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
Assessing significant weight loss, dehydration risk, dysphagia, and feeding tolerance requires RN judgment to detect and respond to a changing nutritional status.
Skilled procedure; management & evaluation
Enteral feeding meeting the coverage thresholds is a covered skilled service; managing and adjusting the nutrition plan for an unstable resident is skilled.
