This is a patient with a history of hypertension, diabetes, dyslipidemia, seizures, cerebrovascular accident (CVA), and schizophrenia who presented to the hospital with a chief complaint of syncope. He reported that he fell asleep suddenly while at a program for training. He was told that he was difficult to awake after the episode but he denied nausea, lightheadedness, and headaches. After waking he had no recollection of what happened. The patient was admitted for syncope and acute kidney injury. The health plan's determination is upheld. The plan of care for the patient included cardiac enzymes, telemetry, echocardiogram, ultrasound of the carotid arteries, neurology consult, cardiology consult, intravenous (IV) fluids, and monitoring kidney function. Home medications were also continued. The echocardiogram demonstrated normal left ventricular ejection function and grade one diastolic dysfunction. A head computed tomography (CT) scan showed an old stroke but no acute stroke. A carotid Doppler ultrasound did not show critical stenosis. He was also continued on Keppra for seizures but had no acute seizures during the hospitalization. The patient had a non-acute presentation of uncomplicated syncope.