A FEES is a flexible fiberoptic endoscopic nasopharyngoscopy assessment with video and picture imaging to screen soft tissue findings of larynx, pharynx, base of tongue for the evaluation of dysphagia (difficulty swallowing), provided with evidence based documentation of FEES anatomy & physiology, swallow safety & efficiency, risk benefit analysis related to aspiration pneumonia, precautions, compensatory strategies, and appropriate referrals.