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  • New Podcast Focuses on Jimmo v Sebelius Updates

    APTA members now have access to a podcast that will help them understand changes made to Medicare policy as a result of the January 2013 Jimmo v Sebelius settlement agreement on maintenance care.

    Though the agreement reinforced the US Centers for Medicare and Medicaid's (CMS) policy on maintenance care, updates and changes to the Medicare Benefit Policy Manual were still required. Last month, CMS issued summary of updates (.pdf) made to the manual, and APTA is now producing member resources that help to explain just what those updates mean.

    The podcast now available is the first in a planned series on the topic and focuses on the impact of changes to inpatient rehabilitation facilities, home health settings, skilled nursing facilities, and outpatient therapy. The next podcast will help listeners understand how to appropriately document skilled maintenance therapy to minimize the risk of denials. Transcripts of the podcasts are also available to members for download at the APTA website.

    The podcast joins several other resources on APTA's Medicare coverage webpage about the settlement and its potential impacts. The presentation is also available on iTunes.

    Resistance Training May Increase Testosterone in Older Men

    Authors of a small-scale study are asserting that resistance training may increase testosterone levels in older men. Researchers believe that increased levels of the hormone may help guard against osteoporosis and increase resistance to injury from falls.

    The study (abstract only available for free) is published online in the FASEB Journal from the Federation of American Societies for Experimental Biology and documents a research project that involved 6 young men and 13 older men. Levels of testosterone were measured before and after a 12-week resistance training program focused on knee extension and flexion. Biopsies were taken from the vastus lateralis.

    Researchers found that "muscular sex steroid hormone levels and sex steroidgenesis-related enzyme expressions were significantly lower in older subjects than younger ones at baseline, but 12 weeks of resistance training significantly restored hormone levels." Additionally, authors reported significant restoration of steroidogenesis-related enzymes through the training program.

    An article with details on the research is available at Medscape Medical News (readers must sign up for a free account).