|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.
CMS Finalizes Hospital Readmissions Reduction Program in IPPS Final Rule
Viewed 4353 times since Thu, Sep 8, 2011
Civil Monetary Penalties Update: False and Fraudulent Claims
Viewed 923 times since Wed, May 23, 2012
Zone Program Integrity Contractors’ Data Issues Hinder Effective Oversight
Viewed 1074 times since Mon, Nov 14, 2011
Update Regarding National Background Checks
Viewed 898 times since Wed, Mar 16, 2011
Review of CERT Errors Overturned Through the Appeals Process for Fiscal Years 2009 and 2010
Viewed 768 times since Wed, Mar 14, 2012
OIG Update Podcast May 3, 2012 on the OIG’s April Activities
Viewed 715 times since Fri, May 4, 2012
Viewed 719 times since Tue, Feb 22, 2011
Medicare Fraud Strike Force Charges 107 Individuals for Approximately $452 Million in False Billing
Viewed 843 times since Fri, May 4, 2012
Roadmap for Physicians - Avoiding Medicare and Medicaid Fraud and Abuse
Viewed 807 times since Fri, Mar 4, 2011
Medicaid Managed Care: Fraud and Abuse Concerns Remain Despite Safeguards
Viewed 1213 times since Fri, Dec 16, 2011