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 stroke, a new/fluctuating deficit, or a seizure disorder carries a reasonable potential for a time-critical change; detecting and interpreting a neurological change requires daily nursing judgment.
Rehabilitation nursing; management & evaluation
Stroke-rehabilitation-nursing carryover and management of the multi-problem neurological plan are skilled services under Chapter 8; skilled therapy is documented in the therapy record.
