Show Notes for September 9, 2016

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

http://nyti.ms/2aURWii

 

 

 

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.

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/MedQtrlyComp-Newsletter-ICN908625.pdf

https://www.youtube.com/watch?v=tMiw1X9KvDA&feature=youtu.be

http://www.nysca.com/?id=1168

 

 

 

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.

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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.

 

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Finally, I leave you with the following quote:

Capital isn’t scarce; vision is.”
– Sam Walton

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

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