|Home » Categories » Medicare / Medicaid|
What are Hospital Issued Notice of Non-Coverage (HINN) Letters?
|Article Number: 61 | Last Updated: Fri, Mar 4, 2011 9:01 PM|
Like the Hospital Advance Beneficiary Notice (HABN), Hospital-Issued Notices of Noncoverage (HINNs) are notices given by a hospital to let the patient know that Medicare may not cover their admission or inpatient stay while at the hospital. The notice is usually given to the patient in the form of a letter. When a hospital believes that Medicare will not pay for a patient’s admission or continued stay at their hospital, they are required to notify the patient in writing . This allows the patient to be fully informed about decisions they must make that are affected by their Medicare coverage as well as payment for his or her inpatient stay at the hospital.
Hospitals provide Hospital-Issued Notices of Noncoverage (HINNs) to beneficiaries prior to admission, at admission, or at any point during an inpatient stay if the hospital determines that the services the patient is receiving, or is about to receive, is not covered because it is:
Not medically necessary;
Not delivered in the most appropriate setting; or
Is custodial in nature.
Hospitals should determine in what instances HINNs are appropriate (i.e., patient admission does not meet inpatient criteria and the patient will be expected to pay for the inpatient stay). The business office and case management department can provide examples. Once examples are compiled, education should be provided to business office and case management employees, as well as physicians and/or Hospitalists as appropriate.
More information on HINN letters can be found at: https://www.cms.gov/BNI/05_HINNs.asp
There are no attachments for this article.
Hospital Incident Reporting Systems Do Not Capture Most Patient Harm
Viewed 1715 times since Wed, Jan 25, 2012
DOJ, HHS Announce Record-Breaking Fraud Recoveries In FY 2012
Viewed 1215 times since Wed, Feb 20, 2013
Review of CERT Errors Overturned Through the Appeals Process for Fiscal Years 2009 and 2010
Viewed 1022 times since Wed, Mar 14, 2012
Update Regarding National Background Checks
Viewed 1147 times since Wed, Mar 16, 2011
PEPPER Reports for Critical Access Hospitals
Viewed 2183 times since Fri, Dec 2, 2011
Civil Monetary Penalties and Affirmative Exclusions Updated
Viewed 1402 times since Fri, Dec 16, 2011
Walgreens Pharmacy Chain Pays $7.9 Million to Resolve False Prescription Billing Case
Viewed 1234 times since Mon, Apr 23, 2012
Testimony on Saving Taxpayer Dollars by Curbing Waste and Fraud in Medicaid
Viewed 942 times since Mon, Jul 16, 2012
Dallas-Based Tenet Healthcare Pays More Than $42 Million to Settle Allegations Of Improperly Billing Medicare
Viewed 1274 times since Wed, Apr 11, 2012
The OIG Talks About the Importance of Documentation - January 30, 2012
Viewed 1216 times since Sat, Feb 18, 2012