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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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No overall differences in safety or effectiveness were observed between these subjects and younger subjects, and other reported clinical experience has not identified differences in responses between the elderly and younger patients, but greater sensitivity of some older individuals cannot be ruled out