Show Notes for September 11, 2020

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 –

  • Medicare moving forward with planned E/M office visit changes
  • And Finally, a Story about Water Composition on Flavor in Drinking Green and Black Tea

For HealthBeat …. This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #724 recorded September 11, 2020, A Day of Remembrance!

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 ….

Medicare moving forward with planned E/M office visit changes

Major modifications are coming to the coding, documentation, and payment of evaluation and management (E/M) services for office visits as Medicare has signaled its intention to implement finalized guidelines and payment rates as planned on January 1, 2021.

The AMA recent release of the proposed 2021 Medicare physician payment schedule reconfirmed the designated implementation date announced last November by the Centers for Medicare & Medicaid Services (CMS).

Between July 2018 and July 2019, the AMA worked with CMS and convened specialty societies and other health professionals to simplify and streamline the coding and documentation for E/M office visits, making them clinically relevant, and reducing excessive administrative burden.

Key elements of the E/M office visit overhaul include:

Eliminating history and physical exam as elements for code selection. While significant to both visit time and medical decision-making, these elements alone should not determine a visit’s code level.

Allowing physicians to choose whether their documentation is based on medical decision-making (MDM) or total time. This builds on the movement to better recognize the work involved in non-face-to-face services like care coordination.

Modifying MDM criteria to move away from simply adding up tasks to focus on tasks that affect the management of a patient’s condition.

As always, reach out to your State Organization for current guidelines.

Surf to our Show Notes for the full article –

Water Composition on Flavor in Drinking Green and Black Tea

Tea is made from the processed leaves of the Camellia sinensis plant, which is a tropical and subtropical evergreen plant native to Asia. Behind water, tea is the most consumed beverage in the world.

Factors that affect tea brewing include brewing temperature, vessel, and time, water-to-leaf ratio, and, in some reports, the composition of the water used.

In a recent project, published in the journal Nutrients, the authors tested if the water used to brew tea was sufficient to influence perceived flavor to the everyday tea drinker.

Black and green tea were brewed with bottled, tap, and deionized water, with brewing temperature, vessel, time, and the water-to-leaf ratio matched.

The samples were analyzed for color, turbidity, and Epigallocatechin Gallate (EGCG) content.

Results showed that the type of water used to brew tea drastically affected sensory properties of green tea (and mildly also for black tea), which was likely driven by a much greater degree of extraction of bitter catechins in teas brewed with more purified bottled or deionized water.

For the everyday tea drinker who drinks green tea for health, the capability to double the EGCG content in tea by simply brewing with bottled or deionized water represents a clear advantage.

Conversely, those drinking tea for flavor may benefit from instead brewing tea with tap water.

As always, discuss all nutritional recommendations with your qualified healthcare provider.

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Finally, I leave you with the following quote:

Trust because you are willing to accept the risk, not because it’s safe or certain.”
― Anonymous

For Chiropractic OnLine Today’s HealthBeat, Wishing everyone to stay Safe and Healthy, This has been Dr. Todd Eglow.

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