What locations do you serve?

We provide FEES in acute care and rehabilitation hospitals, skilled nursing facilities, assisted living facilities, outpatient rehabilitation clinics, LTACHs, and physician clinics.  We are based in Bozeman, MT and service facilities throughout Gallatin County surrounding communities. 

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Who is a candidate for FEES?

FEES can be performed on most patients, including those with dementia, feeding tubes, isolation precautions, supplemental oxygen, ventilator-dependent, tracheostomy tubes, speaking valves, and medically complex patients. Contraindications for FEES are bilateral nasal obstruction; facial, maxillary or nasal fractures, or severe epistaxis.  

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Do you use topical anesthesia?

We typically use topical anesthesia - 2% viscous lidocaine. However, this depends on the patient, the patient's comfort level, medical history, and specific physician orders. Recent studies show little to no discomfort without the use of topical anesthesia - (Warnecke et al, 2009)(Kamarunas, et al 2013)

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How does our facility get started with your services?

Contact us via email or phone and we will set up a meeting with you and/or your facility Administrator to obtain a signed agreement for our services.  

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How Does my Facility Get Billed?

FEES procedure is considered a Speech-Language Pathology therapy service (CPT Code 92612).  All therapy services fall under consolidated Billing rules of the Balanced Budget Act of 1997.  If a FEES procedure is completed in the subacute setting, we bill the facility directly per CMS guidelines.