Map which Chapter 8 bases apply, then show the need is daily and can be met only in a SNF (the practical-matter test). This is what a coverage reviewer looks for on a Part A day.
Observation & assessment of an unstable condition
The early post-operative course carries a reasonable potential for infection, bleeding, VTE, ileus, and atelectasis; detecting these requires daily nursing judgment.
Covered skilled procedure; rehabilitation nursing
Incision/drain care and IV medication are skilled services under Chapter 8, and rehabilitation-nursing carryover of the therapy plan is a skilled service.
