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
An evolving or recovering septic course carries a reasonable potential for a rapid, life-threatening change; the systemic surveillance, early recognition, and recovery monitoring require nursing judgment daily.
Covered skilled procedure; management & evaluation
IV antibiotic and fluid administration are covered services under Chapter 8, and managing the coordinated sepsis and recovery plan is a skilled service.
