Home » Categories » Medicare / Medicaid

What are Hospital Issued Notice of Non-Coverage (HINN) Letters?

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

Disclaimer: All discussions and/or information exchanged, including any documents attached hereto, are provided for general information and should not be relied upon as advice, representation, or counsel. All hospitals have unique factors and circumstances, should seek legal counsel when appropriate. You should ask legal counsel to review any specific issues related to your compliance program to ensure conformity with state and local law and to address unique concerns at your facility. QHR (including its employees and agents) assumes no responsibility for consequences resulting from the use of information provided, or in any respect for the content of such information. QHR is not responsible for, and expressly disclaims all liability for, damages of any kind arising out of use, reference to, or reliance on such information. No guarantees, warranties, including (but not limited to) any express or implied warranties of merchantability or fitness for a particular use or purpose, are made by QHR with respect to such information.


Attachments Attachments
There are no attachments for this article.
Related Articles RSS Feed
OIG Regional Inspector General Testifies Today
Viewed 621 times since Thu, Jun 7, 2012
Most Critical Access Hospitals Would Not Meet the Location Requirements If Required to Re-enroll in Medicare
Viewed 649 times since Fri, Aug 16, 2013
Retail Pharmacies with Questionable Part D Billing
Viewed 1071 times since Thu, May 10, 2012
Dallas-Based Tenet Healthcare Pays More Than $42 Million to Settle Allegations Of Improperly Billing Medicare
Viewed 1026 times since Wed, Apr 11, 2012
Early Assessment of Review Medicaid Integrity Contractors (MICs)
Viewed 841 times since Wed, Feb 22, 2012
The OIG Talks About the Importance of Documentation - January 30, 2012
Viewed 917 times since Sat, Feb 18, 2012
Podcast: Critical Access Hospital Designations
Viewed 512 times since Fri, Aug 16, 2013
Civil Monetary Penalties Update: False and Fraudulent Claims
Viewed 950 times since Wed, May 23, 2012
Advanced Directives
Viewed 770 times since Tue, Feb 22, 2011
CMS Publication of Providers that have Been Sent Revalidation Requests
Viewed 627 times since Tue, May 22, 2012
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506