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 –
- Running and Cooling Strategies
- And Finally, a Story from the CMS about Chiropractic Services
For HealthBeat …. This is Dr. Todd Eglow!
Welcome to HealthBeat Podcast #563 recorded September 9, 2016.
HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.
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And Now for some news ….
Running and Cooling Strategies
An investigation, published in the Journal of Sports Science, compared the effects of external pre-cooling and mid-exercise cooling methods on running time trial performance and associated physiological responses.
Nine trained male runners completed familiarisation and three randomised 5 km running time trials on a non-motorised treadmill in the heat (33°C).
The trials included pre-cooling by cold-water immersion (CWI), mid-exercise cooling by intermittent facial water spray (SPRAY), and a control of no cooling (CON).
Temperature, cardiorespiratory, muscular activation, and perceptual responses were measured as well as blood concentrations of lactate and prolactin.
Performance time was significantly faster with cold-water immersion and SPRAY compared to CON.
Both cooling strategies significantly reduced forehead temperatures and thermal sensation, and increased muscle activation. Only pre-cooling significantly lowered rectal temperature both pre-exercise and throughout exercise, and reduced sweat rate.
Both cooling strategies improved performance by a similar magnitude, and are ergogenic for athletes. The observed physiological changes suggest some involvement of central and psychophysiological mechanisms of performance improvement.
Surf to our Show Notes for Links – http://www.ncbi.nlm.nih.gov/pubmed/27267974
CMS Issues Notice about Chiropractic Services
The Centers for Medicare and Medicaid Services, the CMS, recently issues the following posting on their web site related to Chiropractic Services and Error Rates.
The CERT program’s review of claims for chiropractic services has consistently yielded high improper payment rates. The majority of chiropractic services claims were the result of insufficient documentation, such as:
- Documentation submitted did not adequately describe the service defined by the billed procedure code or modifier
- Treatment plan was not submitted
- Signature on notes was illegible
The article goes on to discuss Documentation Requirements. For Example, for the initial chiropractic visit, the documentation must include the following information:
- Patient history
- Description of present illness and evaluation of musculoskeletal/nervous system through physical exam
- Diagnosis (primary diagnosis must be subluxation)
- Treatment plan
- Date of initial treatment
Surf to our Show Notes for links to this article, which further discusses documentation for the Physical Examination, Subsequent Visit, etc., along with a WebCast discussing Improving Documentation of Chiropractic Services.
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– Sam Walton
For Chiropractic OnLine Today’s HealthBeat, This has been
Dr. Todd Eglow.