Partnering With ADD Is As Easy As 1-2-3
Determine if your Patients need FEES (download checklist)
Read, sign, and email us our Service Agreement
Call to schedule an appointment at 909-213-5967
Refer your Patient to ADD via phone, fax or email to schedule the evaluation.
ADD’s Easy Referral Process Check List
Identify the Need for an advanced instrumentation diagnostic evaluation or FEES (Typically this is determined by a Physician, SLP, Dysphagia Therapist, or Nurse).
Obtain a Physician's Order - The Physician's order should be written as follows, "FEES procedure for Dysphagia."
Billing Info - If the Patient is under a Managed Care contract or has Private Insurance, an approval or authorization for services (CPT codes 92612 and 92526) must be obtained by your Facility's Business Office Coordinator prior to scheduling the FEES service.
Obtain Signed Consent for the FEES using the ADD "Patient Consent Form."
Call, Fax, or Email - A Representative from the Facility (typically the SLP, Rehab Director, or DON) initiates the referral for the FEES by calling, faxing, or emailing ADD.
ADD will contact your Facility to schedule the FEES service.
Preparing for ADD's Arrival Check List
- Consent Form is signed.
- Physician Order is in place and available for ADD's review.
- Patient Positioning – Optimal Patient Position is the position they normally would eat their meals in. This gives the most realistic results. For example, if your patient typically eats their meals in bed, then the FEES should be done while they are in bed. If your patient is in a wheelchair for meals, the FEES should be done while in the same wheelchair.
- Resources - Have the following PO trials ready:
- Ice Chips/Crushed Ice
- Honey Thick Liquid
- Nectar Thick Liquid
- Thin Liquid
- Puree (apple sauce, pudding, mashed potatoes, etc)
- Chopped Solid (chopped cooked vegetables, fruit cocktail, etc)
- Mechanical Soft
- Regular Texture (hard solid such as a cookie or cracker)
- Download PDF here >
- Pre-FEES Vitals – Be sure to take Pre-FEES Vitals, as they will be recorded along with Post-FEES Vitals on the diagnostic report provided by ADD.
What to Expect Once ADD Arrives
Once ADD arrives, we will begin the process to set up our equipment, pre-disinfect, and complete a medical chart review.
At that point we will discuss the FEES service with the patient and complete any further patient prep work, as needed.
Once the Endoscopist has passed the endoscope transnasally, they will manage the endoscope and guide your Facility's Representative through the PO presentations. If appropriate, both Patient and Facility Representative may watch the video on ADD's laptop.
Compensatory strategies and positioning techniques will be conducted during the FEES to determine the most appropriate diet for your patient.
Once the FEES is completed, the endoscope will be removed from your patient's nasal passage and the Endoscopist will begin the disinfection process for the endoscope. At this time, please request that Nursing obtain Post-FEES Vitals.
ADD will then review the video, as necessary, and complete a detailed diagnostic report, including PO recommendations, strategies, therapy suggestions, and potential referral recommendations. If desired, you may copy the video onto a USB Flash Drive provided by ADD at an additional cost. (Due to cyber security and HIPAA Compliance, ADD is unable to load Patient information onto any device other than one provided by ADD.)
ADD will briefly discuss the FEES results and recommendations with an appropriate Facility Representative and will collaborate with your SLP or Dysphagia Therapist to assist with treatment planning, if desired.
If requested, and if computer access has been pre-arranged, ADD will enter the CPT codes and Patient contact times into your facility's documentation system (i.e. Rehab Optima, Casamba, etc). All ADD Endoscopists are CCC-SLPs and are licensed in your state; therefore, your Facility may bill for ADD's therapy procedures. Therapy minutes count towards RUG level minutes as well.
ADD will send an invoice for billed services to your facility within 72-hours of service. If you have any further questions, please contact us directly.
Rescheduling or Canceling an Evaluation
In the event there arises a need to reschedule or cancel an ADD evaluation, please contact ADD immediately.
If an appointment is canceled with less than 24 hours to the scheduled appointment time due to non-emergent circumstances, ADD will assess a cancellation fee.