treasuring what is important to us