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
Delirium superimposed on dementia carries a reasonable potential for a serious, treatable acute illness; distinguishing it from the baseline requires nursing judgment daily.
Management & evaluation
Skilled non-pharmacologic management of new or dangerous BPSD, and the integration of dementia into a skilled comorbidity’s plan, are skilled services when required.
