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; management & evaluation
Dysphagia carries a reasonable potential for aspiration and pneumonia; the swallowing/aspiration assessment and the management of the aspiration-precaution and diet plan require daily nursing judgment.
Teaching & training
Teaching safe-swallow strategies and precautions to the resident and caregiver to competence is a covered skilled service.
