Monthly Archives: September 2015

Show Notes for Friday September 25, 2015

Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast.

In this week’s news: We’ll Be Looking At –

  • Preparing for ICD-10
  • And Finally, a Story about Craniosacral Therapy and Chronic Neck Pain

For HealthBeat, This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #523 recorded September 25, 2015.

HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.

You can download this week’s Podcast here – http://www.chiropracticradio.com/healthbeat/healthbeat0523.mp3

COT’s HealthBeat is now available on demand on Stitcher Radio – http://app.stitcher.com/browse/feed/31530/details

This week’s Episode is sponsored by Audible Books. Please surf to our web site at www.ChiropracticRadio.com and click on the DaVinci link for your Health and Nutritional needs.

We also would appreciate your passing the word of our Podcasts to your friends and colleagues. Please let everyone know how easy it is to subscribe via the Apple iTunes directory.

If you are interested in creating personalized Healthbeat podcasts for your office or website, to help attract new patients, please surf to our web site and send us an Email ….

…. or Skype us by typing in “healthbeat”, all in small letters.

Twitter – We are always looking to expand our interactivity with you, our loyal Health Community. If you would like to be kept up-to-date with current events about Health, Technology and ME, feel free to surf to – http://www.twitter.com/teglow and click on the Follow link.

Next, we would like to send out a big Thank You to those of you who are linking our Podcast to your home pages…. We do request that you also include a link to our main Podcast Page at www.ChiropracticRadio.com

And as always, a big thank you to our COT HealthBeat Listener community. This podcast is made available thru the generous donations we receive and greatly appreciate. If you could remember to surf to our Web Site and click on the PayPal link to make a monthly donation, even $5-$10, this would be very much welcomed.

Finally, Chiropractic OnLine Today has always provided our news and education content for free and plan on continuing this policy. However, we do request that if you are enjoying these podcasts, that you surf to ChiropracticRadio.com and consider clicking on our PayPal link to make a donation to keep these Podcasts airing. We thank everyone for their continued support.

And Now for some news ….

Preparing for ICD-10

With the October 1, 2015 deadline for ICD-10 implementation rapidly approaching, here are some tips and steps to prepare for this ICD-10 transition.

  • Identify and plan to update all your systems to ICD-10 by making sure you understand your current systems and processes currently in use by ICD-9.
  • Communicate with your payers, clearinghouses, etc. to determine their system readiness and ask questions about what they’re doing to prepare for the transition.
  • Ask your payers if there are any contractual changes regarding coding specificity that could affect how you process claims.
  • Document any potential workflow changes.
  • Determine the training needs of your staff and aim to plan accordingly. Your staff will require different specific pieces of education around ICD-10 coding.
  • Plan for added expenditures in time and resources as you work to prepare your practice and your staff for the transition period.
  • Test, Test, Test. Before the deadline, make sure to test your transaction submissions with your vendors, payers and clearinghouses to make sure everything is going smoothly.

Surf to our Show Notes for Links – http://health-information.advanceweb.com/Columns/ICD-10-Transition-tips-and-tools/Steps-to-ICD-10-Preparedness.aspx

2016 Release of ICD-10-CM

http://www.cdc.gov/nchs/icd/icd10cm.htm#icd2016

https://www.cms.gov/Medicare/Coding/ICD10/Downloads/2016-ICD-10-CM-Guidelines.pdf

http://health-information.advanceweb.com/Columns/ICD-10-Transition-tips-and-tools/Coding-ICD-10.aspx

http://gettingpaid.kareo.com/gettingpaid/2013/07/icd-10-cm-5-things-physicians-should-know/

Laterality – http://provcomm.ibx.com/ProvComm/ProvComm.nsf/afe9b349fb4d82ef85257912006dc3f7/d72597970a1e0b49852579d1004b472c!OpenDocument

http://lp.chiroeco.com/icd-10-ebook/?utm_source=Chiropractic+Economics&utm_campaign=c8cccd8075-ICD-10+eBook&utm_medium=email&utm_term=0_8de230edec-c8cccd8075-101818217

Craniosacral Therapy and Chronic Neck Pain

With growing evidence for Craniosacral Therapy (CST) effectiveness for pain management, the question about CST efficacy remained unclear.

A recently published study in The Clinical Journal of Pain aimed at investigating CST in comparison to sham treatment in chronic non-specific neck pain patients.

54 blinded patients were randomized to either 8 weekly units of CST or light touch sham treatment. Outcomes were assessed before and after treatment (week 8) and a further 3 months later (week 20).

The primary outcome was pain intensity on a visual analogue scale; secondary outcomes included pain on movement, pressure pain sensitivity, functional disability, health-related quality of life, well-being, anxiety, depression, stress perception, pain acceptance, body awareness, patients’ global impression of improvement and safety.

The study concluded that Craniosacral Therapy was both specifically effective and safe in reducing neck pain intensity and may improve functional disability and quality of life up to 3 months post intervention.

Surf to our Show Notes for Links – http://journals.lww.com/clinicalpain/pages/articleviewer.aspx?year=9000&issue=00000&article=99251&type=abstract

This podcast is made available through the generous donations from our great Listeners, such as You! If you are enjoying these HealthBeat Podcasts, Please surf to our Web Site and click on the PayPal link.

For information about adding Personalized HealthBeat Podcasts to your office’s Web Site, to help you attract new patients, please Email us at – healthbeat@chiropracticradio.com

And remember to surf to our Show Notes, located at http://www.ChiropracticRadio.com

As always, please surf to our Podcast Show Notes at ChiropracticRadio.com for a full listing of web references mentioned in today’s show.

And remember – COT’s Healthbeat always recommends discussing any nutritional or exercise lifestyle modifications with a qualified healthcare professional.

Thank you for listening…. As always, We Want to hear from you. Please send us emails…. Simply surf to our Web Site at ChiropracticRadio.com and click on the Email link.

You can also leave us Voice Mail…. Simply open up your Skype and type in “healthbeat”, all in small letters.

If you have an idea for a future Health Segment, please feel free to contact me directly via email …. The address is: healthbeat@chiropracticradio.com

We also would appreciate your votes both at Podcastalley.com. If you are enjoying these podcasts, please surf to our HealthBeat homepage and click on the Podcast Alley link and Yahoo links.

If you have a Web Site for your practice and you would like to add content to help attract more patients, please consider adding a Personalized HealthBeat segments to your site. Many listeners are finding this a useful content addition to an Office’s Web Site. For more information, please send me an Email at healthbeat@chiropracticradio.com

While at our Web Site, please remember to consider making a donation to help keep these Podcasts airing. Listener support such as yours, via our PayPal link, does help in allowing us to bring these Podcasts to you weekly.

And please remember to support our sponsors by clicking their links located at ChiropracticRadio.com

Finally, I leave you with the following quote:

Success in business requires training and discipline and hard work. But if you’re not frightened by these things, the opportunities are just as great today as they ever were.”
– David Rockefeller

For Chiropractic OnLine Today’s HealthBeat, This has been
Dr. Todd Eglow.

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Show Notes for Friday September 11, 2015

Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast.

In this week’s news: We’ll Be Looking At –

  • Neural Responses to Spinal Manipulation
  • And Finally, a Story about Spinal Discs and Enzyme Treatment

For HealthBeat, This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #522 recorded September 11, 2015.

HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.

You can download this week’s Podcast here – http://www.chiropracticradio.com/healthbeat/healthbeat0522.mp3

COT’s HealthBeat is now available on demand on Stitcher Radio – http://app.stitcher.com/browse/feed/31530/details

This week’s Episode is sponsored by Audible Books. Please surf to our web site at www.ChiropracticRadio.com and click on the DaVinci link for your Health and Nutritional needs.

We also would appreciate your passing the word of our Podcasts to your friends and colleagues. Please let everyone know how easy it is to subscribe via the Apple iTunes directory.

If you are interested in creating personalized Healthbeat podcasts for your office or website, to help attract new patients, please surf to our web site and send us an Email ….

…. or Skype us by typing in “healthbeat”, all in small letters.

Twitter – We are always looking to expand our interactivity with you, our loyal Health Community. If you would like to be kept up-to-date with current events about Health, Technology and ME, feel free to surf to – http://www.twitter.com/teglow and click on the Follow link.

Next, we would like to send out a big Thank You to those of you who are linking our Podcast to your home pages…. We do request that you also include a link to our main Podcast Page at www.ChiropracticRadio.com

And as always, a big thank you to our COT HealthBeat Listener community. This podcast is made available thru the generous donations we receive and greatly appreciate. If you could remember to surf to our Web Site and click on the PayPal link to make a monthly donation, even $5-$10, this would be very much welcomed.

Finally, Chiropractic OnLine Today has always provided our news and education content for free and plan on continuing this policy. However, we do request that if you are enjoying these podcasts, that you surf to ChiropracticRadio.com and consider clicking on our PayPal link to make a donation to keep these Podcasts airing. We thank everyone for their continued support.

And Now for some news ….

Neural Responses to Spinal Manipulation

A study was published in the journal Manual Therapy to determine how contact site for high velocity, low amplitude spinal manipulation (HVLA-SM) affects sensory input to the central nervous system.

Systematic investigations are needed identifying how variability in the biomechanical characteristics of spinal manipulation affects physiological responses. Such knowledge may inform future clinical practice and research study design.

high velocity, low amplitude spinal manipulation was applied to 4 specific anatomic locations using a no- high velocity, low amplitude spinal manipulation control at each location randomized in an 8×8 Latin square design in an animal model.

The study concluded that this animal study showed that contact site for an high velocity, low amplitude spinal manipulation can have a significant effect on the magnitude of sensory input arising from muscle spindles in the back.

Surf to our Show Notes for Links – http://www.manualtherapyjournal.com/article/S1356-689X(15)00061-2/abstract

Spinal Discs and Enzyme Treatment

Condoliase, an enzyme that degrades glycosaminoglycans, was well-tolerated by patients who received it as a treatment for lumbar disc herniations, according to a speaker here.

“Condoliase significantly improved symptoms and signs, physical function and quality of life scores in patients with lumbar disc herniations,” according to a presentation at the EuroSpine Annual Meeting.

The most common adverse event in the study was back pain, which was more evident in the condoliase group (36.6%) than the placebo group (33.3%), but most events were rated as mild or moderate.

Remember to discuss all treatment options with your Qualified Health Care Professional, including use of Spinal Manipulation.

Surf to our Show Notes for Links – http://www.healio.com/spine-surgery/biologics/news/online/%7Ba0ac1b34-9d99-4bd7-abf4-9cf18c814827%7D/condoliase-may-prove-effective-in-treating-lumbar-disc-herniations?utm_source=maestro&utm_medium=email&utm_campaign=spine%20surgery%20news

This podcast is made available through the generous donations from our great Listeners, such as You! If you are enjoying these HealthBeat Podcasts, Please surf to our Web Site and click on the PayPal link.

For information about adding Personalized HealthBeat Podcasts to your office’s Web Site, to help you attract new patients, please Email us at – healthbeat@chiropracticradio.com

And remember to surf to our Show Notes, located at http://www.ChiropracticRadio.com

As always, please surf to our Podcast Show Notes at ChiropracticRadio.com for a full listing of web references mentioned in today’s show.

And remember – COT’s Healthbeat always recommends discussing any nutritional or exercise lifestyle modifications with a qualified healthcare professional.

Thank you for listening…. As always, We Want to hear from you. Please send us emails…. Simply surf to our Web Site at ChiropracticRadio.com and click on the Email link.

You can also leave us Voice Mail…. Simply open up your Skype and type in “healthbeat”, all in small letters.

If you have an idea for a future Health Segment, please feel free to contact me directly via email …. The address is: healthbeat@chiropracticradio.com

We also would appreciate your votes both at Podcastalley.com. If you are enjoying these podcasts, please surf to our HealthBeat homepage and click on the Podcast Alley link and Yahoo links.

If you have a Web Site for your practice and you would like to add content to help attract more patients, please consider adding a Personalized HealthBeat segments to your site. Many listeners are finding this a useful content addition to an Office’s Web Site. For more information, please send me an Email at healthbeat@chiropracticradio.com

While at our Web Site, please remember to consider making a donation to help keep these Podcasts airing. Listener support such as yours, via our PayPal link, does help in allowing us to bring these Podcasts to you weekly.

And please remember to support our sponsors by clicking their links located at ChiropracticRadio.com

Finally, I leave you with the following quote:

Forget past mistakes. Forget failures. Forget everything except what you’re going to do now and do it.”
– William Durant

For Chiropractic OnLine Today’s HealthBeat, This has been Dr. Todd Eglow.


ShowNotes for September 4, 2015

Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast.

In this week’s news: We’ll Be Looking At –

  • Aetna Updates Reimbursement Policy for Code 97140
  • And Finally, a Story about Thoracic Manipulation Mental State and Chronic LBP

For HealthBeat, This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #521 recorded September 4, 2015.

HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.

You can download this week’s Podcast here – http://www.chiropracticradio.com/healthbeat/healthbeat0521.mp3

COT’s HealthBeat is now available on demand on Stitcher Radio – http://app.stitcher.com/browse/feed/31530/details

This week’s Episode is sponsored by Audible Books. Please surf to our web site at www.ChiropracticRadio.com and click on the DaVinci link for your Health and Nutritional needs.

We also would appreciate your passing the word of our Podcasts to your friends and colleagues. Please let everyone know how easy it is to subscribe via the Apple iTunes directory.

If you are interested in creating personalized Healthbeat podcasts for your office or website, to help attract new patients, please surf to our web site and send us an Email ….

…. or Skype us by typing in “healthbeat”, all in small letters.

Twitter – We are always looking to expand our interactivity with you, our loyal Health Community. If you would like to be kept up-to-date with current events about Health, Technology and ME, feel free to surf to – http://www.twitter.com/teglow and click on the Follow link.

Next, we would like to send out a big Thank You to those of you who are linking our Podcast to your home pages…. We do request that you also include a link to our main Podcast Page at www.ChiropracticRadio.com

And as always, a big thank you to our COT HealthBeat Listener community. This podcast is made available thru the generous donations we receive and greatly appreciate. If you could remember to surf to our Web Site and click on the PayPal link to make a monthly donation, even $5-$10, this would be very much welcomed.

Finally, Chiropractic OnLine Today has always provided our news and education content for free and plan on continuing this policy. However, we do request that if you are enjoying these podcasts, that you surf to ChiropracticRadio.com and consider clicking on our PayPal link to make a donation to keep these Podcasts airing. We thank everyone for their continued support.

And Now for some news ….

Aetna Updates Reimbursement Policy for Code 97140

Dynamic Chiropractic recently published an article about Aetna’s revision of reimbursement for code 97140.

In a development the Association of New Jersey Chiropractors is calling “a resounding victory for chiropractors nationwide,” Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.

Gone is the prepayment review policy of extraspinal diagnoses, which bundled 97140 into a chiropractic manipulative adjustment if performed on the same day and required documentation that the manual therapy was provided to a separate and distinct region from the CMT.

The updated policy also makes allowances for situations in which intraspinal claims qualify as separate, payable services.

“There are two major distinctions with Aetna’s post-settlement processing of claims for manual therapy (CPT 97140). First and foremost, Aetna previously required all 97140 claims to undergo prepayment review, which meant submission of notes with the claim, and waiting for an examiner to review the claims and then manually issue a pay or no-pay adjudication of the claim.

“Second, Aetna agreed to revise its policy language as it applies to prepayment review of intraspinal claims. Previously, if manual therapy was applied to any muscle in the same region as a chiropractic manipulative therapy, the claim would be automatically denied. The revised policy language recognizes that some soft tissues may span the same region as the CMT, but still qualify for separate reimbursement.

Discuss all updates with your local and state associations.

Surf to our Show Notes for the full article – http://www.dynamicchiropractic.com/mpacms/dc/article.php?id=57466

Thoracic Manipulation Mental State and Chronic LBP

The aim of a study published in the Journal of Physical Therapy Science, was to evaluate the changes in function and mental state after thoracic mobilization and manipulation in patients with chronic lower back pain (LBP).

Chronic lower back pain is defined as the LBP lasting over 3 months, and this pain could lead to social problems because treatment of LBP has many costs.

The Oswestry disability index (ODI) was used to measure the functional impairment of patients with LBP. A multiple spinal diagnosis was used to measure the range of motion (ROM) of vertebra segments.

The study concluded that application of mobilization or manipulation to thoracic lumbar vertebrae has a positive effect on function, mental state, and ROM in patients with lower back pain.

Surf to our Show Notes for Links – http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4242938/

This podcast is made available through the generous donations from our great Listeners, such as You! If you are enjoying these HealthBeat Podcasts, Please surf to our Web Site and click on the PayPal link.

For information about adding Personalized HealthBeat Podcasts to your office’s Web Site, to help you attract new patients, please Email us at – healthbeat@chiropracticradio.com

And remember to surf to our Show Notes, located at http://www.ChiropracticRadio.com

As always, please surf to our Podcast Show Notes at ChiropracticRadio.com for a full listing of web references mentioned in today’s show.

And remember – COT’s Healthbeat always recommends discussing any nutritional or exercise lifestyle modifications with a qualified healthcare professional.

Thank you for listening…. As always, We Want to hear from you. Please send us emails…. Simply surf to our Web Site at ChiropracticRadio.com and click on the Email link.

You can also leave us Voice Mail…. Simply open up your Skype and type in “healthbeat”, all in small letters.

If you have an idea for a future Health Segment, please feel free to contact me directly via email …. The address is: healthbeat@chiropracticradio.com

We also would appreciate your votes both at Podcastalley.com. If you are enjoying these podcasts, please surf to our HealthBeat homepage and click on the Podcast Alley link and Yahoo links.

If you have a Web Site for your practice and you would like to add content to help attract more patients, please consider adding a Personalized HealthBeat segments to your site. Many listeners are finding this a useful content addition to an Office’s Web Site. For more information, please send me an Email at healthbeat@chiropracticradio.com

While at our Web Site, please remember to consider making a donation to help keep these Podcasts airing. Listener support such as yours, via our PayPal link, does help in allowing us to bring these Podcasts to you weekly.

And please remember to support our sponsors by clicking their links located at ChiropracticRadio.com

Finally, I leave you with the following quote:

You’ve got to say, I think that if I keep working at this and want it badly enough I can have it. It’s called perseverance.”
– Lee Iacocca

For Chiropractic OnLine Today’s HealthBeat, This has been Dr. Todd Eglow.