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 recovering HF exacerbation carries a reasonable potential for rapid volume change and decompensation; the daily weight-and-congestion assessment and GDMT tolerance monitoring require nursing judgment daily.
Management & evaluation; covered skilled procedure
Managing the multi-drug HF plan and administering/monitoring an IV diuretic or other IV medication are skilled services under Chapter 8.
