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Roy ShelburneOffline

DDS
www.royshelburne.com

Courses

Clinical Records Prevent Criminal Records

"Do Dentistry, Not Time"

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Description

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.

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 because, the whole team is potentially at risk.  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.

Learning Objectives

1.

Have fun while learning

2.

Understand that what you don’t know can hurt you and that ignorance is no excuse

3.

Learn to assimilate and maintain records that can both protect and defend.

4.

Understand the necessity of due diligence and how to conduct records review and internal audits to ensure accuracy and excellence

5.

Recognize the most common documentation errors and how to avoid them.

Details

Qualifies for CE

  • Hands-on,
  • Keynote,
  • Lecture,
  • Workshop,

Cracking the Code: Coding Essentials, CDT and ICD

Leave Nothing on the Table

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Description

Available in a lecture or hands on format

2-4 hours (varying according to the complexity of the content.

CDT Codes are changing at an unprecedented rate and ICD-10 completely new to many practices.  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 became mandatory on October 1, 2016 for medical payers.   Many practices are unaware that Medical plans will reimburse dentists for necessary treatment.  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 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.  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

Learning Objectives

1.

To laugh while learning

2.

To assess if you are losing money because you are using old codes to file insurance claims and/or not utilizing optimized Medical coding for medical reimbursement

3.

To provide the latest dental coding information on CDT and ICD

4.

To equip the practice to obtain maximum legitimate reimbursement

Details

  • Hands-on,
  • Lecture,
  • Workshop,

Raising the Reimbursement Roof while Reducing Regulatory Risk

Get Paid, Avoid Prison

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Description

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 and the documentation results in maximum legitimate reimbursement, reduces risk, and lowers the stress in your practice as well as some and keeps you out of jail all while having fun in the process.

Learning Objectives

1.

To have fun while learning

2.

To know the most commonly misused codes and utilize the correct ones

3.

To be able to correct common coding mistakes and eliminate reimbursement delays

4.

To be equipped to provide the necessary supportive information to be paid quickly and consistently

Details

  • Hands-on,
  • Lecture,
  • Workshop,

Maneuvering the Dental Minefield

Blow Up Reimbursement, Not Your Future

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Description

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.

Learning Objectives

1.

To recognize the dangers in coding improperly and benefits of coding properly

2.

To know the most commonly misused codes and how to avoid the “usual” errors

3.

To appreciate the “magic words” that help unlock reimbursement

4.

Become knowledgeable about the 2023 CDT code changes and how to apply them

5.

To be able to develop systems that result in timely payment, minimize delays, denials, and requests for additional information

6.

To keep everyone on the team paid protected and out of prison.

Details

  • Hands-on,
  • Lecture,
  • Workshop,

Stop the Insanity, By Doing Things Differently

“Making Your Best Better”

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Description

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.

Learning Objectives

1.

To understand the principals of quality improvement

2.

To appreciate that the implementation of quality improvement systems will improve patient outcomes, increase revenue, and reduce stress in the dental environment.

3.

To be able to implement the principals of quality improvement into the everyday practice of dentistry

Details

  • Hands-on,
  • Lecture,
  • Workshop,

Be Free at Last

Stone Walls Do Not a Prison Make, Nor Iron Bars a Cage

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Description

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.

Learning Objectives

1.

To uplift, encourage, and equip dental professionals

Categories

Details

1 hours

Qualifies for CE

  • Keynote,

Dental Billing Boot Camp

Maximize Legitimate Reimbursement and Stay Out of Prison.

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Description

Would you like to increase legitimate reimbursement, alleviate delays, denials and requests for more information for your dental and medical insurance claims?  Regardless of whether you have been in Dentistry for a month or what seems like all your life, this course is for you. This “Billing Bootcamp” will guide you through the claims submissions process for both dental and medical claims and give you the tools needed to be successful in the process, leaving nothing on the table.

If you are not billing to both dental AND medical insurance plans for covered services, you are probably leaving money on the table.

Learning Objectives

1.

Define Fraud, Waste, and Abuse and how to avoid it

2.

Determine what should be contained in the patient record to support all claims submissions

3.

Be equipped to assimilate clinical records that support, protect and defend the doctor and the practice

4.

Demonstrate how to select and support the correct CDT, CPT and ICD-10-CM codes

5.

Complete the dental and medical claim form accurately without errors

6.

Recognize how to submit procedures to the medical plan

7.

Demonstrate how to gain prior approval from medical plans

8.

Discuss Medicare and Medicare Advantage

9.

Apply ICD-10-CM codes to a dental claim form

10.

Get maximum reimbursement leaving nothing on the table

Details

Qualifies for CE

  • Hands-on,

ADMC Promotion

Learn About ADMC and How You Can Benefit From Membership

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Description

The Academy of Dental Management Consultants is an organization who’s purpose is to advance the dental profession by  providing vision, standards and leadership.  The Academy’s intent is to maximize our individual talents by learning from one another.

Learning Objectives

1.

To showcase the Academy of Dental Management Consultants and encourage membership of like minded consultants.

Details

  • Hands-on,