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
A new or fluctuating cognitive change carries a reasonable potential for a serious, treatable acute illness; distinguishing delirium from the baseline and detecting an acute change requires nursing judgment daily.
Management & evaluation
Coordinating the delirium workup, the trigger screen, and the non-pharmacologic and safety plan is a skilled activity.
