Dr. Patrick Gentempo Details

No matter whether you want to lose weight or just want to stay fit, running is a great form of exercise. Just an hour of rigorous running is more than enough to stay in shape. Of course, you need to build your stamina over a period of time, so you can do more on the track. Runners often make mistakes with regards to their form, and injuries are not uncommon either. If you are a runner, you should consider seeing a chiropractor. In this post, we will talk about a few aspects that are worth paying attention to.Types of InjuriesAs a runner, you may face two kinds of injuries - overtraining injuries and traumatic injuries. The latter is related to an accident or an unexpected trauma. For example, if you fell on the track while running, you may end up with a sprained knee or a broken bone. On the contrary, injuries that are related to overtraining are more common. In this case, you may have pain in your knee, ankles, feet and other parts of the body, just because you ran more than your body could take. Most serious runners have a tendency to push themselves, and therefore, injuries related to overtraining is more common. Do I need a Chiropractor?A running chiropractor specializes in treating injuries that are common to runners. Many sports chiropractors may also offer treatment and help for runners. They know the mistakes that you might be making on the track, especially if you have frequent injuries. Also, they can help in treating injuries that are related to unexpected trauma or accidents. Chiropractors use a number of different techniques and varied types of manual adjustments, which are extremely useful in reducing pain and overall body stress. You will see a vast difference in your form and fitness with regular sessions, especially if you choose to visit a clinic every couple of weeks.Knowing The BenefitsAs a runner, you may get a number of benefits by visiting a chiropractor. They help in reducing the stress and physical strain that the body undergoes during runner. They also guide runners on avoiding the mistakes related to the form, so that they don't get injured on the go. Also, running chiropractors are great at reducing the recovery time after a traumatic injury. As required, they may use a number of alternative therapies, so that the body starts healing on its own, but without being heavily dependent on medicines and drugs. Chiropractors help runners in doing better, even when they are not in the best of their form. If you want to know more about chiropractic care for runners, you should make an appointment with a leading clinic in your area to know more. Don't shy away from asking questions when you meet your chiropractor for the first time. Dr. Patrick Gentempo

subluxation nerve chart

Chiropractors: The Good, the Bad, and the Ugly

Dr. Patrick Gentempo  Perception: Large numbers of consumers and investigators alike believe that fraudulent activity in the Chiropractic profession is pervasive, and, unfortunately, may use a broad-brush to paint all chiropractors as deviant actors.Why is the foregoing impression so prevalent today?Is this perception the result of historical context, viz., that the foundational premise of Chiropractic was the Chiropractic-subluxation, a condition neither objectively identifiable nor proven to exist?The subluxation may have something to do with the prevailing perception of Chiropractic. However, based on more than twenty years of experience investigating chiropractic fraud and assisting chiropractors with compliance, I suspect the following activity by some chiropractors may form the actual basis of such a perception:-Do you want what I have?: Employ practice activity advocated by practice building consultants who boast of having large bank-accounts, expensive cars, pricey clothing, luxurious vacations... and the keys to practice success. Large numbers of chiropractors are recruited directly from chiropractic colleges.-Recipe for Wealth: Employ practice activity, often at the instruction of practice building consultants, to increase practice revenues without establishing the compliance of said activity with applicable laws & rules, including, but not limited to: marketing campaigns to recruit new patients; generation of referrals from attorneys and MDs; convert/retain patients; treatment protocols for all; administer new or re-packaged health care services; provider services rendered by unlicensed staff; use computer-generated noting systems; billing codes to enhance reimbursement; and collection mechanisms to maximize income.-Explode your practice: Create multidiscipline and/or specialty practices, operating in conjunction with existing chiropractic practices, to avoid limited chiropractic coverage and access more health care dollars - including those payable by federal health care programs.-We are conveniently located: Operate multiple clinics where scripts and protocols are the norm - instruct clinic doctor and staff on what to do, how to do it, what to bill...-We provide a good service: Provide the same services at similar intervals for all patients regardless of individual needs. Services involve little actual hands-on treatment by a chiropractor who uses new "state-of-the-art" treatment equipment or has unlicensed staff administer the bulk of patient care.-We treat the cause not the symptom: Report the treatment of the cause of health care ailments and abnormalities with adjustment of the spine to allow the body's innate intelligence to heal, not masking the symptoms with medication or surgery. -Benefit design: Provide services not based on established, individual patient needs but on philosophical beliefs - everyone needs chiropractic care, no actual health care complaint required (found if needed for insurance purposes), chiropractic adjustments result in optimal health, same adjustment on all patients (upper cervical, full-spine) and modalities help the adjustment last.-Wallet Biopsy: Identify available insurance or a willingness to commit to payments on potential patients, even those who are asymptomatic - if an existing revenue stream is found potential patients are told they have medical conditions requiring chiropractic treatment.-Do you believe: Saying and doing almost anything to generate income from those who indicate they "believe" in chiropractic - purporting to treat acne, allergies, anxiety, bed wetting, cancer, colic, depression...-You could be hurt and not know it: Provide checkups, under the guise of public service, to identify health conditions that need treatment. Often such checkups, administered on asymptomatic individuals, include use of testing devices not clinically or scientifically recognized for purposes of generating reports that purportedly show medical conditions and a need for treatment outlined in scripted presentations.-Winner, winner, free chicken dinner: Free or donated services promised in aggressive marketing campaigns - mailers, telemarketing, screenings, dinner talks, etc. - designed to get as many people in the clinic as possible for patient conversion regardless of actual medical need.-Let's make a deal: Charge insured patients more for services than cash patients receiving similar services. Agreements with insured patients to accept what insurance pays and forego collection of deductibles, co-pays and non-covered services. Varying deals with cash patients regarding what they will pay.-See you in Court: Use the court system to file lawsuits to challenge payor reimbursement decisions and practices for purposes of eroding resistance to questionable activity - making it the norm and acceptable.-You are picking on us: Profess to be a victim when held to account for improper practice activity - even when such activity is known by reasonable thinking persons to be inconsistent with the laws & rules governing health care.Reality: The Chiropractic profession, for the most part, has grown far beyond the limitations espoused by its founder, and is seen today as a bona-fide health care discipline that offers valuable health care services to patients.Reality: Not all chiropractors engage in fraud. Not all attorneys are shysters. Not all insurers refuse to pay legitimate claims. Not all investigators are out to get chiropractors!Reality: There is a Chiropractic fraud problem present in every geographic area of the United States, with deviant chiropractors propagating their schemes with impunity and contempt.Reality: The crime-scene for investigations of health care provider fraud, regardless of the providers' discipline, is the provider's clinical and billing records. And, if you know what you are looking for when evaluating chiropractic records, you can identify the fraud. Investigators view the following as 'red-flags':- Promised free/discounted services to induce patients to clinic - Extensive exams, tests and treatment on subjective complaints of injury or on asymptomatic patients - Use testing devices that are not recognized clinically or scientifically to convince patients they have a condition and need treatment - Scripts & protocols - same services on similar schedule, even when better - Services for conditions not found in presenting complaints - Services based on available insurance or for legal reasons - not actual need - Provider services administered to patients by non-providers - Patients direct treatment or treat themselves - Excessive amounts billed for services - Goal is to bill certain amounts per visit - Billing codes reported based on what results in the best reimbursement, not on actual conditions or what was done - 'Quick-codes' automatically bill for all services insurance covers, regardless of need or if actually provided - Conditions reported only when required to get paid (Subluxations - Medicare) - Clinical notes appear same on all patients, prepared to support payment - not health care rendered, - Clinical notes prepared only when requested by payers - more extensive for liability carriersReality: Large numbers of chiropractors see what others see and try to fight for change and accountability, often fighting from an island and dodging bullets of attack from their peers and payors.Reality: Many otherwise honest and ethical chiropractors succumb to the temptation of fraudulent activity as they see deviant chiropractors getting rich off insurance payments without ill-effects (e.g., consumers turning away, claims denied, government audits, and fraud investigations).Reality: The Chiropractic fraud problem must be addressed by Chiropractic educators, Chiropractic leaders, consumers, legislators, insurers, regulators and law enforcers if effective measures are to be taken - especially those problems that are already well-known and visible. Reality: Observe this inexorable recipe that could result in an unimaginable disaster for the Chiropractic profession:- More access to health care dollars by chiropractors - Neither substantial- nor quantitative-steps to address widely-known fraud problems - Failure to take steps to prevent bad-actors from ruining reimbursement advancements for those health care professionals who follow the laws & rules while delivering quality care to patients, is a recipe for disaster that could result in the fraud reaching unimaginable levels.According to James Edwards, D.C., past Chairman of the American Chiropractic Association, ("News Flash: Obama Victory Could Result in Full-Scope Chiropractic," Dynamic Chiropractic, 1/15/09), the election of President Obama, as well as the fact that Democrats control both houses of Congress, most of whom are pushing for "universal health care," the Chiropractic profession has its best chance to achieve the long-desired goal of a full-scope of practice on a national level (with full-reimbursement access).Further, Dr. Edwards reports that should a full-scope of practice become a reality, the Chiropractic profession should thank ACA leadership for their courage to file a lawsuit against a national health insurer, an insurer that administered federal health care programs, as well as the countless contributors to the ACA's Legal Action fund who made the lawsuit possible.Could greater governmental-control over our individual-choices and freedoms, combined with Universal health care, provide any long-lasting positive results? The last time the Democrats had such leverage we got the Health Insurance Portability and Accountability Act.Could giving chiropractors full-physician status, as well as full-access to reimbursement for services they perform, be an answer to the chiropractic fraud problem?Could treating chiropractors as other physicians are treated result in a significant drop in the nonsense in which some chiropractors engage? Would treating chiropractors as other physicians preclude having those chiropractors engage in practice-activity that is either objectionable or fraudulent? What impact, if any, did such treatment have on the Osteopathic profession?

Perception: Large numbers of consumers and investigators alike believe that fraudulent activity in the Chiropractic profession is pervasive, and, unfortunately, may use a broad-brush to paint all chiropractors as deviant actors.Why is the foregoing impression so prevalent today?Is this perception the result of historical context, viz., that the foundational premise of Chiropractic was the Chiropractic-subluxation, a condition neither objectively identifiable nor proven to exist?The subluxation may have something to do with the prevailing perception of Chiropractic. However, based on more than twenty years of experience investigating chiropractic fraud and assisting chiropractors with compliance, I suspect the following activity by some chiropractors may form the actual basis of such a perception:-Do you want what I have?: Employ practice activity advocated by practice building consultants who boast of having large bank-accounts, expensive cars, pricey clothing, luxurious vacations... and the keys to practice success. Large numbers of chiropractors are recruited directly from chiropractic colleges.-Recipe for Wealth: Employ practice activity, often at the instruction of practice building consultants, to increase practice revenues without establishing the compliance of said activity with applicable laws & rules, including, but not limited to: marketing campaigns to recruit new patients; generation of referrals from attorneys and MDs; convert/retain patients; treatment protocols for all; administer new or re-packaged health care services; provider services rendered by unlicensed staff; use computer-generated noting systems; billing codes to enhance reimbursement; and collection mechanisms to maximize income.-Explode your practice: Create multidiscipline and/or specialty practices, operating in conjunction with existing chiropractic practices, to avoid limited chiropractic coverage and access more health care dollars - including those payable by federal health care programs.-We are conveniently located: Operate multiple clinics where scripts and protocols are the norm - instruct clinic doctor and staff on what to do, how to do it, what to bill...-We provide a good service: Provide the same services at similar intervals for all patients regardless of individual needs. Services involve little actual hands-on treatment by a chiropractor who uses new "state-of-the-art" treatment equipment or has unlicensed staff administer the bulk of patient care.-We treat the cause not the symptom: Report the treatment of the cause of health care ailments and abnormalities with adjustment of the spine to allow the body's innate intelligence to heal, not masking the symptoms with medication or surgery. -Benefit design: Provide services not based on established, individual patient needs but on philosophical beliefs - everyone needs chiropractic care, no actual health care complaint required (found if needed for insurance purposes), chiropractic adjustments result in optimal health, same adjustment on all patients (upper cervical, full-spine) and modalities help the adjustment last.-Wallet Biopsy: Identify available insurance or a willingness to commit to payments on potential patients, even those who are asymptomatic - if an existing revenue stream is found potential patients are told they have medical conditions requiring chiropractic treatment.-Do you believe: Saying and doing almost anything to generate income from those who indicate they "believe" in chiropractic - purporting to treat acne, allergies, anxiety, bed wetting, cancer, colic, depression...-You could be hurt and not know it: Provide checkups, under the guise of public service, to identify health conditions that need treatment. Often such checkups, administered on asymptomatic individuals, include use of testing devices not clinically or scientifically recognized for purposes of generating reports that purportedly show medical conditions and a need for treatment outlined in scripted presentations.-Winner, winner, free chicken dinner: Free or donated services promised in aggressive marketing campaigns - mailers, telemarketing, screenings, dinner talks, etc. - designed to get as many people in the clinic as possible for patient conversion regardless of actual medical need.-Let's make a deal: Charge insured patients more for services than cash patients receiving similar services. Agreements with insured patients to accept what insurance pays and forego collection of deductibles, co-pays and non-covered services. Varying deals with cash patients regarding what they will pay.-See you in Court: Use the court system to file lawsuits to challenge payor reimbursement decisions and practices for purposes of eroding resistance to questionable activity - making it the norm and acceptable.-You are picking on us: Profess to be a victim when held to account for improper practice activity - even when such activity is known by reasonable thinking persons to be inconsistent with the laws & rules governing health care.Reality: The Chiropractic profession, for the most part, has grown far beyond the limitations espoused by its founder, and is seen today as a bona-fide health care discipline that offers valuable health care services to patients.Reality: Not all chiropractors engage in fraud. Not all attorneys are shysters. Not all insurers refuse to pay legitimate claims. Not all investigators are out to get chiropractors!Reality: There is a Chiropractic fraud problem present in every geographic area of the United States, with deviant chiropractors propagating their schemes with impunity and contempt.Reality: The crime-scene for investigations of health care provider fraud, regardless of the providers' discipline, is the provider's clinical and billing records. And, if you know what you are looking for when evaluating chiropractic records, you can identify the fraud. Investigators view the following as 'red-flags':- Promised free/discounted services to induce patients to clinic - Extensive exams, tests and treatment on subjective complaints of injury or on asymptomatic patients - Use testing devices that are not recognized clinically or scientifically to convince patients they have a condition and need treatment - Scripts & protocols - same services on similar schedule, even when better - Services for conditions not found in presenting complaints - Services based on available insurance or for legal reasons - not actual need - Provider services administered to patients by non-providers - Patients direct treatment or treat themselves - Excessive amounts billed for services - Goal is to bill certain amounts per visit - Billing codes reported based on what results in the best reimbursement, not on actual conditions or what was done - 'Quick-codes' automatically bill for all services insurance covers, regardless of need or if actually provided - Conditions reported only when required to get paid (Subluxations - Medicare) - Clinical notes appear same on all patients, prepared to support payment - not health care rendered, - Clinical notes prepared only when requested by payers - more extensive for liability carriersReality: Large numbers of chiropractors see what others see and try to fight for change and accountability, often fighting from an island and dodging bullets of attack from their peers and payors.Reality: Many otherwise honest and ethical chiropractors succumb to the temptation of fraudulent activity as they see deviant chiropractors getting rich off insurance payments without ill-effects (e.g., consumers turning away, claims denied, government audits, and fraud investigations).Reality: The Chiropractic fraud problem must be addressed by Chiropractic educators, Chiropractic leaders, consumers, legislators, insurers, regulators and law enforcers if effective measures are to be taken - especially those problems that are already well-known and visible. Reality: Observe this inexorable recipe that could result in an unimaginable disaster for the Chiropractic profession:- More access to health care dollars by chiropractors - Neither substantial- nor quantitative-steps to address widely-known fraud problems - Failure to take steps to prevent bad-actors from ruining reimbursement advancements for those health care professionals who follow the laws & rules while delivering quality care to patients, is a recipe for disaster that could result in the fraud reaching unimaginable levels.According to James Edwards, D.C., past Chairman of the American Chiropractic Association, ("News Flash: Obama Victory Could Result in Full-Scope Chiropractic," Dynamic Chiropractic, 1/15/09), the election of President Obama, as well as the fact that Democrats control both houses of Congress, most of whom are pushing for "universal health care," the Chiropractic profession has its best chance to achieve the long-desired goal of a full-scope of practice on a national level (with full-reimbursement access).Further, Dr. Edwards reports that should a full-scope of practice become a reality, the Chiropractic profession should thank ACA leadership for their courage to file a lawsuit against a national health insurer, an insurer that administered federal health care programs, as well as the countless contributors to the ACA's Legal Action fund who made the lawsuit possible.Could greater governmental-control over our individual-choices and freedoms, combined with Universal health care, provide any long-lasting positive results? The last time the Democrats had such leverage we got the Health Insurance Portability and Accountability Act.Could giving chiropractors full-physician status, as well as full-access to reimbursement for services they perform, be an answer to the chiropractic fraud problem?Could treating chiropractors as other physicians are treated result in a significant drop in the nonsense in which some chiropractors engage? Would treating chiropractors as other physicians preclude having those chiropractors engage in practice-activity that is either objectionable or fraudulent? What impact, if any, did such treatment have on the Osteopathic profession? subluxation nerve chart

How to Find the Best Chiropractor in Your City

Dr. Patrick Gentempo  Do you suffer from painful recurring headaches? Do you have arthritis? Are you experiencing pain and discomfort? Have you been in an accident? Are you looking to increase your health? Are you suffering with breathing issues or acid reflux? Do you pain in your feet or hands? Are you pregnant and looking to increase your comfort? Are you recovering from a car collision?If you answered yes to any of the above, then you are likely going to be looking for find a chiropractor.What makes a chiropractor better than over-the-counter pain relievers and primary care physicians? They believe in natural health care.A chiropractor may use x-rays, nerve scans and MRIs to diagnose a problem, especially after a car accident. The treatment, however, is hands on, literally. It is known as a manual therapy. Chiropractors perform adjustments where precision force is used with the hands to thrust joints into their proper position, relieving pressure off of nerves. For most, this results in a reduction or elimination in pain, as well as increased mobility.If you like the sound of chiropractic care, you may be ready to schedule an appointment. First, you need to familiarize yourself with chiropractors in and around your area. But how? A standard internet search is a good way to start. Look online using a search engine for the top rated ones in your area. You will easily find sources of social proof and reviews on sites like Google, RateMDs, YellowPages and more. There are often even reviews found on social media sites such as Facebook that you may find helpful.When performing a standard internet search, search with your city and state/province. You will be linked to a number of websites. Some of those are directories, where many chiropractors are listed. These websites are similar to phone books; they provide you with just the names, address, and telephone numbers of local care providers. What you want to look for is chiropractor websites. In addition to getting the contact information, you should get in-depth information about the provider, such as specialties, background, and see pictures of the office.Once on a chiropractor's website, you should look for testimonials, either verbal or written, about the clinic. See if any of the stories relate to your condition. See if there are other people with a similar problem that have been helped.An online business directory can also be useful. Many websites serve as online business directories. From Yahoo and Google, select "Local," from the main heading. Enter in your city and state and the phrase "chiropractor." You will see local listings for nearby chiropractors. Most only include your specific city, but you can expand the search to nearby communities. Some online business directories link to you to provider websites, if they exist. Many also enable ratings and reviews.The most trustworthy source may just be recommendations from those you know. Since many North Americans, insurance providers, and employers are now embracing chiropractic care and realizing the many benefits, its popularity continues to increase. You may know someone who has seen or uses the services of a chiropractor. Ask those that you know, such as friends, family, coworkers, and neighbors. Ask for the name, address, and phone number. Be sure to ask for feedback too. Call the office that you are interested in. Ask to see if they are a proactive clinic that uses some of the more advanced diagnostic equipment. Does the doctor simply feel for the problem with his hands, or does he use x-ray, nerve scanners, MRIs or other to help decipher the underlying cause of the problem before starting treatment.In addition, ask them if they are equipped to adjust according to your special needs, if they exist. Are they wheelchair accessible? Do they offer low-force treatments for those that require it or prefer? Do they have any advanced education in pediatrics or pregnancy if this is for a mom or a child? Do they have any equipment specifically designed to help seniors who have difficulty maneuvering? There are many good questions to ask, before deciding if that chiropractor is right for you.There are many ways to find chiropractic care providers in or around your community. Once you familiarize yourself with your options, the next step is to choose a care provider. When doing so, consider reputation, feedback, costs, and the wait until you can get a first appointment.

MisunderstoodA chiropractic doctor is probably one of the most misunderstood healthcare practitioners in the medical profession. Through the years they have been looked at askance by doubters who are full of suspicion. In times past, they have been called quacks, or worse. This is due, in part, to the public's narrow and limited view of medical treatment - being that solely of administering prescription drugs and performing surgery. It's unfortunate that the majority of people believe this is all there is to health care. There truth is there is more to health care than drugs and surgery! A great deal more!Sad to say, but even some chiropractic patients haven't a real clear understanding of what chiropractic is. And for those who have never been to a chiropractor, most are totally misinformed as to the make up of the profession. The fact is chiropractic is the largest drug-free form of health care and the third largest form of any health care in North America. What is Chiropractic?The word "chiropractic" is a blending of the Greek words cheir (hand) and praxis (action) and means "done by hand." Chiropractic is an alternative medical system in that the practitioner takes a different approach from conventional medicine in diagnosing, classifying, and treating medical problems.Essentially, chiropractic focuses on the relationship between the body's structure - primarily that of the spine - and the body's function. Doctors of chiropractic use hands-on therapy called manipulation (or adjustment) as their core procedure.Comparable to an MD?             So is the training of a chiropractor as rigorous as that of a medical doctor? The answer is a resounding, yes. Today's doctor of chiropractic receives an extensive educational background beginning with three years of pre-chiropractic study. From there they advance into a four-year course of study. A student of chiropractic spends as many hours in the study of human physiology as that of a medical doctor. Chiropractic programs require a minimum of 4,200 hours of combined classroom, laboratory, and clinical experience.The difference between the education of an MD and that of a chiropractor lies in the fact that an MD trains in pharmacology and surgical procedures and chiropractor trains in the care of the spine.Worth the Cost?Some will assert that it costs too much to go to the chiropractor. However, the opposite is true. The fact is that oftentimes when a person is treated by a chiropractic doctor for one certain symptom, the adjustments (treatments) result in a higher level of overall health and well being. This leads to cutting back on prescription drugs, preventing the need for surgery, and slowing down the aging process. Those who benefit from chiropractic treatments look at it as an important part of their ongoing health maintenance, similar to that of regular exercise or visiting their local health spa. They now know the difference - how they felt before chiropractic treatments and how much better they feel now. A survey of patients of chiropractors in an independent physicians' association found that, when asked if they would recommend their Doctor of Chiropractic to others, 95.5% of the patients said "yes." 1A chiropractor is a whole health practitioner who is concerned not just about your symptoms, but your overall state of well being. What your doctor of chiropractic can offer, no other doctor can. Have no doubt that a chiropractor is well trained to assist you reach your own personal optimal health. 1 http://www.neffchiro.com/research.htm

 

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