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  • How does billing work?
    Billing can seem like a complicated matter but it doesn't need to be. After completing the procedure, we drop off an invoice to your billing department that same day. Reimbursement rates for the procedure varies depending on your location, however, our team can work with your office manager to determine reimbursement for patients that qualify.
  • I already have access to MBSS. How does FEES help?
    Videofluoroscopy (MBSS) used to be viewed as the "gold standard" for evaluation of a swallowing disorder. However, it is not very efficient and accessible in certain clinical and practical situations. In addition, MBSS does not allow for the assessment of soft tissue and airway patency, which is an integral component of swallowing function. FEES has been shown to be as equally safe and effective for swallowing evaluation. In fact, research articles have also repeatedly proven that FEES is also a gold-standard assessment and is just as accurate, with even better sensitivity and specificity than MBSS. Visit our Research and Literature page to learn more.
  • How long does it take?
    The procedure typically takes between 10-15 minutes (excluding set-up time and education), however, the scope can record for as long as needed to assess factors such as fatigue, compensatory strategies, identify signs of reflux, etc.
  • How does an Endoscopic Swallowing Evaluation work?
    During the procedure, a flexible scope with a video camera attached is introduced into the patient's nose where the SLP can clearly view laryngeal and pharyngeal structures. The patient is then led through various tasks and given food and/or liquids to evaluate the swallow. ​ For more information, watch this educational video from the Mayo Clinic.
  • How much does it cost?
    The average cost for FEES ranges based on geographical location and patient needs, with the national average ranging from $350-$500 per procedure. We can guarantee that FEES is a faster, more cost-effective solution for your facility based on reimbursement rates. We also offer a steep discount for private pay patients who don't have insurance. Please contact us if this applies to you.
  • What patients benefit from FEES?
    Although FEES can be performed on virtually any person of any age, endoscopy is the preferred diagnostic for the following populations: Ventilator dependent patients Patients who easily fatigue Patients unable to leave contact isolation rooms Suspected aspiration of secretions Suspected laryngopharyngeal reflux Patients with known vocal fold paresis or paralysis Patients with contractures or decubitus ulcers who cannot maintain upright positioning Suspected intubation/extubation trauma, including edema or erythema Patients with chronically wet vocal quality or throat clearing Dementia or TBI patients who are routinely confused and/or unable to follow commands
Doctor's Desk


Providing patients with a collaborative, evidence-based, cost effective assessment that is a GOLD STANDARD in swallowing diagnostics since 2017.

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