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Providers should document the following aspects of the service time (face-to-face) in the medical record: Patient readiness for change Barriers to change Advising a change in behavior Providing specific suggested actions Medicare Guidelines for Counseling of Symptomatic and Asymptomatic Patients According to the Centers for Medicare and Medicaid (CMS), a symptomatic patient is one who: has a disease or adverse health effect that has been found by the U.S

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