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, post-MI, post-procedure, or new-arrhythmia course carries a reasonable potential for rapid change; correlating volume and rhythm findings with the plan requires daily nursing judgment.
Management & evaluation; covered skilled procedure
Managing the multi-drug cardiac plan and administering/monitoring IV cardiac medications are skilled services under Chapter 8.
