NOMS

NOMS Lifestyle Management

The NOMS Lisfestyle Management is a cardiovascular risk reduction program that encompasses prevention, wellness disease management, fitness and nutrition to help you live a healthier life.

Getting with the program:

After reviewing a referral letter sent to us from your physician, we gather some of our own program specific information about your present level of health and fitness utilizing the following tests and protocols:

• Resting Metabolic Rate (RMR): Simply put, your RMR tells us how many calories your body burns when it is at rest.
• Maximum Oxygen Uptake or MVO2 Test: Administered with a bike or treadmill, this test measures how well your body uses oxygen during exercise.
• Baseline laboratory values: These tests are used to determine your baseline lipids, glucose, liver enzymes, and high sensitivity C-reactive protein
• Physical Therapy Evaluation: This is used to determine your flexibility level

Now it is time to build your program!

Using information from your physician, RMR and MVO2 test results, and your physical therapy evaluation, one of our certified personal trainers will customize a safe and highly individualized exercise program just for you. Once we design your program, a personal trainer will help you get started by demonstrating and explaining exercises and will work continuously with you in meeting your fitness goals. Our staff will always be available to offer support and answer questions

Candidates For RMR Testing

• Overweight or obese patients with hyperlipidemia who are interested in weight loss.
• Patients interested in weight gain.
• Bariatric patients.
• Patients interested in weight management.

Candidates For MVO2 Testing Include

• Patients with dyspnea upon exertion (order cardiopulmonary stress test)
• Any patient interested in starting an exercise program

Candidates For Cardiopulmonary Stress Test

• Any person with dyspnea on exertion with whom you are not sure if it is cardiac or pulmonary related.
• Person with cardiac risk factors with whom an intense exercise program is anticipated.
• Person with asthma/pulmonary disease with whom an exercise program is anticipated.
• Person with valvular heart disease who is interested in an exercise program.

Candidates For Nuclear Imaging Study

Order a cardiolite with the stress test for any patient that:

• Has an abnormal resting ECG
• Has had CABG, stenting, or previous ischemic event.

Lifestyle Management FAQs

Why is Resting Metabolic Rate (RMR) important?

In the event you and your physician determine you need to lose, gain or maintain your current weight; the RMR will be an important piece of information in your wellness approach.

Does my insurance cover the RMR test?

Several insurance carriers cover the RMR test, as long as your physician provides the proper codes.

How do I get this done?

Have your physician contact our precertification Specialists at 419-626-6161.

Why is it important to have Maximum Oxygen Uptake (MVO2) test done?

First, it will provide important information to our fitness team to individualize your aerobic exercise program. Second, it can be used as a measure of progress in your exercise program.

Do I need my physician to order or can I have this done on my own?

It depends on whether you wish to have it covered by insurance or pay for the test out-of-pocket. Your best chance at insurance coverage (many insurances will cover this test) is to have your doctor order the test. Your physician can call our precertification specialists at 419-626-6161.